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Biomedical subjects

M Angell

Publications and source records attributed to M Angell.

At least 73 records · Page 4Linked to original sources
PubMed1989

Negative studies.

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Clinical Trials as Topic↗
PubMed1989

Colloquium on scientific authorship: rights and responsibilities.

The Colloquium on Scientific Authorship was held at the National Institutes of Health (NIH) at a time of extraordinary scrutiny by the public of the ethics of scientists, as represented by intense interest of the press and the Congress of the United States. Indeed, several regulations dealing with scientific misconduct have been proposed during the last year in the Federal Register, and new legislation has been proposed in the Congress. As a result of these concerns, conferences have been organized by the Institute of Medicine, the American Association for the Advancement of Science/American Bar Association, the Council of Biology Editors, and other groups. The colloquium at NIH, which was held May 31, 1988, and sponsored by the Intramural Scientists, focused on publication practices, especially multiple authorship, as contributing to perceived difficulties. The participants suggested various changes in conventions related to authorship that might help prevent future problems.

Authorship↗
PubMed1988

Euthanasia.

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California↗
PubMed1986

Publish or perish: a proposal.

Because promotion and funding of physicians in academic medicine are closely linked to the number of their publications, investigators feel impelled to publish as frequently as possible. This pressure leads to a number of unfortunate practices in medical publishing, including undertaking trivial studies because they yield rapid results, needlessly reporting the same study in installments, reporting a study more than once, and listing as authors people only marginally involved in the study. It may also be a motivation for fraud. An effective way to reduce these offenses and affirm the supremacy of substance over volume in scientific research would be to place a ceiling on the number of publications that can be considered in evaluating a candidate for promotion or funding. Each publication would then receive commensurately more attention, both from the researcher and from those judging the work.

Authorship↗
PubMed1985

Cost containment and the physician.

The rapid rise in health care costs is receiving a good deal of attention these days. Proposed responses include the deliberate rationing of expensive medical technologies, such as organ transplantation, and a redirection of our efforts toward preventive care. Although preventive care may improve our health, it cannot be assumed to reduce medical costs, since a later death may be as expensive as an earlier one. I suggest that a major and rapidly growing component of medical costs stems from the widespread application of tests and procedures when they are of no demonstrated benefit and may even be harmful. Identifying and curtailing such unnecessary medical care, rather than rationing beneficial technologies, should be the thrust of cost-containment efforts. Fee schedules should be revised so that they neither encourage nor discourage the use of tests and procedures; we should undertake systematic studies to assess technologies and practices; and we should make every effort to discourage the practice of defensive medicine. The involvement of physicians in rationing is not only premature; it is also inconsistent with our role as advocates for the health of our patients.

Cost Control↗