Fair Resource Allocation And Rationing At The Bedside

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Fair Resource Allocation and Rationing at the Bedside

Marion Danis,Samia A. Hurst,Leonard M. Fleck,Reidun Førde,Anne Slowther
Fair Resource Allocation and Rationing at the Bedside Book PDF

Author : Marion Danis,Samia A. Hurst,Leonard M. Fleck,Reidun Førde,Anne Slowther
Publisher : Oxford University Press, USA
Page : 481 pages
File Size : 52,6 Mb
Release : 2014-10-09
Category : Medical
ISBN : 9780199989447

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Fair Resource Allocation and Rationing at the Bedside by Marion Danis,Samia A. Hurst,Leonard M. Fleck,Reidun Førde,Anne Slowther Pdf

Health systems need to set priorities fairly. In one way or another, part of this important task will fall to physicians. How do they make judgments about resource stewardship, and how should they do so? How can they make such decisions in a manner that is compatible with their clinical duties to patients? In this book, philosophers, bioethicists, physicians, lawyers and health policy experts make the case that priority setting and rationing contribute significantly to the possibility of affordable and fair healthcare and that clinicians play an indispensable role in that process. The book depicts the results of a survey of European physicians about their experiences with rationing and other cost containment strategies, and their perception of scarcity and fairness in their health care systems. Responding to and complementing these findings, commentators discuss why resource allocation and bedside rationing is necessary and justifiable. The book explores how bedside rationing relates to clinical judgments about medical necessity and medical indications, marginal benefits, weak evidence based medicine, off-label use. The book highlights how comparative studies of health care systems can advance more effective and fair bedside rationing through learning from one another. From a practical standpoint, the book offers a number of strategies for health care systems and clinicians to work in tandem to allocate and ration resources as fairly as possible: how to foster more attention to fairness when rationing at the bedside, how to avoid exacerbating health disparities when allocating resources, how to teach about bedside rationing to students, how to discuss rationing more explicitly in the public arena and in the doctor's office.

Fair Resource Allocation and Rationing at the Bedside

Marion Danis,Samia A. Hurst,Len Fleck,Reidun Forde,Anne Slowther
Fair Resource Allocation and Rationing at the Bedside Book PDF

Author : Marion Danis,Samia A. Hurst,Len Fleck,Reidun Forde,Anne Slowther
Publisher : Oxford University Press
Page : 352 pages
File Size : 55,7 Mb
Release : 2014-10-02
Category : Medical
ISBN : 9780199989454

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Fair Resource Allocation and Rationing at the Bedside by Marion Danis,Samia A. Hurst,Len Fleck,Reidun Forde,Anne Slowther Pdf

Health systems need to set priorities fairly. In one way or another, part of this important task will fall to physicians. How do they make judgments about resource stewardship, and how should they do so? How can they make such decisions in a manner that is compatible with their clinical duties to patients? In this book, philosophers, bioethicists, physicians, lawyers and health policy experts make the case that priority setting and rationing contribute significantly to the possibility of affordable and fair healthcare and that clinicians play an indispensable role in that process. The book depicts the results of a survey of European physicians about their experiences with rationing and other cost containment strategies, and their perception of scarcity and fairness in their health care systems. Responding to and complementing these findings, commentators discuss why resource allocation and bedside rationing is necessary and justifiable. The book explores how bedside rationing relates to clinical judgments about medical necessity and medical indications, marginal benefits, weak evidence based medicine, off-label use. The book highlights how comparative studies of health care systems can advance more effective and fair bedside rationing through learning from one another. From a practical standpoint, the book offers a number of strategies for health care systems and clinicians to work in tandem to allocate and ration resources as fairly as possible: how to foster more attention to fairness when rationing at the bedside, how to avoid exacerbating health disparities when allocating resources, how to teach about bedside rationing to students, how to discuss rationing more explicitly in the public arena and in the doctor's office.

Rationing and Resource Allocation in Healthcare

Harald Schmidt,Andrew Steinmetz
Rationing and Resource Allocation in Healthcare Book PDF

Author : Harald Schmidt,Andrew Steinmetz
Publisher : Oxford University Press, USA
Page : 568 pages
File Size : 51,6 Mb
Release : 2018
Category : Medical
ISBN : 0190200758

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Rationing and Resource Allocation in Healthcare by Harald Schmidt,Andrew Steinmetz Pdf

You have one liver but three patients awaiting a liver transplant. Who should get the liver? How should we decide? Is it fair to give it to an alcoholic? These are some of the questions that arise in rationing scarce health care resources among particular individuals. Tough resource allocation decisions need to be made at the level of health policy. Budgets of governments and private insurances are limited. Not all drugs and services that appear beneficial to patients or physicians can be covered. Is there a core set of benefits that everyone should be entitled to? If so, how should this set be determined? Are fair decisions just impossible, if we know from the outset than not all needs can be met? Bioethics is entering a new era. Its early work has been dominated by a focus on clinical issues and a narrow set of principles. But in recent years, there has been a marked shift towards addressing broader population-level issues, requiring consideration of more demanding theories in philosophy, political science, economics and further disciplines. At the heart of bioethics' new orientation is achieving clarity on a complex set of questions in rationing and resource allocation. This Anthology comprises 15 original introductions to discrete case studies and issues, followed by excerpts of seminal or otherwise pertinent texts and will be divided into three broad sections - Conceptual Distinctions and Ethical Theory; Rationing; and Resource Allocation. The collection aims to assist all those wanting to be a part of bioethics' 21st century shift, including students in health sciences, philosophy, law and medical ethics; teachers, looking for salient cases and authoritative analyses from multiple perspectives; and practitioners and policy makers interested in reflecting on their daily work, or engaged in shaping future policy and practice. This volume is a reader containing the most important classic articles surrounding the theoretical and practical issues related to rationing and how to allocate scare medical resources. They will be drawn from various places including academic journals, government reports, and popular media. The book will be divided into three broad sections - Conceptual Distinctions and Ethical Theory; Rationing; and Resource Allocation. Each section begins with an introduction and some case studies. Within those three sections will be 16 chapters, with each chapter containing an introduction by the editors, followed by excerpts from the relevant articles, and then questions for discussion and a list of further reading.

Prioritization in Medicine

Eckhard Nagel,Michael Lauerer
Prioritization in Medicine Book PDF

Author : Eckhard Nagel,Michael Lauerer
Publisher : Springer
Page : 281 pages
File Size : 48,5 Mb
Release : 2015-10-30
Category : Medical
ISBN : 9783319211121

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Prioritization in Medicine by Eckhard Nagel,Michael Lauerer Pdf

The gap between a rising demand for health care services on the one side and scarce resources on the other, is leading to a growing pressure on decision-making processes. Hence, prioritization in medicine has become an increasingly important issue for assuring stability of health systems and improving the capability of health care. The present volume addresses normative dimensions of methodological and theoretical approaches, the legal basis behind priority setting as well as international experiences concerning the normative framework and the process of priority setting. It also examines specific criteria for prioritization and discusses economic evaluations. Contributing authors from a broad range of scientific disciplines discuss prioritization within an international dialogue.

Health Care Law and Ethics

Mark A. Hall,David Orentlicher,Mary Anne Bobinski,Nicholas Bagley,I. Glenn Cohen
Health Care Law and Ethics Book PDF

Author : Mark A. Hall,David Orentlicher,Mary Anne Bobinski,Nicholas Bagley,I. Glenn Cohen
Publisher : Aspen Publishing
Page : 2303 pages
File Size : 40,8 Mb
Release : 2018-02-26
Category : Law
ISBN : 9781454897651

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Health Care Law and Ethics by Mark A. Hall,David Orentlicher,Mary Anne Bobinski,Nicholas Bagley,I. Glenn Cohen Pdf

Health Care Law and Ethics, Ninth Edition offers a relationship-oriented approach to health law—covering the essentials, as well as topical and controversial subjects. The book provides thoughtful and teachable coverage of every aspect of health care law. Current and classic cases build logically from the fundamentals of the patient/provider relationship to the role of government and institutions in health care. The book is adaptable to both survey courses and courses covering portions of the field. Key Features: New authors Nick Bagley and Glenn Cohen Incorporated anticipated changes to the Affordable Care Act More current cases and more streamlined notes, including ones on medical malpractice, bioethics, and on finance and regulation More coverage of “conscientious objection” and “big data” - Discussion of new “value based” methods of physician payment - Expanded coverage of “fraud and abuse” Current issues in public health (e.g., Ebola, Zika) and controversies in reproductive choice (e.g., Hobby Lobby) Coverage of cutting-edge genetic technologies (e.g., gene editing and mitochondrial replacement)

Financing Micro Health Insurance: Theory, Methods And Evidence

David M Dror
Financing Micro Health Insurance Theory Methods And Evidence Book PDF

Author : David M Dror
Publisher : World Scientific
Page : 552 pages
File Size : 42,6 Mb
Release : 2018-12-27
Category : Business & Economics
ISBN : 9789813238497

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Financing Micro Health Insurance: Theory, Methods And Evidence by David M Dror Pdf

Healthcare for all at affordable prices is still a major but universally elusive goal. Everyone spends money on healthcare, and it is the most impoverishing consumption item. Thus, most governments (and the United Nations) promote Universal Health Coverage — each country's unique blend of tools for healthcare financing, including taxes, subsidies and market controls.Most people in low- and middle-income countries (LMICs) have no health insurance of any kind. And most LMIC governments lack the political will, information, or resources to require their citizens to buy health insurance themselves or to subsidize insurance for all who cannot afford the price. This book deals with financing voluntary and contributory health insurance for resource-poor and rural groups in LMICs.This book addresses three issues. The first is how to catalyse demand for health insurance and develop insurance literacy among the largely illiterate and innumerate target population, using training programs to build an enabling consensus, allowing locals to create and administer such schemes. The second involves the process of developing simplified methods for risk assessment, which can help to underwrite risks, price the micro health insurance schemes, and ensure proper implementation. The third issue is formulating a compelling business case which would make this health insurance affordable, financially sustainable, and operationally scalable.This book develops insurance education and financial literacy for students of economics, business administration, insurance, development studies, and social work to prepare them for practical work as implementers, policymakers, or evaluators. A supplementary section for teachers and students includes comprehension questions.

Medical Law and Ethics

Jonathan Herring
Medical Law and Ethics Book PDF

Author : Jonathan Herring
Publisher : Oxford University Press
Page : 681 pages
File Size : 45,5 Mb
Release : 2018
Category : Bioethics
ISBN : 9780198810605

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Medical Law and Ethics by Jonathan Herring Pdf

Medical Law and Ethics covers the core legal principles, key cases, and statutes that govern medical law alongside the key ethical debates and dilemmas that exist in the field. Carefully constructed features highlight these debates, drawing out the European angles, religious beliefs, and feminist perspectives which influence legal regulations. Other features such as 'a shock to the system', 'public opinion' and 'reality check' introduce further socio-legal discussion and contribute to the lively and engaging manner in which the subject is approached. Online resources This book is accompanied by the following online resources: - Complete bibliography and list of further reading - Links to the key cases mentioned in the book - A video from the author which introduces the book and sets the scene for your studies - Links to key sites with information on medical law and ethics

The Law of Health Care Finance and Regulation

Mark A. Hall,Nicholas Bagley,David Orentlicher,Mary Anne Bobinski
The Law of Health Care Finance and Regulation Book PDF

Author : Mark A. Hall,Nicholas Bagley,David Orentlicher,Mary Anne Bobinski
Publisher : Aspen Publishing
Page : 907 pages
File Size : 46,8 Mb
Release : 2018-05-11
Category : Law
ISBN : 9781543804737

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The Law of Health Care Finance and Regulation by Mark A. Hall,Nicholas Bagley,David Orentlicher,Mary Anne Bobinski Pdf

The Law of Health Care Finance and Regulation is based on Part III, “Institutions, Providers, and the State,” of parent book Health Care Law and Ethics and adds additional coverage of a variety of issues that have shaped health care finance law. Integrating public health, financial and ethical issues, this casebook uses compelling case law, clear notes and comprehensive background information to illuminate the complex and dynamic field of health care law. Key Features: Based on material in Part III of the popular parent book, “Institutions, Providers, and the State,” along with coverage of duty to treat, hospital liability, managed care liability, and regulating access to drugs. Includes cases and material not found in the parent book on: • Judicial and administrative review of Medicare decisions. Certificate of need laws. Review immunity. Integrates public health and ethics issues and features clear notes that provide context, smooth transitions between cases, and background information. Website provides background materials, updates of important events, additional relevant topics and links to other resources on the Internet.

What is Enough?

Carina Fourie,Annette Rid
What is Enough Book PDF

Author : Carina Fourie,Annette Rid
Publisher : Oxford University Press
Page : 353 pages
File Size : 46,5 Mb
Release : 2017
Category : Medical
ISBN : 9780199385263

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What is Enough? by Carina Fourie,Annette Rid Pdf

Sufficientarian approaches maintain that justice should aim for each person to have 'enough'. But what is sufficiency? What does it imply for health or health care justice?

Obesity in Childhood and Adolescence

H. Dele Davies MD,Hiram E. Fitzgerald,Kami J. Silk
Obesity in Childhood and Adolescence Book PDF

Author : H. Dele Davies MD,Hiram E. Fitzgerald,Kami J. Silk
Publisher : Bloomsbury Publishing USA
Page : 560 pages
File Size : 47,7 Mb
Release : 2018-11-09
Category : Health & Fitness
ISBN : 9781440858543

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Obesity in Childhood and Adolescence by H. Dele Davies MD,Hiram E. Fitzgerald,Kami J. Silk Pdf

This updated edition of the groundbreaking first edition identifies changes in U.S. children and adolescents' obesity levels within the past decade, examining factors contributing to obesity in this younger generation as well as possible solutions. This comprehensive review of obesity in childhood and adolescence describes the many factors that contribute to obesity, how to prevent it, and how to manage it in those who already experience its effects. Written by specialists in biological, psychological, social, and behavioral fields, these volumes take an interdisciplinary approach to the subject, offering readers a broad understanding of the systemic complexity of obesity from a public health perspective. The public must be aware of the deep and extensive roots of the problem in order to make informed decisions about policies related to school and nutritional practices, health care costs, and more. Factors contributing to obesity in children and adolescents range from obvious ones such as quantity of food consumed and amount of physical exercise undertaken to how friendly the neighborhood environment is for outdoor activities and the affordability of nutritional foods such as fruits and vegetables. With the information in these volumes, readers will feel empowered to help their clients, families, and communities.

Essential Interoperability Standards

Simon Brinsmead
Essential Interoperability Standards Book PDF

Author : Simon Brinsmead
Publisher : Cambridge University Press
Page : 427 pages
File Size : 49,5 Mb
Release : 2021-08-12
Category : Business & Economics
ISBN : 9781108843010

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Essential Interoperability Standards by Simon Brinsmead Pdf

Proposes a new expert-led international instrument to address access to essential technical standards.

Undocumented and Unaccompanied

Cecilia Menjívar,Krista Perreira
Undocumented and Unaccompanied Book PDF

Author : Cecilia Menjívar,Krista Perreira
Publisher : Routledge
Page : 140 pages
File Size : 48,5 Mb
Release : 2021-11-29
Category : Social Science
ISBN : 9781000505900

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Undocumented and Unaccompanied by Cecilia Menjívar,Krista Perreira Pdf

This book focuses on the migration of undocumented minors arriving recently to the United States and the European Union, flows that are often labeled ‘undocumented’, ‘illegal’, or ‘irregular’ and due to their sudden increase, they have been described in the media, policy circles, and scholarly work as a ‘surge’ or a ‘crisis’. Leading scholars examine the intricacies of the contexts that these minors encounter in the localities where they arrive, including the legal and ethical frameworks for protecting unaccompanied minors, governmental decisions about the ‘best interests’ of the children, these minors’ expressions of their own best interests or agency as they navigate immigration and social service systems, conditions in detention centers, and the health and social service needs in receiving communities. Though definitions and techniques for counting unaccompanied migrant minors differ between the U.S. and the EU, this book underscores the immigrant minors’ common vulnerabilities and strategies they adopt to protect themselves and improve their circumstances. At the same time, contributors to the volume highlight common challenges that both European and U.S. governments face as they develop policy strategies and legal mechanisms to attempt to balance the best interests of these children with national interests of the countries in which they settle. The chapters in this book were originally published as a special issue of the Journal of Ethnic and Migration Studies.

Rationing and Resource Allocation in Healthcare

Ezekiel Emanuel,Harald Schmidt,Andrew Steinmetz
Rationing and Resource Allocation in Healthcare Book PDF

Author : Ezekiel Emanuel,Harald Schmidt,Andrew Steinmetz
Publisher : Oxford University Press
Page : 569 pages
File Size : 52,6 Mb
Release : 2018
Category : Medical
ISBN : 9780190200763

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Rationing and Resource Allocation in Healthcare by Ezekiel Emanuel,Harald Schmidt,Andrew Steinmetz Pdf

Budgets of governments and private insurances are limited. Not all drugs and services that appear beneficial to patients or physicians can be covered. Is there a core set of benefits that everyone should be entitled to? If so, how should this set be determined? Are fair decisions just impossible, if we know from the outset than not all needs can be met? While early work in bioethics has focused on clinical issues and a narrow set of principles, in recent years there has been a marked shift towards addressing broader population-level issues, requiring consideration of more demanding theories in philosophy, political science, and economics. At the heart of bioethics' new orientation is the goal of clarity on a complex set of questions in rationing and resource allocation. Rationing and Resource Allocation in Healthcare: Essential Readings provides key excerpts from seminal and pertinent texts and case studies about these topics, contextualized by original introductions. The volume is divided into three broad sections: Conceptual Distinctions and Ethical Theory; Rationing; and Resource Allocation. Containing the most important and classic articles surrounding the theoretical and practical issues related to rationing and how to allocate scare medical resources, this collection aims to assist and inform those who wish to be a part of bioethics' 21st century shift including practitioners and policy-makers, and students and scholars in the health sciences, philosophy, law, and medical ethics.

ICU Resource Allocation in the New Millennium

David Crippen
ICU Resource Allocation in the New Millennium Book PDF

Author : David Crippen
Publisher : Springer Science & Business Media
Page : 351 pages
File Size : 41,8 Mb
Release : 2012-09-14
Category : Medical
ISBN : 9781461438663

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ICU Resource Allocation in the New Millennium by David Crippen Pdf

Intensive care medicine is one of the fastest growing services provided by hospitals and perhaps one of the most expensive. Yet in response to the global financial crisis of the last few years, healthcare funding is slowing or decreasing throughout the world. How we manage health care resources in the intensive care unit (ICU) now and in a future that promises only greater cost constraints is the subject of this book, the third in an informal series of volumes providing a global perspective on difficult issues arising in the ICU. Taking 12 developed countries as their focus, leading experts provide a country-by-country analysis of current ICU resource allocation. A second group of experts use the chapters as a departure point to analyze current ICU resource allocation at the level of the global medical village. The process is repeated, but with an eye toward the future – first country by country, then at the global level – that takes into account initiatives and reforms now underway. A fictional healthcare plan, the “Fair & Equitable Healthcare Plan,” is put forth to address weaknesses in existing approaches, and healthcare experts and ethicists are invited to respond to its often provocative provisions. Itself structured as a dialogue, the book is an excellent way to start or to continue serious discussion about the allocation of ICU healthcare resources now and in the years ahead.

Intensive Care Medicine in 10 Years

Mitchell P. Fink,Peter M. Suter,William J. Sibbald
Intensive Care Medicine in 10 Years Book PDF

Author : Mitchell P. Fink,Peter M. Suter,William J. Sibbald
Publisher : Springer Science & Business Media
Page : 460 pages
File Size : 54,8 Mb
Release : 2006-10-25
Category : Medical
ISBN : 3540260994

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Intensive Care Medicine in 10 Years by Mitchell P. Fink,Peter M. Suter,William J. Sibbald Pdf

This book identifies trends in critical care medicine that will form the basis for practice over the next ten years. Predicting the future is always risky. Nevertheless, the ideas articulated in this book are likely to serve as a road map for intensivists, hospital administrators, and governmental leaders interested in healthcare as they seek to improve the quality and efficiency of hospital-based services.