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Biomedical subjects

E E Bartlett

Publications and source records attributed to E E Bartlett.

At least 19 recordsLinked to original sources
PubMed2000

NCQA gender-specific standards: is there a place for men's health?

The National Committee for Quality Assurance (NCQA) has adopted 12 gender-specific standards for HMO accreditation. None of the 12 pertain to men's health. This article analyzes possible explanations for the exclusion of men's health standards. The data suggest the following conclusions: (1) men are the higher-risk population, (2) current medical research budget allocations favor women by almost a 3:1 margin, (3) a sufficient research basis exists to develop male-specific standards, and (4) there is no clear basis to the claim that medical services are systematically biased against women; in fact, it is men who are underutilizers of primary care services. The paper concludes with a discussion of possible male-specific standards and operational considerations for managed care organizations.

Accreditation↗
PubMed1999

The early diagnosis project: a collaborative approach to risk management.

Diagnostic errors account for one-fifth of lawsuits against hospitals and physicians. Virtually all medical specialties are at risk for these lawsuits. To this point, risk managers have done little to assist physicians to reduce their risk of failure-to-diagnose (FTD) lawsuits. This article describes a collaborative effort to reduce FTD lawsuits in the primary care setting.

Breast Neoplasms↗
PubMed1998

Physicians' cognitive errors and their liability consequences.

Diagnostic errors account for one-fifth of lawsuits against hospitals and physicians. Of greatest concern is the rising severity of lawsuits alleging diagnostic errors--over a 12-year period the average indemnity for these claims has risen by 258%. The hospital departments most affected are the emergency room, obstetrics, radiology and pathology. This article probes the structure of diagnostic errors and makes recommendations how to reduce the frequency and severity of these claims.

Cognition↗
PubMed1998

Reducing malpractice risk and increasing quality in managed care.

The Early Diagnosis Project was established in an effort to improve quality and reduce malpractice risk in managed care practice environments. The first project, which addressed breast cancer, utilized practice guidelines, patient handouts, and follow-up forms in an integrated attempt to improve the quality of care and reduce litigation involving "failure-to-diagnose" claims.

Breast Neoplasms↗
PubMed1998

Recognizing and reducing physician stress in managed care environments.

Stress management has become an issue for managed care medical directors, quality improvement coordinators, and others affected by the changing face of the health care industry and their role in it. This article offers insight on how to foster better ties with staff and network physicians, and to develop tools that could alleviate professional stress.

Burnout, Professional↗
PubMed1995

Cost-benefit analysis of patient education.

As the growth of healthcare continues to outpace inflation, health policy makers are increasingly concerned with cost containment. This article summarizes studies of the cost-benefit of patient education studies in managed care and other settings, including comprehensive approaches to healthcare delivery that emphasize education. On the average, for every dollar invested in patient education, $3-4 were saved. The article concludes with recommendations for healthcare policy makers and administrators.

Cost Control↗
PubMed1995

Manage the difficult patient to reduce malpractice risk.

Managed care is becoming the predominant model of health care delivery in the United States, and cost containment pressures are being felt by physicians and patients alike. As a result, the doctor-patient relationship is being subjected to greater pressures and conflicts. These conflicts can result in patients being viewed as "difficult." Difficult patients represent a clinical challenge which many providers feel unprepared to address. When difficult patients become dissatisfied and angry with care, a professional liability claim can result. This article presents difficult patient cases and management recommendations, along with evaluation results of three seminars based on the difficult patient concept.

Health Maintenance Organizations↗