The Ethics Of Health Care Rationing

Author : Greg Bognar,Iwao Hirose
Publisher : Routledge
Page : 183 pages
File Size : 46,6 Mb
Release : 2014-06-05
Category : Philosophy
ISBN : 9781317695899

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The Ethics of Health Care Rationing: An Introduction by Greg Bognar,Iwao Hirose Pdf

Should organ transplants be given to patients who have waited the longest, or need it most urgently, or those whose survival prospects are the best? The rationing of health care is universal and inevitable, taking place in poor and affluent countries, in publicly funded and private health care systems. Someone must budget for as well as dispense health care whilst aging populations severely stretch the availability of resources. The Ethics of Health Care Rationing is a clear and much-needed introduction to this increasingly important topic, considering and assessing the major ethical problems and dilemmas about the allocation, scarcity and rationing of health care. Beginning with a helpful overview of why rationing is an ethical problem, the authors examine the following key topics: What is the value of health? How can it be measured? What does it mean that a treatment is "good value for money"? What sort of distributive principles - utilitarian, egalitarian or prioritarian - should we rely on when thinking about health care rationing? Does rationing health care unfairly discriminate against the elderly and people with disabilities? Should patients be held responsible for their health? Why does the debate on responsibility for health lead to issues about socioeconomic status and social inequality? Throughout the book, examples from the US, UK and other countries are used to illustrate the ethical issues at stake. Additional features such as chapter summaries, annotated further reading and discussion questions make this an ideal starting point for students new to the subject, not only in philosophy but also in closely related fields such as politics, health economics, public health, medicine, nursing and social work.

Author : John Butler
Publisher : SAGE Publications Limited
Page : 264 pages
File Size : 54,6 Mb
Release : 1999
Category : Medical
ISBN : STANFORD:36105024922788

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The Ethics of Health Care Rationing by John Butler Pdf

This volume explains why, and in what ways, health care is being rationed in the late-1990s health service. It examines the ethical questions which arise from this rationing and includes personal case studies, from surgeons to geriatric advisors.

Author : Greg Bognar,Iwao Hirose
Publisher : Routledge
Page : 157 pages
File Size : 44,9 Mb
Release : 2014-06-05
Category : Philosophy
ISBN : 9781317695882

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The Ethics of Health Care Rationing: An Introduction by Greg Bognar,Iwao Hirose Pdf

Should organ transplants be given to patients who have waited the longest, or need it most urgently, or those whose survival prospects are the best? The rationing of health care is universal and inevitable, taking place in poor and affluent countries, in publicly funded and private health care systems. Someone must budget for as well as dispense health care whilst aging populations severely stretch the availability of resources. The Ethics of Health Care Rationing is a clear and much-needed introduction to this increasingly important topic, considering and assessing the major ethical problems and dilemmas about the allocation, scarcity and rationing of health care. Beginning with a helpful overview of why rationing is an ethical problem, the authors examine the following key topics: What is the value of health? How can it be measured? What does it mean that a treatment is "good value for money"? What sort of distributive principles - utilitarian, egalitarian or prioritarian - should we rely on when thinking about health care rationing? Does rationing health care unfairly discriminate against the elderly and people with disabilities? Should patients be held responsible for their health? Why does the debate on responsibility for health lead to issues about socioeconomic status and social inequality? Throughout the book, examples from the US, UK and other countries are used to illustrate the ethical issues at stake. Additional features such as chapter summaries, annotated further reading and discussion questions make this an ideal starting point for students new to the subject, not only in philosophy but also in closely related fields such as politics, health economics, public health, medicine, nursing and social work.

Author : Paul T. Menzel
Publisher : Unknown
Page : 264 pages
File Size : 52,7 Mb
Release : 1990
Category : Business & Economics
ISBN : STANFORD:36105003925786

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Strong Medicine by Paul T. Menzel Pdf

In one form or another, health care now gets rationed. Not everything beneficial is done for every patient. For the individual the consequences are sometimes tragic. Rationing decisions thus raise a classic dilemma: how can we treat with dignity and genuine respect the person who gets short-changed by an efficient policy that seems best overall? Strong Medicine argues that we can, if those policies represent the hard trade-off preferences of patients controlling resources for their larger lives. Rationing is still strong medicine to swallow, but then it becomes what patients as well as the doctor ordered. Menzel develops this central idea and applies it to major issues of health policy and economics: the notion of pricing life, the long-run cost of prevention, measuring quality of life, imperiled newborns, adequate care for the poor, containing costs by market competition, malpractice suits, procuring organs for transplant, and dying expensively in old age. He provides a hard-hitting, critical philosophical discussion of these issues, in non-technical language accessible to a wide range of readers interested in policy questions the book takes up. The issues are fascinating, the arguments are careful, and the results often surprising.

Author : Iestyn Williams,Helen Dickinson,Suzanne Robinson
Publisher : Policy Press
Page : 169 pages
File Size : 49,7 Mb
Release : 2012
Category : Medical
ISBN : 9781847427748

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Rationing in Health Care by Iestyn Williams,Helen Dickinson,Suzanne Robinson Pdf

A clearly written and well structured textbook, providing an introduction to decision making and priority setting, this title brings together theories, practice and evidence from a wide range of disciplines.

Author : Peter A. Ubel
Publisher : MIT Press
Page : 236 pages
File Size : 51,9 Mb
Release : 2000
Category : Medical
ISBN : 0262710099

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Pricing Life by Peter A. Ubel Pdf

A rational look at health care rationing, from ethical, economic, psychological, and clinical perspectives. Although managed health care is a hot topic, too few discussions focus on health care rationing--who lives and who dies, death versus dollars. In this book physician and bioethicist Peter A. Ubel argues that physicians, health insurance companies, managed care organizations, and governments need to consider the cost-effectiveness of many new health care technologies. In particular, they need to think about how best to ration health care. Ubel believes that standard medical training should provide physicians with the expertise to decide when to withhold health care from patients. He discusses the moral questions raised by this position, and by health care rationing in general. He incorporates ethical arguments about the appropriate role of cost-effectiveness analysis in health care rationing, empirical research about how the general public wants to ration care, and clinical insights based on his practice of general internal medicine. Straddling the fields of ethics, economics, research psychology, and clinical medicine, he moves the debate forward from whether to ration to how to ration. The discussion is enlivened by actual case studies.

Author : Angela Coulter,Christopher Ham
Publisher : Unknown
Page : 292 pages
File Size : 53,8 Mb
Release : 2000
Category : Health care rationing
ISBN : UVA:X006121448

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The Global Challenge of Health Care Rationing by Angela Coulter,Christopher Ham Pdf

Adds to the debate on priority setting by looking at experience from other countries.

Author : Catholic Health Association of the United States
Publisher : Catholic Health Assn of the United
Page : 41 pages
File Size : 51,6 Mb
Release : 1991
Category : Political Science
ISBN : 0871252023

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With Justice for All ? by Catholic Health Association of the United States Pdf

Author : Eric Matthews,Elizabeth Russell
Publisher : CRC Press
Page : 176 pages
File Size : 55,5 Mb
Release : 2018-10-08
Category : Medical
ISBN : 9781498799881

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Rationing Medical Care on the Basis of Age by Eric Matthews,Elizabeth Russell Pdf

"Rationing Medical Care on the Basis of Age" explores this highly topical issue and presents a critical argument on the nature of the possible crisis. Its in-depth philosophical analysis of the main ethical positions adopts an interdisciplinary and international approach. This book is important reading for healthcare policy makers and shapers and healthcare managers. Academics in ethics, philosophy, economics, and all healthcare disciplines will find it useful, as will public health specialists, health economists, and social scientists with an interest in health and medicine. The authors of this book have opened up significant new perspectives on many important issues which in practice confront politicians, managers, professionals, patients and the public today. They have done this moreover in a way that is highly accessible to a non-specialist readership.

Author : Professor Alan Merry,Professor Merrilyn Walton,Professor Bill Runciman
Publisher : Ashgate Publishing, Ltd.
Page : 375 pages
File Size : 46,8 Mb
Release : 2012-10-01
Category : Medical
ISBN : 9781409485001

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Safety and Ethics in Healthcare: A Guide to Getting it Right by Professor Alan Merry,Professor Merrilyn Walton,Professor Bill Runciman Pdf

A single coherent source of information on the various interlinking domains of patient safety, litigation and ethical behaviour, based on accounts of real-life situations and intended for all healthcare students, specialists and administrators.

Author : F. Breyer,H. Kliemt,F. Thiele
Publisher : Springer Science & Business Media
Page : 142 pages
File Size : 43,8 Mb
Release : 2013-03-09
Category : Medical
ISBN : 9783662047989

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Rationing in Medicine by F. Breyer,H. Kliemt,F. Thiele Pdf

The book series on the ethics of science and technology assessment edited by the Europ?ische Akademie is devoted to the publication of the work-reports of its project groups, works on the foundations of ethics, the philosophy science, and other issues related to the work of the Europ?ische Akademie. In addition, the series comprises the proceedings of conferences organized by the academy. The 13th volume documents the proceeding of the academy's spring symposium in 2000 on Rationing in Medicine which was held in Bad Neuenahr-Ahrweiler on March 23-25, 2000. An intense discussion on the future of health care in Europe has been stimulated by increasing difficulties of securing adequate and needs orientated medical care in the face of scarce resources and medical progress. Un fortunately, quite of ten a rational discussion of rationing is drowned out by the politic al talk of the day. But only an open and well-informed debate, if anything at ali, can lead to transparent and just rationing procedures which eventually might be acceptable to the public at large. For this debate much can be learnt from observing the experiences other countries have made with their health care arrangements. What kinds of mistakes should be avoided and what might be useful in the different states and perhaps also in the supra-national context of an emerging Europe are interesting and important issues.

Author : Angela Coulter,Christopher Ham
Publisher : Unknown
Page : 292 pages
File Size : 48,9 Mb
Release : 2000
Category : Medical
ISBN : UOM:39015050032260

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The Global Challenge of Health Care Rationing by Angela Coulter,Christopher Ham Pdf

Adds to the debate on priority setting by looking at experience from other countries.

Author : André den Exter,Martin Buijsen,M. A. J. M. Buijsen
Publisher : Maklu
Page : 252 pages
File Size : 44,9 Mb
Release : 2012
Category : Law
ISBN : 9789046605257

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Rationing Health Care by André den Exter,Martin Buijsen,M. A. J. M. Buijsen Pdf

'Medical need' is a factor in health care access decision-making, but merit-considerations are becoming important too. In the shortening of waiting time, priority arrangements are considered and/or introduced, based on non-medical criteria. Simultaneously, in terms of financing, health status has become important due to payment arrangements, limited insurance package options, etc. At the same time, health status disparities, due to socioeconomic inequalities, seem to be increasing. Under these circumstances, confronted with increased health spending, it is expected that rationing will become more eminent. Due to this, the emerging relevant questions are: Who will be responsible for rationing (the market, governments, bureaucrats, physicians, or others)? * How does it function (explicit or implicit)? * What are relevant and acceptable selection criteria (QUALYs, DALYs, health status, sex, age, etc.)? * To what extent is current rationing just? * What can be done to make it more just? *

Author : Souzy Dracopolou
Publisher : Routledge
Page : 158 pages
File Size : 43,6 Mb
Release : 2006-06-19
Category : Philosophy
ISBN : 9781134757220

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Ethics and Values in Healthcare Management by Souzy Dracopolou Pdf

Healthcare management is a burning issue at the moment and this timely and topical book explores the ethical issues that arise in the context of healthcare management. Among the topics discussed are healthcare rationing, including an exposition and defence of the Qaly criterion of healthcare rationing and an examination of the contribution that ethical theory can make to the rationing debate, an analysis of how managers can be preoccupied with the goals of management and the values of doctors simultaneously, an outline of potential guidelines towards formulating a cohesion of healthcare management and ethical management and a reassessment of the role of healthcare professionals. Ethics and Values in Healthcare Management provides a valuable and much needed analysis of the ethical problems associated with healthcare management and offers some solutions towards ameliorationg healthcare organisations.

Author : James Lindemann Nelson
Publisher : Georgetown University Press
Page : 200 pages
File Size : 53,9 Mb
Release : 2003-12-12
Category : Medical
ISBN : 1589014022

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Rationing Sanity by James Lindemann Nelson Pdf

Mental illness is the poor, and somehow "damaged," cousin to physical ailments in the eyes of too many in our society. Compare the difference in how people would respond to someone who had fallen and broken their leg on the street, to how most react to those mentally ill among us, on those same streets, who spend their winters on steam grates and forage for food in dumpsters. Rationing Sanity is a provocative analysis of the mental health care system in the United States, dealing with issues of justice and access to mental health care. How should a decent society, affluent but facing many serious calls on its resources, best care for citizens afflicted with severe and persistent mental illnesses? James Lindemann Nelson brings together, for the first time, scholars of the ethics of mental health care and top managed care policy analysts to address this crucial problem. Rationing Sanity integrates those perspectives with the thoughtful practice-based experience of physicians well versed in the actual care of people with emotional and behavioral problems. Over a period of years, the contributors met face-to-face to engage each other on the ethics of managed mental health care—the result is a unique, collaborative effort that provides a wealth of important new insights on not only how Americans can readjust their attitudes toward the mentally ill—but also how we may find more just and humane treatment for those afflicted.