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ARTICLE |

Economic Considerations in Treatment Decisions and the Standard of Care in Medical Malpractice Litigation

Edward B. Hirshfeld, JD
JAMA. 1990;264(15):2004-2012. doi:10.1001/jama.1990.03450150104041.
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Enthoven A.  Shattuck Lecture—cutting cost without cutting the quality of care . N Engl J Med. 1978;298:1229-1238.
Link to Article[[XSLOpenURL/10.1056/NEJM197806012982204]]
Roper W, Winkenwerder W, Hackbarth G, Krakauer H.  Effectiveness in health care—an initiative to evaluate and improve medical practice . N Engl J Med. 1988;319:1197-1202.
Link to Article[[XSLOpenURL/10.1056/NEJM198811033191805]]
Vance-Bryan D.  Medicare's prospective payment system: can quality care survive? Iowa L Rev. 1984;69:1417-1450.
Wickline v State of California, 183 Cal App 1064,228 Cal Reptr 661 (Cal App 1986).
Rosenblatt R.  Redefining administrative liability . Health Mgmt Q. 1st quarter 1990;12:9-12.
Morreim E.  Cost containment and the standard of medical care . Calif L Rev. 1987;75:1719-1763.
Link to Article[[XSLOpenURL/10.2307/3480490]]
Hall M.  The malpractice standard under health care cost containment . Law Med Health Care. 1989;17:347-355.
Leaf A.  Cost-effectiveness as a criterion for Medicare coverage . N Engl J Med. 1989;321:898-900.
Link to Article[[XSLOpenURL/10.1056/NEJM198909283211311]]
Keeton W. Prosser and Keeton on Torts . 5th ed. St Paul, Minn: West Publishing Co; 1984:158-193.
Legal Implications of Practice Parameters . Chicago, Ill: American Medical Association; 1990.
King J.  In search of a standard of care for the medical professions: the accepted practice formula . Vand L Rev. 1975;28:1213-1276.
Helling v Carey, 83 Wash2d 514, 519 P2d 981 (1974), reaffirmed in Gates v. Jensen, 92 Wash2d 246, 595 P2d 919 (1979).
Council on Ethical and Judicial Affairs. Current Opinions of the Council on Ethical and Judicial Affairs of the American Medical Association . Chicago, Ill: American Medical Association; 1989. Opinions 2.03 and 2.09.
Rosenblatt R.  Rationing `normal' health care: the hidden legal issues . Tex L Rev. 1981;59:1401-1420.
Schuck P.  Malpractice liability and the rationing of care . Tex L Rev. 1981;59:1421-1427.
 Note: rethinking medical malpractice law in light of Medicare cost cutting . Harv L Rev. 1985;98:1004-1022.
Link to Article[[XSLOpenURL/10.2307/1340883]]
Clancy L, Hillner B.  Physicians as gatekeepers—the impact of financial incentives . Arch Intern Med. 1989;149:917-920.
Link to Article[[XSLOpenURL/10.1001/archinte.1989.00390040115023]]
Stern R, Juhn P, Getler P, Epstein A.  A comparison of length of stay and costs for health maintenance organizations and fee-for-service patients . Arch Intern Med. 1989;149:1185-1188.
Link to Article[[XSLOpenURL/10.1001/archinte.1989.00390050139028]]
Lairson A.  Comment: reexamining the physician's duty of care in response to Medicare's prospective payment system . Wash Law Rev. 1987;62:791-811.
Kelly J, Swartwout J.  Development of practice parameters by physician organizations . QRB . (February) 1990:54-57.

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