ABSTRACT
In addition to an appellate procedure for disputes or disagreements over the conduct of individual research projects, adequate functioning of the catastrophic disease decisionmaking process also requires the creation of procedures for evaluating the decisions which have been reached and their consequences. This chapter examines the third stage in the catastrophic disease process which seeks, to provide an opportunity for evaluating the consequences of the decisions made at the two prior stages. The mechanisms of review fall into two groups: those which look toward policy reformulation through a broad input of data on a nonadversary basis, and those which in addition to providing data for the reformulation process are primarily concerned with the adjudication of individual cases and the compensation of injured parties. Both types of review mechanism are designed to control the catastrophic disease process. But they differ in their primary purposes and therefore in the qualifications and authority of the persons selected to conduct the review process.
