The current trend toward the invasion of commerce into medical care, an arena formerly under the exclusive purview of physicians, is seen by the authors as an epic clash of cultures between commercial and professional traditions in the United States.
Both have contributed to US society for centuries ; both have much to offer in strengthening medical care and reducing costs.
At the same time, this invasion by commercialism of an arena formerly governed by professionalism poses severe hazards to the care of the sick and the welfare of communities : the health of the public and the public health.
Some of these hazards are briefly listed and reviewed, together with a brief outline of standards that might be established nationally to abate these hazards.
A national agency in the private sector is proposed, the National Council on Medical Care, to set standards and provide an approval mechanism that would then be the basis for state enforcement through licensing.
Two models for such an initiative are outlined, one based on the National Academy of Sciences as the initiating force, and the other on an initiative provided by a consortium of national charitable foundations interested in health policy.
In both cases, wide support from the national foundations would be essential.
In the case of the academy model, some government funds might also be available without loss of the freedom of a private-sector initiative. (...)
Mots-clés Pascal : Soin, Médecin, Aspect culturel, Ethique, Commerce, Article synthèse, Homme, Etats Unis, Amérique du Nord, Amérique, Système santé, Personnel sanitaire, Soins médicaux
Mots-clés Pascal anglais : Care, Physician, Cultural aspect, Ethics, Commerce, Review, Human, United States, North America, America, Health system, Health staff
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0256203
Code Inist : 002B30A01B. Création : 11/06/1997.