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Surgeon Report Cards, Clinical Realities, and the Quality of Patient Care

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Abstract

In this article, I respond to Alan Henderson’s critique of the quality of care argument for surgeon report cards. I discuss some significant US and UK studies demonstrating that surgeon report cards improve clinical outcomes. I also indicate that surgeon report cards are in any case supported by other important ethical arguments, such as arguments from surgeons’ professional accountability obligations, and from patients’ entitlements to be informed about the risks of surgery upon them.

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References

  • Bridgewater, B.; Grayson, A.D.; Brooks, N.; Grotte, G.; Fabri, B.M; Au, J.; Hooper, T.; Jones, M.; Keogh, B. 2007. Has the publication of cardiac surgery outcome data been associated with changes in practice in northwest England?: An analysis of 25730 patients undergoing CABG surgery under 30 surgeons over eight years. Heart 93: 744–8.

    Article  Google Scholar 

  • Chassin, M.R. 2002. Achieving and sustaining improved quality: Lessons from New York State and cardiac surgery. Health Affairs 21: 40–51.

    Article  Google Scholar 

  • Clarke, S. and Oakley, J. 2004. Informed consent and surgeons’ performance. The Journal of Medicine and Philosophy 29: 11–35.

    Article  Google Scholar 

  • Clarke, S. and Oakley, J. eds., 2007. Informed Consent and Clinician Accountability: The Ethics of Report Cards on Surgeon Performance. Cambridge: Cambridge University Press.

  • Fung, C.H.; Lim, Y-W.; Mattke, S.; Damberg, C.; Shekelle, P.G. 2008. Systematic review: The evidence that publishing patient care performance data improves quality of care. Annals of Internal Medicine 148(2): 111–23.

    Article  Google Scholar 

  • Keogh, B.; Bridgewater, B.; Kinsman, R.; Walton, P. 2009. The Sixth National Adult Cardiac Surgical Database: Demonstrating Quality. London: Dendrite Clinical Systems.

    Google Scholar 

  • Hannan, E.L.; Vaughn Sarrazin, M.S.; Doran, D.R. and Rosenthal, G.E. 2003. Provider profiling and quality improvement efforts in coronary artery bypass graft surgery: The effect on short-term mortality among Medicare beneficiaries’, Medical Care vol. 41(10): 1164–72..

    Article  Google Scholar 

  • Henderson, Alan. 2009. Surgical report cards: The myth and the reality. Monash Bioethics Review 28(3): 20.1–20.20. DOI: 10.2104/mber0920.

    Google Scholar 

  • Oakley, J. 2007a. An ethical analysis of the defensive surgery objection to individual surgeons report cards. In S. Clarke and J. Oakley (eds), Informed Consent and Clinician Accountability: The Ethics of Report Cards on Surgeon Performance, pp. 243–54. Cambridge: Cambridge University Press.

    Chapter  Google Scholar 

  • Oakley, J. 2007b. Patients and disclosure of surgical risk. In R. Ashcroft, A. Dawson, H. Draper & J. McMillan (eds), Principles of Health Care Ethics (2nd edn), pp. 319–24. London: John Wiley.

    Google Scholar 

  • Oakley, J. and Clarke, S., 2009. Surgeon report cards. In Judith Healy and Paul Dugdale eds., Patient Safety First: Responsive Regulation in Health Care. Sydney: Allen & Unwin.

    Google Scholar 

  • Peterson, E.D.; De Long, E.R.; Jollis, J.G.; Muhlbaier, L.H.; Mark, D.B. 1998. The effects of New York’s bypass surgery provider profiling on access to care and patient outcomes in the elderly. Journal of the American College of Cardiology 32(4): 993–9.

    Article  Google Scholar 

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Correspondence to Justin Oakley.

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Oakley, J. Surgeon Report Cards, Clinical Realities, and the Quality of Patient Care. Monash Bioethics Review 28, 21–26 (2009). https://doi.org/10.1007/BF03351314

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  • DOI: https://doi.org/10.1007/BF03351314

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