Posts by Sacha
-
Hard News: Complaint and culture, in reply to B Jones,
the uterine rupture thing
Clearly described as the registrar's fault - but as you say not allowed to interfere with the desired conclusion.
I simply don't have time to fisk the article but even given my limited knowledge of maternity policy, it's hardly a balanced account.
-
Hard News: Complaint and culture, in reply to Russell Brown,
So you could also say that complaints against midwives are more than twice as likely to be upheld as complaints against doctors.
You could, though as you note there are a total of:
3000 midwives and 225 obstetricians
-
Hard News: Complaint and culture, in reply to Russell Brown,
code of rights complaints -- which aren't the same thing as medical outcomes
Yes, and the article acknowledged them as a proxy in the meantime. Having to resort to that does seem nuts.
-
Hard News: Complaint and culture, in reply to Russell Brown,
I disagree
I encourage you to think of how the Linda Bryder kerfuffle went down, and the establishment blocs pushing this type of 'debate' in the background.
-
Hard News: Complaint and culture, in reply to George Darroch,
we might be able to examine such evidence
As the article notes (and Russell emphasised), we lack the relevant local evidence base so it's good to see the Minister quoted as financing some of the data side of that.
-
Hard News: Complaint and culture, in reply to Russell Brown,
And p46 of the article notes that the rate of HDC complaints is proportionally higher about obstetricians than midwives. The magazine's framing of the story concerns me more than the detail, frankly.
-
Hard News: Complaint and culture, in reply to Rich Lock,
The debate, she lacks nuance.
Which takes us back to the North&South article. Where is the emphasis when the cover has the word 'Midwives' blazing on it and the whole beginning of the story is about only their alleged failings? It's hardly neutral territory given the history.
-
Hard News: Complaint and culture, in reply to Rich of Observationz,
Why do we need the journals at all – other than them acting as “cricket scorers” for the academic community?
It's how the peer review function (ie: quality control) has traditionally been managed. There are other ways to do that which don't involve creating private gatekeepers who can charge accordingly.
-
Hard News: Complaint and culture, in reply to George Darroch,
And that's the problem, merely loaded on the other end.
I agree there's a structural problem there that hasn't been addressed. It will take a consistent policy response in the interests of all stakeholders especially the public who still pay for much of the original research - and someone has to make that happen. Sounds like it won't be any of the current publishers, whichever model they use.
-
Hard News: Complaint and culture, in reply to Richard Llewellyn,
Same. Really clear, I thought.
Admire Clay Shirky for similar reasons.