Health policy and law:
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
Philadelphia [u.a.]
Saunders
2002
|
| Series: | Hematology, oncology clinics of North America
16,6 |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XIII S., S. 1315 - 1569 Ill. |
Staff View
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Record in the Search Index
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|---|---|
| adam_text | CONTENTS
Preface xi
Bryan A. Liang
An Overview of United States Law 1315
Bryan A. Liang
The legal system in the United States is a parallel track system
comprising federal and state components that have different but
similar aspects, including courts, legislatures, executives, and
administrative agencies. Important areas of the law affecting the
provider include contract, tort, criminal, and administrative law.
Lawsuits follow a set pattern, including stages of initiation of the
suit, meeting with attorneys, pleadings, possible judgment on the
pleadings, discovery, prerrial conferences, trial, and possible appeal.
Medical Malpractice: A Review of Issues for Providers 1331
Marsha Ryan
Physicians are sued with some frequency in this country and
then find themselves surrounded by lawyers, judges, and juries, as
well as unhappy patients and their families. The experience is trau¬
matic and feels much more personal than the simple cost of
doing business, which the legal professionals consider it to be.
Discussed in this article are the basics of medical malpractice law,
novel theories of liability, defenses to suits, medical record keeping,
and hospital liability based on a physician s act of negligence. This
overview of medical negligence is designed to introduce the
practicing hematologist/oncologist to the terms and concepts of
the law as they relate to medical practice in the hopes that
familiarity will allow the physician to understand more fully and
converse more comfortably.
VOLUME 16 • NUMBER 6 • DECEMBER 2002 v
Risk Creation, Loss of Chance, and Legal Liability 1351
Mark J. Garwin
Creating risks of harm for patients due to potentially negligent
behavior and the potential reduced chance of survival of the
patient due to these actions are critical aspects of malpractice
litigation involving delayed diagnoses and/or underlying disease
progression. Beyond traditional medical malpractice, physicians
such as hematologists and oncologists are particularly subject to
these concerns. The legal system in some states has adopted
important laws that reduce the proof necessary to show causation
for a patient injury and also has adopted rules that allow for
recovery for the reduction in chance of survival, rather than
requiring the harm of death or other injury generally required
under traditional medical malpractice law. This area of the law is
currently in a state of flux, and providers should be cognizant of
these concepts to understand the potential avenues of suit that
may be tried against them if and when their jurisdiction adopts
the loss of chance doctrine.
Informed Consent: Issues for Providers 1365
Karen M. Coulson, Brandy L. Glasser, and Bryan A. Liang
Informed consent, as a concept, is a doctrine with which all
hematology/oncology practitioners are familiar. Everyday practi¬
tioners are obtaining informed consent not only because it is good
medical practice but also because they are legally required to do
so. Yet, the information practitioners disclose may or may not be
sufficient to comply with legal standards. This article focuses
on informing the hematologist/oncologist about the different
legal standards of informed consent, what legally needs to be dis¬
closed, the exceptions to obtaining consent, and other issues that
may be important for the provider to fulfill his or her ethical and
legal duties.
Advance Directives and Life Sustaining Treatment: A
Legal Primer 1381
W. Eugene Basanta
Based on both common law and constitutional principles, the law
recognizes the right of adult patients to make health care decisions
for themselves. This right extends even to situations when the
choice may be to withhold or withdraw life sustaining treatments.
To preserve these rights for patients who may become incapacitated,
patients have the right to document their treatment preferences
and to select others to make choices for them through written
advance directives. This article examines various forms of advance
directives and provides the physician with basic information related
to their preparation and implementation.
vi CONTENTS
Definitions and Implications of Death 1397
Anna V. Schlotzhauer and Bryan A. Liang
The legal definition of death has numerous implications in the
practice of medicine. When a determination of death is made
according to legally recognized criteria, life support may be
removed, organs may be harvested for transplantation, and
numerous other legal and financial changes go into effect. His¬
torically, cessation of cardiopulmonary function was the clear
determinant, both medically and legally, of whether a person was
dead or alive. With current life supportive ventilators and resus¬
citation replacing cardiopulmonary function, however, the defini¬
tion of death has been expanded to include those persons with
total loss of brain function. Whole brain death was formally
put forth in the United States in 1980 under the Uniform
Determination of Death Act as the consensus standard to deter¬
mine death, and continues to be the primary legal standard.
Alternatives to Litigation for Health Care Conflicts and
Claims: Alternative Dispute Resolution in Medicine 1415
Edward A. Dauer
Mediation and related forms of alternative dispute resolution
(ADR) are techniques for managing conflicts that may be
employed independently or as alternatives to conventional methods
of claims management including litigation. ADR (particularly
mediation) is well suited to disputes in health care, although its
actual use has been less frequent than it could be. Because mediation
is, by law, confidential, sound data about its effects are hard to
gather. Anecdotal experience in health care and findings from
other settings nevertheless commend its use as a supplement or
alternative to conventional claims management and as a technique
for conflict prevention through early intervention in the aftermath
of a medical mishap.
Medical Information, Confidentiality, and Privacy 1433
Bryan A. Liang
Medical information is confidential and is entitled to privacy pro¬
tection. State and federal law, as well as accreditation organiza¬
tions indicate both the form and substance of medical records and
also define the protections necessary that providers must imple¬
ment to ensure privacy of medical records. Inappropriate use or
disclosure can subject providers to invasion of privacy and
breach of confidentiality lawsuits under state law and to federal
civil and criminal penalties under federal law. There are some
exceptions to disclosure and use of medical information without
patient consent but are very narrow and limited in scope.
CONTENTS vii
Regulating Hematology/Oncology Research Involving
Human Participants 1449
Marshall B. Kapp
The conduct of biomedical research involving human participants is
an extensively regulated enterprise. This article outlines the current
system of legal oversight for research efforts in the United States, as
well as recent criticisms expressed about that system. Several areas
of research regulation raising issues that are especially pertinent to
hematology/oncology clinicians are discussed. Specific issues in¬
clude distinctions between research and therapy, researcher/clinician
conflicts of interest, the validity of informed consent, genetic studies
on tissue samples, patients financial obligations during and after the
clinical trial, ethical considerations in the use of placebos, and the
application of new medical privacy regulations to cancer research.
Patient Safety and Health Policy: A History and Review 1463
Stephen D. Small and Paul Barach
Movement in health policy to improve patient safety has markedly
accelerated in the past 5 years. A number of external factors have
converged to create and sustain this trend, including a rising public
culture of transparency, wide and rapid information availability
enhanced by computer network technology, an aggressive media,
and cost containment pressures. Combined with validated epi
demiologic data documenting an unacceptable rate of preventable
patient injuries due to medical management, these forces have
led to federal, state, and accreditor actions that promise to increa¬
singly impact clinical practice over time.
Pain Management and Liability Issues 1483
Barry R. Furrow
Although there are guidelines and other sources of information for
treating pain, pain is often undertreated in the United States.
Ethical provision of care should include appropriate pain education
and management by physicians. Liability concerns may also
attend those providers who do not adequately assess and act to
control pain. This article reviews some of the issues associated
with pain management and potential liability for the inadequate
treatment of pain.
e Health and e Medicine 1495
Ross D. Silverman
The use of computers and the Internet to deliver health care services
has the potential to transform the practices of hematology and
oncology in the twenty first century. These changes will require
significant modification of current laws concerning the regulation
of medical practice. Furthermore, important questions about medical
viii CONTENTS
malpractice, maintenance of patient privacy, and patients rights
issues such as informed consent also need to be resolved. Although
reimbursement and funding for health services delivered by way
of electronic means is available under certain circumstances,
improvement must also be made in this area for e health and
e medicine to flourish. This article examines the legal and policy
issues confronting hematology and oncology practice in cyberspace.
The Rules of Fraud and Abuse 1509
Michael K. Barrett and Bryan A. Liang
Fraud and abuse has become a significant concern to government
regulators as the costs of health care continue to rise. Federal regu¬
lators along with federal law enforcement agencies have attributed
billions of dollars in federal health care program losses to fraud.
As a result, federal statutes have been broadened and enforce¬
ment resources have been strengthened to combat suspected
fraud. Thus, it is imperative that providers have a basic knowledge
of the legal rules associated with fraud and abuse. This article
seeks to inform health care professionals of the major fraud and
abuse statutes that subject them to potential liability, the extent of
that liability, and the means by which inadvertent violations can
be avoided.
Cumulative Index 2002 1527
CONTENTS ix
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| spelling | Health policy and law Bryan A. Liang guest ed. Philadelphia [u.a.] Saunders 2002 XIII S., S. 1315 - 1569 Ill. txt rdacontent n rdamedia nc rdacarrier Hematology, oncology clinics of North America 16,6 Gezondheidsrecht gtt Confidentiality Fraud Health Policy United States Hematology legislation & jurisprudence United States Jurisprudence Jurisprudence United States Liability, Legal United States Malpractice Malpractice legislation & jurisprudence United States Medical Oncology legislation & jurisprudence United States Medical laws and legislation Telemedicine Gesundheitspolitik (DE-588)4113743-7 gnd rswk-swf USA USA (DE-588)4078704-7 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content USA (DE-588)4078704-7 g Gesundheitspolitik (DE-588)4113743-7 s DE-604 Liang, Bryan A. Sonstige oth Hematology, oncology clinics of North America 16,6 (DE-604)BV000625446 16,6 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=010163153&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Health policy and law Hematology, oncology clinics of North America Gezondheidsrecht gtt Confidentiality Fraud Health Policy United States Hematology legislation & jurisprudence United States Jurisprudence Jurisprudence United States Liability, Legal United States Malpractice Malpractice legislation & jurisprudence United States Medical Oncology legislation & jurisprudence United States Medical laws and legislation Telemedicine Gesundheitspolitik (DE-588)4113743-7 gnd |
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| title | Health policy and law |
| title_auth | Health policy and law |
| title_exact_search | Health policy and law |
| title_full | Health policy and law Bryan A. Liang guest ed. |
| title_fullStr | Health policy and law Bryan A. Liang guest ed. |
| title_full_unstemmed | Health policy and law Bryan A. Liang guest ed. |
| title_short | Health policy and law |
| title_sort | health policy and law |
| topic | Gezondheidsrecht gtt Confidentiality Fraud Health Policy United States Hematology legislation & jurisprudence United States Jurisprudence Jurisprudence United States Liability, Legal United States Malpractice Malpractice legislation & jurisprudence United States Medical Oncology legislation & jurisprudence United States Medical laws and legislation Telemedicine Gesundheitspolitik (DE-588)4113743-7 gnd |
| topic_facet | Gezondheidsrecht Confidentiality Fraud Health Policy United States Hematology legislation & jurisprudence United States Jurisprudence Jurisprudence United States Liability, Legal United States Malpractice Malpractice legislation & jurisprudence United States Medical Oncology legislation & jurisprudence United States Medical laws and legislation Telemedicine Gesundheitspolitik USA Aufsatzsammlung |
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