Informed Consent and Clinician Accountability

This timely book analyses and evaluates ethical and social implications of recent developments in reporting surgeon performance. It contains chapters by leading international specialists in philosophy, bioethics, epidemiology, medical administration, surgery, and law, demonstrating the diversity and complexity of debates about this topic, raising considerations of patient autonomy, accountability, justice, and the quality and safety of medical services. Performance information on individual cardiac surgeons has been publicly available in parts of the US for over a decade. Survival rates for individual cardiac surgeons in the UK have recently been released to the public. This trend is being driven by various factors, including concerns about accountability, patients’ rights, quality and safety of medical care, and the need to avoid scandals in medical care. This trend is likely to extend to other countries, to other clinicians, and to professions beyond health care, making this text an essential addition to the literature available.

Spis treści:
Acknowledgements
Introduction, accountability, informed consent and clinician performance information Justin Oakley and Steve Clarke
Part I. Accountability, Introduction
1. Clinician report cards and the limits of evidence-based patient choice Michael Parker
2. Report cards for institutions, not individuals Neil Levy
3. Safety, accountability, and choice after the Bristol inquiry Tom Sorell
4. Public reports, putting patients in the picture requires a new relationship between doctors and patients Merrilyn Walton
5. Adverse event disclosure, benefits and drawbacks for patients and clinicians Paul Barach and Michael Cantor
6. Report cards and performance monitoring Stephen Bolsin and Liadain Freestone
Part II. Informed Consent, Introduction
7. Informed consent and surgeons performance Steve Clarke and Justin Oakley
8. The value and practical limits of informed consent Merle Spriggs
9. Against the informed consent argument for surgeon report cards David Neil
10. Trust and the limits of knowledge David Macintosh
11. Surgeons report cards, heuristics, biases and informed consent Steve Clarke
12. Report cards, informed consent and market forces A. J. Walsh
Part III. Reporting Performance Information, Introduction
13. Is the reporting of an individual surgeons clinical performance doing more harm than good for patient care? Silvana F. Marasco and Joseph E. Ibrahim
14. Examining the link between publicly reporting health care quality and quality improvement Rachel M. Werner and David A. Asch
15. Hospital and clinician performance data, what it can and cannot tell us Paul Aylin
16. An ethical analysis of the defensive surgery objection to individual surgeon report cards Justin Oakley
17. Surgeon report cards and the concept of defensive medicine Yujin Nagasawa
18. Training, innovation and surgeons report cards Tony Eyers
19. Doctors report cards, a legal perspective Ian Freckelton.