ABSTRACT

First published in 1992, Quality and Regulation in Health Care employs socio-legal ideas concerning regulation to examine the methods used to influence the quality of health care in the US, UK, and Western Europe. Throughout the Western world, health care systems, both public and private, are grappling with the problems of assuring quality while containing costs. On the one hand, governments and insurers argue that there must be some limit to the apparently endless growth of health care expenditures. On the other, patient groups and consumer advocates, already dissatisfied by the problems in holding doctors accountable for their actions, protest that such limits must not result in sick people getting inferior treatment. This book examines in detail the debate surrounding the question: How can the professional expertise of the clinicians be reconciled with the preferences of their patients and the economic concerns of taxpayers or insurers? It will be essential reading for graduate and undergraduate courses in health policy, medical sociology, and health law.

chapter |10 pages

Introduction

chapter 1|15 pages

The tort system and information

Some comparisons between the UK and the US

chapter 2|25 pages

Medical discipline in cross-cultural perspective

The United States, Britain and Sweden

chapter 4|20 pages

Recent developments in medical quality assurance and audit

An international comparative study

chapter 5|23 pages

Legislating for health

The changing nature of regulation in the NHS