Reconsidering clinical accountability. An examination of some dilemmas inherent in efforts to bolster clinician accountability.
The paper critically appraises current efforts to bolster the accountability of clinicians. The paper opens with an examination of the values, meaning and rules which underpin different accountability systems. Against this background we canvass conceptual, practical and ethical issues which need to be addressed if efforts to extend the accountability of clinicians are to meet with success.
Degeling
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Centre for Hospital Management and Information Systems Research, University of New South Wales, Sydney.
D004992:Ethics, Medical; D010818:Practice Patterns, Physicians'; D012941:Social Responsibility