Abstract

IN the midst of another medical malpractice crisis, medical peer-review programs concerning the quality of physicians' performance are receiving renewed attention as at least partial solutions to the problem. State legislatures are mandating comprehensive programs of peer review in all licensed hospitals, health maintenance organizations, and other health care programs. Despite these enactments, however, the effectiveness of peer-review performance monitoring has been greatly undermined by a genuine fear of retaliatory lawsuits brought by physicians who are the subjects of disciplinary action. Some states have passed "shield laws" that are designed to provide a degree of legal immunity for hospital peer-review . . .

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