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Shared decision making is impossible in a government run health system

Norman Briffa, MD
Health Policy
October 8, 2011

The relationship between doctors and their patients has changed dramatically over the past few years. Medical beneficence became paternalism and is now near obsolete. Shared decision making is the new lofty ideal we should all be striving for. It is guiding new health policy both in the UK, with the new mantra “nothing about me without me,” and in the US.

We are at the start of the Century of the …

Read more…

Shared decision making is impossible in a government run health system

Poor, illegible entries in medical notes can cost lives

Norman Briffa, MD
Physician
July 22, 2011

I was present recently at a meeting between representatives of a hospital and the relatives of a recently deceased patient.  The death had been the subject of an inquiry and in preparation for the inquest, the family had been given copies of the medical notes.  A significant part of the meeting was spent, explaining the meaning and significance of various entries in the notes. Embarrassingly,  some handwritten entries in …

Read more…

Poor, illegible entries in medical notes can cost lives

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