Allocating Scarce Medical Resources

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Allocating Scarce Medical Resources

Author : H. Tristram Engelhardt Jr. MD, PhD
Publisher : Georgetown University Press
ISBN 13 : 9781589012349
Total Pages : 346 pages
Book Rating : 4.0/5 (123 download)

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Book Synopsis Allocating Scarce Medical Resources by : H. Tristram Engelhardt Jr. MD, PhD

Download or read book Allocating Scarce Medical Resources written by H. Tristram Engelhardt Jr. MD, PhD and published by Georgetown University Press. This book was released on 2002-05-20 with total page 346 pages. Available in PDF, EPUB and Kindle. Book excerpt: Roman Catholic moral theology is the point of departure for this multifaceted exploration of the challenge of allocating scarce medical resources. The volume begins its exploration of discerning moral limits to modern high-technology medicine with a consensus statement born of the conversations among its contributors. The seventeen essays use the example of critical care, because it offers one of the few areas in medicine where there are good clinical predictive measures regarding the likelihood of survival. As a result, the health care industry can with increasing accuracy predict the probability of saving lives—and at what cost. Because critical care involves hard choices in the face of finitude, it invites profound questions about the meaning of life, the nature of a good death, and distributive justice. For those who identify the prize of human life as immortality, the question arises as to how much effort should be invested in marginally postponing death. In a secular culture that presumes that individuals live only once, and briefly, there is an often-unacknowledged moral imperative to employ any means necessary to postpone death. The conflict between the free choice of individuals and various aspirations to equality compounds the challenge of controlling medical costs while also offering high-tech care to those who want its possible benefits. It forces society to confront anew notions of ordinary versus extraordinary, and proportionate versus disproportionate, treatment in a highly technologically structured social context. This cluster of discussions is enriched by five essays from Jewish, Orthodox Christian, and Protestant perspectives. Written by premier scholars from the United States and abroad, these essays will be valuable reading for students and scholars of bioethics and Christian moral theology.

The Economics of Resource Allocation in Health Care

Author : Andrea Klonschinski
Publisher : Routledge
ISBN 13 : 1317291816
Total Pages : 293 pages
Book Rating : 4.3/5 (172 download)

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Book Synopsis The Economics of Resource Allocation in Health Care by : Andrea Klonschinski

Download or read book The Economics of Resource Allocation in Health Care written by Andrea Klonschinski and published by Routledge. This book was released on 2016-03-31 with total page 293 pages. Available in PDF, EPUB and Kindle. Book excerpt: The question of how to allocate scarce medical resources has become an important public policy issue in recent decades. Cost-utility analysis is the most commonly used method for determining the allocation of these resources, but this book counters the argument that overcoming its inherent imbalances is simply a question of implementing methodological changes. The Economics of Resource Allocation in Health Care represents the first comprehensive analysis of equity weighting in health care resource allocation that offers a fundamental critique of its basic framework. It offers a critique of health economics, putting the discourse on economic evaluation into its broader socio-political context. Such an approach broadens the debate on fairness in health economics and ties it in with deeper-rooted problems in moral philosophy. Ultimately, this interdisciplinary study calls for the adoption of a fundamentally different paradigm to address the distribution of scarce medical resources. This book will be of interest to policy makers, health care professionals, and post-graduate students looking to broaden their understanding of the economics of the health care system.

Allocation of Scarce Medical Resources and Crisis Standards of Care

Author : Lance Gable
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (137 download)

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Book Synopsis Allocation of Scarce Medical Resources and Crisis Standards of Care by : Lance Gable

Download or read book Allocation of Scarce Medical Resources and Crisis Standards of Care written by Lance Gable and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Potential shortages of medical resources and services related to COVID-19 present government officials and emergency planners with difficult choices. If resources become too scarce, health care professionals and institutions may need to implement triage protocols adopting crisis standards of care. COVID-19 patient surges tested the health care system in March and April 2020, and highlighted the need to prepare to accommodate larger patient capacity in the near future. As a primary consideration, governments and health care institutions should utilize existing powers and resources to avoid shortages and mitigate their severity. If shortages do occur, most states have begun to develop crisis standards of care protocols to assist in making decisions about allocating scarce resources. These protocols attempt to maximize the number of lives saved. Many protocols give priority access to health care and other essential workers. These protocols should be structured to facilitate fair and equitable access, although several have been found to be inconsistent with federal anti-discrimination law. Legal issues that may arise in this context include liability for health care professionals and institutions who decide to not allocate resources to patients who later suffer harm, and civil rights concerns over discrimination in the protocols or their implementation. Liability shields have been put in place by many states to protect health care professionals from lawsuits based on allocation decisions. Federal and state officials should support efforts to clarify and incorporate protections into crisis standards of care plans that prioritize anti-discrimination, fairness, and equity in allocation decision making.This paper was prepared as part of Assessing Legal Responses to COVID-19, a comprehensive report published by Public Health Law Watch in partnership with the de Beaumont Foundation and the American Public Health Association.

Valuing Lives

Author : Leslie E. Wolf
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (137 download)

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Book Synopsis Valuing Lives by : Leslie E. Wolf

Download or read book Valuing Lives written by Leslie E. Wolf and published by . This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Public health emergencies from natural disasters, infection, and man-made threats can present ethically or legally challenging questions about who will receive scarce resources. Federal and state governments have offered little guidance on how to prioritize distribution of limited resources. Several allocation proposals have appeared in the medical literature, but components of the proposed approaches violate federal antidiscrimination laws and ethical principles about fair treatment. Further planning efforts are needed to develop practical allocation guidelines that comport with antidiscrimination laws and the moral commitment to equal access reflected in those laws.

Crisis Standards of Care

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309285526
Total Pages : 217 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Crisis Standards of Care by : Institute of Medicine

Download or read book Crisis Standards of Care written by Institute of Medicine and published by National Academies Press. This book was released on 2013-10-27 with total page 217 pages. Available in PDF, EPUB and Kindle. Book excerpt: Disasters and public health emergencies can stress health care systems to the breaking point and disrupt delivery of vital medical services. During such crises, hospitals and long-term care facilities may be without power; trained staff, ambulances, medical supplies and beds could be in short supply; and alternate care facilities may need to be used. Planning for these situations is necessary to provide the best possible health care during a crisis and, if needed, equitably allocate scarce resources. Crisis Standards of Care: A Toolkit for Indicators and Triggers examines indicators and triggers that guide the implementation of crisis standards of care and provides a discussion toolkit to help stakeholders establish indicators and triggers for their own communities. Together, indicators and triggers help guide operational decision making about providing care during public health and medical emergencies and disasters. Indicators and triggers represent the information and actions taken at specific thresholds that guide incident recognition, response, and recovery. This report discusses indicators and triggers for both a slow onset scenario, such as pandemic influenza, and a no-notice scenario, such as an earthquake. Crisis Standards of Care features discussion toolkits customized to help various stakeholders develop indicators and triggers for their own organizations, agencies, and jurisdictions. The toolkit contains scenarios, key questions, and examples of indicators, triggers, and tactics to help promote discussion. In addition to common elements designed to facilitate integrated planning, the toolkit contains chapters specifically customized for emergency management, public health, emergency medical services, hospital and acute care, and out-of-hospital care.

Allocation of Scarce Resources During Mass Casualty Events

Author :
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (19 download)

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Book Synopsis Allocation of Scarce Resources During Mass Casualty Events by :

Download or read book Allocation of Scarce Resources During Mass Casualty Events written by and published by . This book was released on 19?? with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Disability, Health, Law, and Bioethics

Author : I. Glenn Cohen
Publisher : Cambridge University Press
ISBN 13 : 1108485979
Total Pages : 313 pages
Book Rating : 4.1/5 (84 download)

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Book Synopsis Disability, Health, Law, and Bioethics by : I. Glenn Cohen

Download or read book Disability, Health, Law, and Bioethics written by I. Glenn Cohen and published by Cambridge University Press. This book was released on 2020-04-23 with total page 313 pages. Available in PDF, EPUB and Kindle. Book excerpt: Examines how the framing of disability has serious implications for legal, medical, and policy treatments of disability.

Dictionary of Global Bioethics

Author : Henk ten Have
Publisher : Springer Nature
ISBN 13 : 3030541614
Total Pages : 1063 pages
Book Rating : 4.0/5 (35 download)

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Book Synopsis Dictionary of Global Bioethics by : Henk ten Have

Download or read book Dictionary of Global Bioethics written by Henk ten Have and published by Springer Nature. This book was released on 2021-05-26 with total page 1063 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Dictionary presents a broad range of topics relevant in present-day global bioethics. With more than 500 entries, this dictionary covers organizations working in the field of global bioethics, international documents concerning bioethics, personalities that have played a role in the development of global bioethics, as well as specific topics in the field.The book is not only useful for students and professionals in global health activities, but can also serve as a basic tool that explains relevant ethical notions and terms. The dictionary furthers the ideals of cosmopolitanism: solidarity, equality, respect for difference and concern with what human beings- and specifically patients - have in common, regardless of their backgrounds, hometowns, religions, gender, etc. Global problems such as pandemic diseases, disasters, lack of care and medication, homelessness and displacement call for global responses.This book demonstrates that a moral vision of global health is necessary and it helps to quickly understand the basic ideas of global bioethics.

Pandemic Bioethics

Author : Gregory E. Pence
Publisher : Broadview Press
ISBN 13 : 177048809X
Total Pages : 258 pages
Book Rating : 4.7/5 (74 download)

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Book Synopsis Pandemic Bioethics by : Gregory E. Pence

Download or read book Pandemic Bioethics written by Gregory E. Pence and published by Broadview Press. This book was released on 2021-05-20 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt: The COVID-19 pandemic has affected every human being on the planet and forced us all to reflect on the bioethical issues it raises. In this timely book, Gregory Pence examines a number of relevant issues, including the fair allocation of scarce medical resources, immunity passports, tradeoffs between protecting senior citizens and allowing children to flourish, discrimination against minorities and the disabled, and the myriad issues raised by vaccines.

Allocating Scarce Medical Resources

Author : Hugo Tristram Engelhardt
Publisher : Clinical Medical Ethics
ISBN 13 : 9780878408825
Total Pages : 331 pages
Book Rating : 4.4/5 (88 download)

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Book Synopsis Allocating Scarce Medical Resources by : Hugo Tristram Engelhardt

Download or read book Allocating Scarce Medical Resources written by Hugo Tristram Engelhardt and published by Clinical Medical Ethics. This book was released on 2002 with total page 331 pages. Available in PDF, EPUB and Kindle. Book excerpt: Roman Catholic moral theology is the point of departure for this multifaceted exploration of the challenge of allocating scarce medical resources. The volume begins its exploration of discerning moral limits to modern high-technology medicine with a consensus statement born of the conversations among its contributors. The seventeen essays use the example of critical care, because it offers one of the few areas in medicine where there are good clinical predictive measures regarding the likelihood of survival. As a result, the health care industry can with increasing accuracy predict the probability of saving lives--and at what cost. Because critical care involves hard choices in the face of finitude, it invites profound questions about the meaning of life, the nature of a good death, and distributive justice. For those who identify the prize of human life as immortality, the question arises as to how much effort should be invested in marginally postponing death. In a secular culture that presumes that individuals live only once, and briefly, there is an often-unacknowledged moral imperative to employ any means necessary to postpone death. The conflict between the free choice of individuals and various aspirations to equality compounds the challenge of controlling medical costs while also offering high-tech care to those who want its possible benefits. It forces society to confront anew notions of ordinary versus extraordinary, and proportionate versus disproportionate, treatment in a highly technologically structured social context. This cluster of discussions is enriched by five essays from Jewish, Orthodox Christian, and Protestant perspectives. Written by premier scholars from the United States and abroad, these essays will be valuable reading for students and scholars of bioethics and Christian moral theology.

Health Policy and Allocating Scarce Resources

Author :
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (966 download)

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Book Synopsis Health Policy and Allocating Scarce Resources by :

Download or read book Health Policy and Allocating Scarce Resources written by and published by . This book was released on 1978 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Allocating Health Care Resources

Author : James M. Humber
Publisher : Springer Science & Business Media
ISBN 13 : 1592594476
Total Pages : 222 pages
Book Rating : 4.5/5 (925 download)

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Book Synopsis Allocating Health Care Resources by : James M. Humber

Download or read book Allocating Health Care Resources written by James M. Humber and published by Springer Science & Business Media. This book was released on 1995-01-11 with total page 222 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Surgical Ethics

Author : Alberto R. Ferreres
Publisher : Springer
ISBN 13 : 3030059642
Total Pages : 317 pages
Book Rating : 4.0/5 (3 download)

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Book Synopsis Surgical Ethics by : Alberto R. Ferreres

Download or read book Surgical Ethics written by Alberto R. Ferreres and published by Springer. This book was released on 2019-03-26 with total page 317 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book encompasses the theoretical and practical aspects of surgical ethics, with a focus on the application of ethical standards to everyday surgical practice and the resolution of ethical conflicts in the surgical arena. It provides surgeons (both prospective and practicing) in the different surgical fields with deep, practical insights into the topic. A 21st century surgeon requires complete competence (superb clinical skills, expert surgical decision-making and outstanding performance and technical skills) as well as solid ethical values. Ethics are placed at the core of surgical professionalism, so surgeons must be not only proficient and expert but also ethically and morally reliable. Surgical decision-making can be considered as a two-step process: the “how to treat” aspect is a matter of surgical science, while “why to treat” issues are a matter of surgical ethics and are based on ethical principles. As such, every surgeon should have a moral compass to guide his or her actions, always placing the welfare and rights of the patients above their own. The book provides invaluable background and insights for solving the ethical conflicts surgeons around the globe encounter in their daily practice. Each chapter will also include features such as key point summaries in the beginning of the chapters, explanatory boxes, a glossary and suggested readings. Surgical Ethics - Principles and Practice is an authoritative work in the field designed for experienced surgeons, surgical residents, and fellows, all of whom are confronted with ethics issues and conflicts in practice.

Disease Control Priorities in Developing Countries

Author : Dean T. Jamison
Publisher : World Bank Publications
ISBN 13 : 0821361805
Total Pages : 1449 pages
Book Rating : 4.8/5 (213 download)

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Book Synopsis Disease Control Priorities in Developing Countries by : Dean T. Jamison

Download or read book Disease Control Priorities in Developing Countries written by Dean T. Jamison and published by World Bank Publications. This book was released on 2006-04-02 with total page 1449 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on careful analysis of burden of disease and the costs ofinterventions, this second edition of 'Disease Control Priorities in Developing Countries, 2nd edition' highlights achievable priorities; measures progresstoward providing efficient, equitable care; promotes cost-effectiveinterventions to targeted populations; and encourages integrated effortsto optimize health. Nearly 500 experts - scientists, epidemiologists, health economists,academicians, and public health practitioners - from around the worldcontributed to the data sources and methodologies, and identifiedchallenges and priorities, resulting in this integrated, comprehensivereference volume on the state of health in developing countries.

From Parent to Child

Author : Jere R. Behrman
Publisher : University of Chicago Press
ISBN 13 : 9780226041568
Total Pages : 336 pages
Book Rating : 4.0/5 (415 download)

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Book Synopsis From Parent to Child by : Jere R. Behrman

Download or read book From Parent to Child written by Jere R. Behrman and published by University of Chicago Press. This book was released on 1995-08-15 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: How do parents allocate human capital among their children? To what extent do parental decisions about resource allocation determine children's eventual economic success? The analyses in From Parent to Child explore these questions by developing and testing a model in which the earnings of children with different genetic endowments respond differently to investments in human capital. Behrman, Pollak, and Taubman use this model to investigate issues such as parental bias in resource allocations based on gender or birth order; the extent of intergenerational mobility in income, earnings, and schooling in the United States; the relative importance of environmental and genetic factors in determining variations in schooling; and whether parents' distributions offset the intended effects of government programs designed to subsidize children. In allocating scarce resources, parents face a trade-off between equity and efficiency, between the competing desires to equalize the wealth of their children and to maximize the sum of their earnings. Building on the seminal work of Gary Becker, From Parent to Child integrates careful modeling of household behavior with systematic empirical testing, and will appeal to anyone interested in the economics of the family.

Surgical Ethics

Author : Laurence B. McCullough
Publisher : Oxford University Press
ISBN 13 : 0199748799
Total Pages : 417 pages
Book Rating : 4.1/5 (997 download)

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Book Synopsis Surgical Ethics by : Laurence B. McCullough

Download or read book Surgical Ethics written by Laurence B. McCullough and published by Oxford University Press. This book was released on 1998-04-02 with total page 417 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first textbook on the subject, this is a practical, clinically comprehensive guide to ethical issues in surgical practice, research, and education written by some of the most prominent figures in the fields of surgery and bioethics. Discussions of informed consent, confidentiality, and advance directives--core concepts integral to every surgeon-patient relationship--open the volume. Seven chapters tackle the ethical issues in surgical practice, covering the full range of surgical patients--from emergency, acute, high-risk, and elective patients, to poor surgical risk and dying patients. The book even considers the special relationship between the surgeon and patients who are family members or friends. Chapters on surgical research and education address innovation, self-regulation in practice and research, and the prevention of unwarranted bias. Two chapters focus on the multidisciplinary nature of surgery, including the relationships between surgery and other medical specialties and the obligations of the surgeon to other members of the surgical team. The economic dimensions of surgery, especially within managed care, are addressed in chapters on the surgeons financial relationships with patients, conflicts of interest, and relationships with payers and institutions. The authors do not engage in abstract discussions of ethical theory; instead, their discussions are always directly relevant to the everyday concerns of practicing surgeons. This well-integrated volume is intended for practicing surgeons, medical educators, surgical residents, bioethicists, and medical students.

Allocation of Scarce Resources During Mass Casualty Events

Author : United States. Agency for Healthcare Research and Quality
Publisher :
ISBN 13 :
Total Pages : 294 pages
Book Rating : 4.:/5 (81 download)

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Book Synopsis Allocation of Scarce Resources During Mass Casualty Events by : United States. Agency for Healthcare Research and Quality

Download or read book Allocation of Scarce Resources During Mass Casualty Events written by United States. Agency for Healthcare Research and Quality and published by . This book was released on 2012 with total page 294 pages. Available in PDF, EPUB and Kindle. Book excerpt: This systematic review sought to identify the best available evidence regarding strategies for allocating scarce resources during mass casualty events (MCEs). Specifically, the review addresses the following questions: (1) What strategies are available to policymakers to optimize the allocation of scarce resources during MCEs? (2) What strategies are available to providers to optimize the allocation of scarce resources during MCEs? (3) What are the public's key perceptions and concerns regarding the implementation of strategies to allocate scarce resources during MCEs? (4) What methods are available to engage providers in discussions regarding the development and implementation of strategies to allocate scarce resources during MCEs?