The determinants of the effectiveness of medical disciplinary boards: 1960–1977

The results of an empirical study to determine the reasons why some state boards of medical discipline are more active in disciplining physicians than others are presented. The study concluded that for most of the years between 1960 and 1977, the principal determinant of board vigilance was the degree to which they werenot dominated by physicians. But it was also shown that even if all the boards were controlled exclusively by nonphysicians, board activity, stated in absolute terms, would still be very small. This then leads to the inference that current efforts to change the composition of the board and create obligations for reporting miscreant physicians for various sectors in the health services industry will not produce acceptable levels of medical disciplinary board performance.