Fair Resource Allocation And Rationing At The Bedside
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Fair Resource Allocation And Rationing At The Bedside
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Author : Marion Danis
language : en
Publisher: Oxford University Press, USA
Release Date : 2014-10-09
Fair Resource Allocation And Rationing At The Bedside written by Marion Danis and has been published by Oxford University Press, USA this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-10-09 with Medical categories.
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
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Author : Marion Danis
language : en
Publisher: Oxford University Press
Release Date : 2014-10-02
Fair Resource Allocation And Rationing At The Bedside written by Marion Danis and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-10-02 with Medical categories.
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
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Author : Harald Schmidt
language : en
Publisher: Oxford University Press, USA
Release Date : 2018
Rationing And Resource Allocation In Healthcare written by Harald Schmidt and has been published by Oxford University Press, USA this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018 with Medical categories.
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
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Author : Eckhard Nagel
language : en
Publisher: Springer
Release Date : 2015-10-30
Prioritization In Medicine written by Eckhard Nagel and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-10-30 with Medical categories.
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
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Author : Mark A. Hall
language : en
Publisher: Aspen Publishing
Release Date : 2018-02-26
Health Care Law And Ethics written by Mark A. Hall and has been published by Aspen Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-02-26 with Law categories.
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
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Author : David M Dror
language : en
Publisher: World Scientific
Release Date : 2018-12-27
Financing Micro Health Insurance Theory Methods And Evidence written by David M Dror and has been published by World Scientific this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-12-27 with Business & Economics categories.
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
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Author : Jonathan Herring
language : en
Publisher: Oxford University Press
Release Date : 2018
Medical Law And Ethics written by Jonathan Herring and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018 with Bioethics categories.
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
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Author : Mark A. Hall
language : en
Publisher: Aspen Publishing
Release Date : 2018-05-11
The Law Of Health Care Finance And Regulation written by Mark A. Hall and has been published by Aspen Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-05-11 with Law categories.
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
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Author : Carina Fourie
language : en
Publisher: Oxford University Press
Release Date : 2017
What Is Enough written by Carina Fourie and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with Medical categories.
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
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Author : H. Dele Davies MD
language : en
Publisher: Bloomsbury Publishing USA
Release Date : 2018-11-09
Obesity In Childhood And Adolescence written by H. Dele Davies MD and has been published by Bloomsbury Publishing USA this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-11-09 with Health & Fitness categories.
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.