Rationing And Resource Allocation In Healthcare
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Rationing And Resource Allocation In Healthcare
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Author : Ezekiel Emanuel
language : en
Publisher: Oxford University Press
Release Date : 2018-05-10
Rationing And Resource Allocation In Healthcare written by Ezekiel Emanuel 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 2018-05-10 with Medical categories.
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.
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 In Health Care
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Author : Iestyn Williams
language : en
Publisher: Policy Press
Release Date : 2012
Rationing In Health Care written by Iestyn Williams and has been published by Policy Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012 with Medical categories.
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.
The Ethics Of Health Care Rationing
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Author : John Butler
language : en
Publisher: SAGE
Release Date : 1999
The Ethics Of Health Care Rationing written by John Butler and has been published by SAGE this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999 with Medical categories.
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.
The Ethics Of Health Care Rationing
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Author : Greg Bognar
language : en
Publisher: Routledge
Release Date : 2022-03-16
The Ethics Of Health Care Rationing written by Greg Bognar and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-03-16 with Philosophy categories.
The rationing of health care is universal and inevitable, taking place in both 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, timely, and much-needed introduction to this important topic. Substantially revised and updated, this second edition includes new chapters on disability discrimination and age discrimination, and on the price of drugs and medical therapies. Beginning with a helpful overview of why rationing is an ethical problem, the authors examine the following key topics: What sort of distributive principles should we rely on when thinking about health care rationing? What is the relation between ethics and cost-effectiveness in health care? How should we think about controversies surrounding discrimination over disability and age? How should we approach controversies surrounding rationing and the price of pharmaceutical drugs and medical therapies? 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 United States, the United Kingdom, and other countries are used to illustrate the ethical issues at stake. Additional features such as chapter summaries, annotated further reading, and discussion questions have also been updated, making 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.
Managing Scarcity
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Author : Rudolf Klein
language : en
Publisher:
Release Date : 1996
Managing Scarcity written by Rudolf Klein and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1996 with Health care rationing categories.
Rationing Health Care
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Author : André den Exter
language : en
Publisher: Maklu
Release Date : 2012
Rationing Health Care written by André den Exter and has been published by Maklu this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012 with Law categories.
'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? *
Allocating Health Care Resources
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Author : James M. Humber
language : en
Publisher: Springer Science & Business Media
Release Date : 1995-01-11
Allocating Health Care Resources written by James M. Humber and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 1995-01-11 with Medical categories.
In ALLOCATING HEALTH CARE RESOURCES, leading authorities and researchers expose the basic philosophical, ethical, and economic issues underlying the current health care debate. The contributors wrestle with such complicated issues as whether it is ethical to ration health care, the morality of the worldwide bias against children in allocating health care resources, whether sin taxes can be defended morally, and how to achieve a just health care system. The book also includes an insightful analysis of the Clinton health care reform plan. ALLOCATING HEALTH CARE RESOURCES will be of interest to philosophers, health policy experts, medical ethicists, health professionals, and concerned citizens. It serves to clarify and illuminate the logic and rhetoric of health care reform, and so to help us all achieve a fair and equitable distribution of these precious resources.
Impacts Of Rationing And Missed Nursing Care Challenges And Solutions
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Author : Evridiki Papastavrou
language : en
Publisher: Springer Nature
Release Date : 2021-06-02
Impacts Of Rationing And Missed Nursing Care Challenges And Solutions written by Evridiki Papastavrou and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-06-02 with Medical categories.
This book reveals how economic restrictions and limited healthcare resources, combined with growing care demands due to advanced technology and more care options, have to a great extent contributed to increased workloads for healthcare professionals and put them under pressure to prioritize their work. This has led to the rationing of care, i.e., to decision-making processes on the allocation of scarce resources, especially human resources, and on which care activities take priority over others; in turn, these processes have led to unfinished or missed care, which has serious implications for quality of care and patient safety. Concerns related to nursing shortages and lean staffing practices have increased the awareness of the problem, as patient outcomes are affected by the quality and quantity of care that they receive and led to intensified scientific inquiry into this phenomenon. This book is written by the members of the Rancare Cost Action group, whose aim is to facilitate discussion about rationing of nursing care based on a cross-national comparative approach with implications for practice and professional development. Four working groups investigated four areas for four years: a) the conceptualization of care rationing and methodological inquiries concerning the investigation of the phenomenon, b) exploration of possible solutions and intervention studies, c) the ethical perspective of care rationing and missed care including patients’ rights and possible discrimination, and d) the educational implications, based on an exploration of the level of patient safety training and care rationing, as well as preparing guidelines for managers. The book will be a valuable resource for nurses, allied healthcare professionals, managers, policymakers, researchers, ethical committees, and educators whose goal is to provide better and safer care.
An Economic Approach To Rationing Health Care Resources
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Author : Lanis L. Hicks
language : en
Publisher: Amer College of
Release Date : 1985
An Economic Approach To Rationing Health Care Resources written by Lanis L. Hicks and has been published by Amer College of this book supported file pdf, txt, epub, kindle and other format this book has been release on 1985 with Health & Fitness categories.