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Biomedical subjects

I Ladimer

Publications and source records attributed to I Ladimer.

At least 19 recordsLinked to original sources

The case for arbitrating hospital-physician disputes.

An arbitral process that provides independent fact-finding and recommendation to hospital trustees in accordance with rules and regulations of the hospital is proposed as an alternative to internal peer review for resolving hospital-physician disputes. This approach should prove acceptable as a fair and impartial method to both parties, who may design appropriate rules for such disputes.

Governing Board↗

Ethical issues in investigation of screening strategies.

Screening programs can be designed to be useful for data collection to study effectiveness of screening. High-risk populations may be identified, and screening techniques applied to a randomly selected subgroup with another subgroup serving as controls. This raises the ethical question of not applying helpful surveillance to individuals known to be at high-risk. Attention should be paid to management of controls, for example, to screen them less frequently, or at least to inform them of their increased risk and advise periodic exams. Against such recommendations is that differences between test and control groups would be minimized and the study less conclusive. Another approach is to use adaptive design, selecting the study group for a large population which is being subject to medical surveillance for some other reason. As in other clinical trails, studies of screening programs must include appropriate surveillance for controls to properly safeguard their rights and medical needs.

Control Groups↗