Harriet S.MeyerMD, Contributing EditorJonathan D.EldredgeMLS, PhD, Journal Review EditorRobertHoganMD, adviser for new media
edited by Philip J. Boyle (Hastings Center Studies in Ethics), 234 pp, $45, ISBN 0-87840-654-9, Washington, DC, Georgetown University Press, 1998.
Outcomes data and clinical practice guidelines are central components of the movement in medicine toward evidence-based practice. The success of the venture, however, is threatened because physicians are all too often reluctant to embrace recommendations for change in their use of diagnostic and therapeutic procedures. While the reasons for this are many, moral dimensions of physician resistance to practice change have been inadequately explored.
A two-year project at the Hastings Center in Garrison, NY, funded by the National Institutes of Health's Agency for Health Care Policy and Research, sought to examine "moral and related problems of physicians when confronted with outcomes data and practice guidelines, to assess the merits of their concerns, and to propose some ways of responding to them." The result is the probing and tightly-knit collection of papers: Getting Doctors to Listen.
Ethics and OutcomeGetting Doctors to Listen: Ethics and Outcomes Data in Context. JAMA. 1999;282(3):283-284. doi:10.1001/jama.282.3.283-JBK0721-2-1