The authors propose that active physician participation in current
review methodologies, including PSRO, can lessen the potential for such
problems as the development of unrealistic standards, emphasis on review
and record keeping as ends rather than means, and ineffectuality of the
systems themselves. Potential advantages of PSRO are seen in areas of
quality assessment and improvement, economy, and enhancement of the
continuing learning processess of physicians. The authors suggest that
physicians should resist pressures toward separation of reviewing authority
from clinical competence.Abstract Teaser