Who Should Manage Care? The Case for Patients
, After establishing that it is essential that health care be rationed in some fashion, the paper examines the arguments for and against clinicians as gatekeepers. It first argues that bedside clinicians do not have the information needed to make allocation decisions. Then it claims that physicians...
Main Author: | |
---|---|
Format: | Electronic Article |
Language: | English |
Check availability: | HBZ Gateway |
Journals Online & Print: | |
Fernleihe: | Fernleihe für die Fachinformationsdienste |
Published: |
Johns Hopkins Univ. Press
1997
|
In: |
Kennedy Institute of Ethics journal
Year: 1997, Volume: 7, Issue: 4, Pages: 391-401 |
Online Access: |
Volltext (lizenzpflichtig) Volltext (lizenzpflichtig) |
MARC
LEADER | 00000naa a22000002 4500 | ||
---|---|---|---|
001 | 1826988440 | ||
003 | DE-627 | ||
005 | 20221214052550.0 | ||
007 | cr uuu---uuuuu | ||
008 | 221214s1997 xx |||||o 00| ||eng c | ||
024 | 7 | |a 10.1353/ken.1997.0041 |2 doi | |
035 | |a (DE-627)1826988440 | ||
035 | |a (DE-599)KXP1826988440 | ||
040 | |a DE-627 |b ger |c DE-627 |e rda | ||
041 | |a eng | ||
084 | |a 1 |2 ssgn | ||
100 | 1 | |a Veatch, Robert M |e VerfasserIn |4 aut | |
245 | 1 | 0 | |a Who Should Manage Care? The Case for Patients |
264 | 1 | |c 1997 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a Computermedien |b c |2 rdamedia | ||
338 | |a Online-Ressource |b cr |2 rdacarrier | ||
520 | |a , After establishing that it is essential that health care be rationed in some fashion, the paper examines the arguments for and against clinicians as gatekeepers. It first argues that bedside clinicians do not have the information needed to make allocation decisions. Then it claims that physicians at the bedside can be expected to make the wrong choice for two reasons: their commitment to the Hippocratic ethic forces them to pursue the patient's best interest (even when resources will produce only very marginal benefit and could do much more good elsewhere) and their values will lead them to calculate the net value of treatments incorrectly. Alternative decision makers are considered. It is argued that both groups of physicians and administrators will also make allocations incorrectly and that leaving the allocation decisions to patients themselves is the best approach. Mechanisms for fair and efficient rationing by patients at the societal and individual level are examined. | ||
601 | |a Patient | ||
773 | 0 | 8 | |i Enthalten in |a Kennedy Institute of Ethics |t Kennedy Institute of Ethics journal |d Baltimore, Md. : Johns Hopkins Univ. Press, 1991 |g 7(1997), 4, Seite 391-401 |h Online-Ressource |w (DE-627)320481840 |w (DE-600)2009887-X |w (DE-576)266818668 |x 1086-3249 |7 nnns |
773 | 1 | 8 | |g volume:7 |g year:1997 |g number:4 |g pages:391-401 |
856 | 4 | 0 | |u https://doi.org/10.1353/ken.1997.0041 |x Resolving-System |z lizenzpflichtig |3 Volltext |
856 | 4 | 0 | |u https://muse.jhu.edu/pub/1/article/18574 |x Verlag |z lizenzpflichtig |3 Volltext |
935 | |a mteo | ||
951 | |a AR | ||
ELC | |a 1 | ||
ITA | |a 1 |t 1 | ||
LOK | |0 000 xxxxxcx a22 zn 4500 | ||
LOK | |0 001 4230899319 | ||
LOK | |0 003 DE-627 | ||
LOK | |0 004 1826988440 | ||
LOK | |0 005 20221214052550 | ||
LOK | |0 008 221214||||||||||||||||ger||||||| | ||
LOK | |0 035 |a (DE-Tue135)IxTheo#2022-12-05#212FCD0F159C292526435959AA7B3BD79FE1514B | ||
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 ixrk |a zota | ||
ORI | |a SA-MARC-ixtheoa001.raw |