Withholding and withdrawing treatment for cost-effectiveness reasons: Are they ethically on par?
In healthcare priority settings, early access to treatment before reimbursement decisions gives rise to problems of whether negative decisions for cost-effectiveness reasons should result in withdrawing treatment, already accessed by patients. Among professionals there seems to be a strong attitude...
| VerfasserInnen: | ; |
|---|---|
| Medienart: | Elektronisch Aufsatz |
| Sprache: | Englisch |
| Verfügbarkeit prüfen: | HBZ Gateway |
| Fernleihe: | Fernleihe für die Fachinformationsdienste |
| Veröffentlicht: |
[2019]
|
| In: |
Bioethics
Jahr: 2019, Band: 33, Heft: 2, Seiten: 278-286 |
| IxTheo Notationen: | NCH Medizinische Ethik |
| weitere Schlagwörter: | B
COST effectiveness
B withholding B withdrawing B equivalence thesis B priority setting |
| Online-Zugang: |
Volltext (Verlag) Volltext (doi) |
MARC
| LEADER | 00000caa a22000002c 4500 | ||
|---|---|---|---|
| 001 | 1727521919 | ||
| 003 | DE-627 | ||
| 005 | 20210927083513.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 200820s2019 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1111/bioe.12545 |2 doi | |
| 035 | |a (DE-627)1727521919 | ||
| 035 | |a (DE-599)KXP1727521919 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 1 |2 ssgn | ||
| 100 | 1 | |a Sandman, Lars |e VerfasserIn |4 aut | |
| 245 | 1 | 0 | |a Withholding and withdrawing treatment for cost-effectiveness reasons |b Are they ethically on par? |
| 264 | 1 | |c [2019] | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 520 | |a In healthcare priority settings, early access to treatment before reimbursement decisions gives rise to problems of whether negative decisions for cost-effectiveness reasons should result in withdrawing treatment, already accessed by patients. Among professionals there seems to be a strong attitude to distinguish between withdrawing and withholding treatment, viewing the former as ethically worse. In this article the distinction between withdrawing and withholding treatment for reasons of cost effectiveness is explored by analysing the doing/allowing distinction, different theories of justice, consequentialist and virtue perspectives. The authors do not find any strong reasons for an intrinsic difference, but do find some reasons for a consequentialist difference, given present attitudes. However, overall, such a difference does not, all things considered, provide a convincing reason against withdrawal, given the greater consequentialist gain of using cost-effective treatment. As a result, patients should be properly informed when given early access to treatment, that such treatment can be later withdrawn following a negative reimbursement decision. | ||
| 650 | 4 | |a COST effectiveness | |
| 650 | 4 | |a equivalence thesis | |
| 650 | 4 | |a priority setting | |
| 650 | 4 | |a withdrawing | |
| 650 | 4 | |a withholding | |
| 652 | |a NCH | ||
| 700 | 1 | |a Liliemark, Jan |e VerfasserIn |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Bioethics |d Oxford [u.a.] : Wiley-Blackwell, 1987 |g 33(2019), 2, Seite 278-286 |h Online-Ressource |w (DE-627)271596708 |w (DE-600)1480658-7 |w (DE-576)078707986 |x 1467-8519 |7 nnas |
| 773 | 1 | 8 | |g volume:33 |g year:2019 |g number:2 |g pages:278-286 |
| 856 | 4 | 0 | |u https://onlinelibrary.wiley.com/doi/abs/10.1111/bioe.12545 |x Verlag |
| 856 | |u https://doi.org/10.1111/bioe.12545 |x doi |3 Volltext | ||
| 951 | |a AR | ||
| ELC | |a 1 | ||
| ITA | |a 1 |t 1 | ||
| LOK | |0 000 xxxxxcx a22 zn 4500 | ||
| LOK | |0 001 3741319597 | ||
| LOK | |0 003 DE-627 | ||
| LOK | |0 004 1727521919 | ||
| LOK | |0 005 20210927083513 | ||
| LOK | |0 008 200820||||||||||||||||ger||||||| | ||
| LOK | |0 040 |a DE-Tue135 |c DE-627 |d DE-Tue135 | ||
| LOK | |0 092 |o n | ||
| LOK | |0 852 |a DE-Tue135 | ||
| LOK | |0 852 1 |9 00 | ||
| LOK | |0 935 |a ixzs |a ixzo | ||
| LOK | |0 936ln |0 1550736558 |a NCH | ||
| ORI | |a SA-MARC-ixtheoa001.raw | ||
