Opportunities for maloccurrence in delivery of specialized care in the managed care environment.
Two patients lost eyes because of complications of retinal detachment in managed care situations. In both cases the eyes might have been saved had the patients been treated earlier by highly qualified subspecialists.
Fung
W E
WE
Pacific Eye Associates, San Francisco, California 94115, USA.
D001766:Blindness / Q000209:etiology / Q000517:prevention & control; D003695:Delivery of Health Care / Q000592:standards*; D005129:Eye Foreign Bodies / Q000150:complications / Q000601:surgery; D015807:Eye Injuries, Penetrating / Q000150:complications / Q000601:surgery; D006279:Health Maintenance Organizations / Q000331:legislation & jurisprudence; D006801:Humans; D016365:Liability, Legal; D008297:Male; D008329:Managed Care Programs / Q000331:legislation & jurisprudence*; D008511:Medicine / Q000592:standards*; D008875:Middle Aged; D009885:Ophthalmology / Q000592:standards*; D012163:Retinal Detachment / Q000150:complications / Q000517:prevention & control; D013038:Specialization; D014821:Vitrectomy; D014823:Vitreous Hemorrhage / Q000150:complications / Q000601:surgery