Disputes between physicians and their patients exact both a financial
and an emotional toll on the parties. When the method chosen to resolv
e the dispute is adversarial, the doctor/patient relationship is usual
ly irreparably destroyed, costs are high, and the physician often cont
inues to work under a psychological and emotional cloud. ''The greates
t cost savings for the health care provider and the patient will occur
by implementation of a system that helps the parties resolve a majori
ty of disputes at the negotiation or mediation levels early in the lif
e of the conflict,'' says the author. Unlike litigation, mediation doe
s not structure its results in terms of right and wrong, winner and lo
ser. It encourages the parties to reach a mutually satisfactory soluti
on that balances financial and emotional needs. Reeves' proposal for t
he resolution of health care disputes is the result of an examination
of the issue by the St. Louis Healthcare Claims Committee of the AAA (
of which he is a member) and the St. Louis ARCH (Alternative Resolutio
n to the Court House) program.