Patients' rights and physician accountability: problems with PSROs
- PMID: 11649478
- DOI: 10.1007/BF00917038
Patients' rights and physician accountability: problems with PSROs
Abstract
KIE: Professional Standards Review Organizations (PSRO's) were established by federal legislation in 1972 to provide a mechanism for review, by locally-established groups of physicians, of the quality and appropriateness of care received by patients under Medicare or Medicaid. The author explores four normative problems associated with PSRO's: the problem of bureaucracy incapable of responding to individual needs; the problem of cost consciousness overcoming the commitment to quality; the problem of interfering with other societal values and goals; and the problem of value judgments being made by professionals rather than patients.
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