What Is Unnecessary Surgery? Who Shall Decide? Issues of Consumer Sovereignty, Conflict and Self Regulation
Schacht, Paul J.
Social Science and Medicine. 1985; 20(3): 199-206.
The polemical debate over unnecessary surgery has often neglected fundamental questions of what is or is not necessary surgery in favor of economic and policy concerns. This essay by Schacht and Pemberton has a two-fold purpose: to broaden the comparative basis for discussions of unnecessary surgery by incorporating some Australian data, and to address such major issues as who determines when surgery is unnecessary, and on what grounds. The authors draw attention to problems with relying on epidemiological data to detect unnecessary surgery. They also examine counterproposals that decisions about the necessity of certain procedures be made by physicians or consumers, and suggest that review committees comprised of health personnel and laypersons would be the best forums for scrutinizing the issues. (KIE abstract)
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Levitt, Mairi (2001-12)OBJECTIVES: The development of predictive genetic tests provides a new area where consumers can gain knowledge of their health status and commercial opportunities. "Over-the-counter" or mail order genetic tests are most ...