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The values at the bedside study : bedside rationing by physicians
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Hurst, S. A., Slowther, Anne, Forde, Reidun and Danis, Marion (2014) The values at the bedside study : bedside rationing by physicians. In: Danis, Marion and Hurst, Samia A. and Fleck, Leonard and Førde, Reidun and Slowther, Anne, (eds.) Fair Resource Allocation and Rationing at the Bedside. Oxford; New York: Oxford University Press. ISBN 9780199989447
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Official URL: http://encore.lib.warwick.ac.uk/iii/encore/record/...
Abstract
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.
Review: The editor and authors are informed and credible sources... This is a fairly useful book for understanding the importance of healthcare rationing for governments, physicians, and patients.
Item Type: | Book Item | ||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||
Publisher: | Oxford University Press | ||||
Place of Publication: | Oxford; New York | ||||
ISBN: | 9780199989447 | ||||
Book Title: | Fair Resource Allocation and Rationing at the Bedside | ||||
Editor: | Danis, Marion and Hurst, Samia A. and Fleck, Leonard and Førde, Reidun and Slowther, Anne | ||||
Official Date: | 20 November 2014 | ||||
Dates: |
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Number of Pages: | 453 | ||||
Status: | Not Peer Reviewed | ||||
Publication Status: | Published | ||||
Description: | Chapter 1 |
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