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A New Stranger at the Bedside: Industrial Quality Management and the Erosion of Clinical Judgment in American Medicine.

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Title: A New Stranger at the Bedside: Industrial Quality Management and the Erosion of Clinical Judgment in American Medicine.
Authors: Mutter, Justin B.
Source: Social Research. Winter2019, Vol. 86 Issue 4, p931-954. 24p.
Subjects: Total quality management, Medical quality control, Patient satisfaction, Bioethics, Biomarkers, Physicians, Medical care financing
Abstract: The article presents a critical account of how the quality management industry rose to prominence in health care, and examines its impact on the nature of clinical judgment. Topics discussed include exclusive dedication of bioethics to the principle of patient autonomy, quality management reconstituted quality as the province of experts, who in turn epistemically aligned "quality" with illness biomarkers and medical procedures and physician autonomy dispossessing patients of their rights. It also mentions medical expenditures per capita persistently rose faster than income, experts in health care financing began to use quality as a fulcrum for performance in their new models.
Database: Psychology and Behavioral Sciences Collection
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PubType: Academic Journal
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  Data: A New Stranger at the Bedside: Industrial Quality Management and the Erosion of Clinical Judgment in American Medicine.
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  Data: <searchLink fieldCode="DE" term="%22Total+quality+management%22">Total quality management</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+quality+control%22">Medical quality control</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+satisfaction%22">Patient satisfaction</searchLink><br /><searchLink fieldCode="DE" term="%22Bioethics%22">Bioethics</searchLink><br /><searchLink fieldCode="DE" term="%22Biomarkers%22">Biomarkers</searchLink><br /><searchLink fieldCode="DE" term="%22Physicians%22">Physicians</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+financing%22">Medical care financing</searchLink>
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  Data: The article presents a critical account of how the quality management industry rose to prominence in health care, and examines its impact on the nature of clinical judgment. Topics discussed include exclusive dedication of bioethics to the principle of patient autonomy, quality management reconstituted quality as the province of experts, who in turn epistemically aligned "quality" with illness biomarkers and medical procedures and physician autonomy dispossessing patients of their rights. It also mentions medical expenditures per capita persistently rose faster than income, experts in health care financing began to use quality as a fulcrum for performance in their new models.
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=141849283
RecordInfo BibRecord:
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      – Code: eng
        Text: English
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        PageCount: 24
        StartPage: 931
    Subjects:
      – SubjectFull: Total quality management
        Type: general
      – SubjectFull: Medical quality control
        Type: general
      – SubjectFull: Patient satisfaction
        Type: general
      – SubjectFull: Bioethics
        Type: general
      – SubjectFull: Biomarkers
        Type: general
      – SubjectFull: Physicians
        Type: general
      – SubjectFull: Medical care financing
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      – TitleFull: A New Stranger at the Bedside: Industrial Quality Management and the Erosion of Clinical Judgment in American Medicine.
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              M: 12
              Text: Winter2019
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              Y: 2019
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