메뉴 건너뛰기




Volumn 36, Issue 8, 1998, Pages 1295-1302

When Courts Review Medical Appropriateness

Author keywords

Judicial review health insurance coverage; Medical appropriateness; Technology assessment

Indexed keywords

HEALTH INSURANCE; HOSPITALIZATION; HUMAN; INSURANCE; LEGAL ASPECT; ORGANIZATION AND MANAGEMENT; PRACTICE GUIDELINE; REVIEW; TREATMENT OUTCOME; UNITED STATES;

EID: 0032134611     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/00005650-199808000-00016     Document Type: Article
Times cited : (6)

References (36)
  • 1
    • 0025324983 scopus 로고
    • Practice guidelines and standards: An overview
    • Leape LL. Practice guidelines and standards: An overview. QRB February 1990:42.
    • (1990) QRB February , pp. 42
    • Leape, L.L.1
  • 2
    • 33645757741 scopus 로고
    • Field MJ, Lohr K, eds. Washington, DC: Institute of Medicine, National Academy of Science Press
    • Institute of Medicine, Committee to Advise the Public Health Service on Clinical Practice Guidelines. Clinical practice guidelines: Directions for a new program, 1990. Field MJ, Lohr K, eds. Washington, DC: Institute of Medicine, National Academy of Science Press, 1990.
    • (1990) Clinical Practice Guidelines: Directions for a New Program, 1990
  • 3
    • 0027024409 scopus 로고
    • Implementing clinical practice guidelines: Social influence strategies and practitioner behavior change
    • Mittman BS, Tonesk X, Jacobson PD. Implementing clinical practice guidelines: Social influence strategies and practitioner behavior change. QRB December 1992:413.
    • (1992) QRB December , pp. 413
    • Mittman, B.S.1    Tonesk, X.2    Jacobson, P.D.3
  • 4
    • 0028094735 scopus 로고
    • Outcomes assessment in health care reform: Promise and limitations
    • Mariner WK. Outcomes assessment in health care reform: Promise and limitations. Am J Law Med 1994;20:37.
    • (1994) Am J Law Med , vol.20 , pp. 37
    • Mariner, W.K.1
  • 6
    • 0026694351 scopus 로고
    • Practice guidelines, a new reality in medicine
    • Woolf SH. Practice guidelines, a new reality in medicine. Arch Intern Med 1992;152:946.
    • (1992) Arch Intern Med , vol.152 , pp. 946
    • Woolf, S.H.1
  • 7
    • 0027650431 scopus 로고
    • Overview of legal issues
    • Brennan T. Overview of legal issues. J Quality Improvement 1993;19:319.
    • (1993) J Quality Improvement , vol.19 , pp. 319
    • Brennan, T.1
  • 8
    • 0027481875 scopus 로고
    • Court-ordered reimbursement for unproven medical technology: Circumventing technology assessment
    • Ferguson JH, Dubinsky M, Kirsch JD. Court-ordered reimbursement for unproven medical technology: Circumventing technology assessment. JAMA 1993;269:2116.
    • (1993) JAMA , vol.269 , pp. 2116
    • Ferguson, J.H.1    Dubinsky, M.2    Kirsch, J.D.3
  • 9
    • 84945702771 scopus 로고
    • What do we do about costs?
    • Eddy DM. What do we do about costs? JAMA 1990;264:1161.
    • (1990) JAMA , vol.264 , pp. 1161
    • Eddy, D.M.1
  • 10
    • 84985205836 scopus 로고
    • Illinois blues: If you sign a contract, you follow the guidelines
    • Dec 6
    • Borzo G. Illinois blues: If you sign a contract, you follow the guidelines. American Medical News 1993;Dec 6:8.
    • (1993) American Medical News , pp. 8
    • Borzo, G.1
  • 11
    • 0342861269 scopus 로고
    • Clinical practice guidelines and the law: Applications and implications
    • Deerfield, IL: Clark Boardman Callaghan
    • Gosfield AG. Clinical practice guidelines and the law: Applications and implications. In: Health law handbook 1994. Deerfield, IL: Clark Boardman Callaghan, 1994.
    • (1994) Health Law Handbook 1994
    • Gosfield, A.G.1
  • 13
    • 0027486685 scopus 로고
    • Medical technology assessment and practice guidelines: Their day in court
    • Anderson GF, Hall MA, Steinberg EP. Medical technology assessment and practice guidelines: Their day in court. Am J Public Health 1993;83:1635.
    • (1993) Am J Public Health , vol.83 , pp. 1635
    • Anderson, G.F.1    Hall, M.A.2    Steinberg, E.P.3
  • 15
    • 0026863581 scopus 로고
    • Reimbursing new technologies: Why are the courts judging experimental medicine?
    • Saver RS. Reimbursing new technologies: Why are the courts judging experimental medicine? Stanford Law Review 1992;44:1095.
    • (1992) Stanford Law Review , vol.44 , pp. 1095
    • Saver, R.S.1
  • 16
    • 0027614471 scopus 로고
    • Who should rightfully decide whether a medical treatment necessarily incurred should be excluded from coverage under a health insurance policy provision with excludes from coverage "experimental" medical treatments?
    • Who should rightfully decide whether a medical treatment necessarily incurred should be excluded from coverage under a health insurance policy provision with excludes from coverage "experimental" medical treatments? Duquesne Law Review 1993;31:777.
    • (1993) Duquesne Law Review , vol.31 , pp. 777
  • 17
    • 85033927365 scopus 로고    scopus 로고
    • Wilson v The Travelers Insurance Co., 605 P2d 1327 (Okla 1980)
    • Wilson v The Travelers Insurance Co., 605 P2d 1327 (Okla 1980).
  • 18
    • 85033940576 scopus 로고    scopus 로고
    • Weaver v Reagen, 886F .2d 194 (Missouri 1989)
    • Weaver v Reagen, 886F .2d 194 (Missouri 1989).
  • 19
    • 85033929665 scopus 로고    scopus 로고
    • American Society of Cataract and Refractive Surgery v Sullivan, 772 F.Supp. 666 (D.C. 1991)
    • American Society of Cataract and Refractive Surgery v Sullivan, 772 F.Supp. 666 (D.C. 1991).
  • 20
    • 85033914708 scopus 로고    scopus 로고
    • Waldrip v Connecticut National Life Insurance Co., 573 So.2d 1172 (5th Cir. 1991)
    • Waldrip v Connecticut National Life Insurance Co., 573 So.2d 1172 (5th Cir. 1991).
  • 21
    • 85033926578 scopus 로고    scopus 로고
    • Hyde v Humana insurance Co., 598 So.2d 876 (Ala. 1992)
    • Hyde v Humana insurance Co., 598 So.2d 876 (Ala. 1992).
  • 22
    • 85033936549 scopus 로고    scopus 로고
    • Meusberger v Palmer, 900 F.2d 1280 (8th Cir. 1990)
    • Meusberger v Palmer, 900 F.2d 1280 (8th Cir. 1990).
  • 23
    • 0028775550 scopus 로고
    • I had a tough day today, Hillary
    • Boren, SD. I had a tough day today, Hillary. N England J of Medicine 1994; 330:500.
    • (1994) N England J of Medicine , vol.330 , pp. 500
    • Boren, S.D.1
  • 24
    • 85033934538 scopus 로고    scopus 로고
    • White v Caterpillar, 765 F.Supp. 1418 (W.D. Mo. 1991)
    • White v Caterpillar, 765 F.Supp. 1418 (W.D. Mo. 1991).
  • 25
    • 85033922919 scopus 로고    scopus 로고
    • Leonhardt v Bradford National Life Insurance Co., 828 F.Supp. 657 (Minn 1993)
    • Leonhardt v Bradford National Life Insurance Co., 828 F.Supp. 657 (Minn 1993).
  • 26
    • 0025709667 scopus 로고    scopus 로고
    • Egert v Connecticut General Life Insurance Co., 900 F.2d 1032 (7th Cir. 1990)
    • Egert v Connecticut General Life Insurance Co., 900 F.2d 1032 (7th Cir. 1990).
  • 27
    • 85033938930 scopus 로고    scopus 로고
    • Daubert v Merrill Dow Pharmaceuticals, Inc., 53 CCH S CT. Bull B3845
    • Daubert v Merrill Dow Pharmaceuticals, Inc., 53 CCH S CT. Bull B3845.
  • 28
    • 0347498724 scopus 로고
    • Practice Guidelines. The experience of medical specialty societies
    • Practice Guidelines. The experience of medical specialty societies. United States General Accounting Office 1991;1.
    • (1991) United States General Accounting Office , vol.1
  • 29
    • 0028133585 scopus 로고
    • The use and abuse of medical practice guidelines
    • Ayers JD. The use and abuse of medical practice guidelines. J Legal Medicine 1994;15:421.
    • (1994) J Legal Medicine , vol.15 , pp. 421
    • Ayers, J.D.1
  • 30
    • 0027650574 scopus 로고
    • Use of practice parameters as standards of care and in health care reform: A view from the American Medical Association
    • Hirshfield E. Use of practice parameters as standards of care and in health care reform: A view from the American Medical Association. J Quality Improvement 1993;19:322.
    • (1993) J Quality Improvement , vol.19 , pp. 322
    • Hirshfield, E.1
  • 31
    • 0029262246 scopus 로고
    • Practice guidelines and private insurers
    • Parker CW. Practice guidelines and private insurers. J Law, Medicine, and Ethics 1995;23:57.
    • (1995) J Law, Medicine, and Ethics , vol.23 , pp. 57
    • Parker, C.W.1
  • 32
    • 0028247084 scopus 로고
    • Internists attitudes about clinical practice guidelines
    • Tunis SR, Haywood RS, Wilson MC. Internists attitudes about clinical practice guidelines. Ann Intern Med 1994;120:956
    • (1994) Ann Intern Med , vol.120 , pp. 956
    • Tunis, S.R.1    Haywood, R.S.2    Wilson, M.C.3
  • 33
    • 85033913101 scopus 로고    scopus 로고
    • Fox v Health Net of California, 219692 (California 1993)
    • Fox v Health Net of California, 219692 (California 1993).
  • 34
    • 85033938561 scopus 로고    scopus 로고
    • Adams v Blue Cross Blue Shield of Maryland., 757 F.Supp. 661 (Md. 1991)
    • Adams v Blue Cross Blue Shield of Maryland., 757 F.Supp. 661 (Md. 1991).
  • 35
    • 0026889798 scopus 로고
    • Appropriateness of care: A comparison of global and outcome methods to set standards
    • McClennan M, Brook RH. Appropriateness of care: A comparison of global and outcome methods to set standards. Med Care 1992;30:565.
    • (1992) Med Care , vol.30 , pp. 565
    • McClennan, M.1    Brook, R.H.2


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.