Allocating Scarce Medical Resources

Allocating Scarce Medical Resources
Author: H. Tristram Engelhardt Jr. MD, PhD
Publisher: Georgetown University Press
Total Pages: 346
Release: 2002-05-20
Genre: Medical
ISBN: 9781589012349

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.

Surgical Ethics

Surgical Ethics
Author: Laurence B. McCullough
Publisher: Oxford University Press
Total Pages: 417
Release: 1998-04-02
Genre: Medical
ISBN: 0199748799

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.

The Economics of Resource Allocation in Health Care

The Economics of Resource Allocation in Health Care
Author: Andrea Klonschinski
Publisher: Routledge
Total Pages: 293
Release: 2016-03-31
Genre: Business & Economics
ISBN: 1317291816

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.

Dictionary of Global Bioethics

Dictionary of Global Bioethics
Author: Henk ten Have
Publisher: Springer Nature
Total Pages: 1063
Release: 2021-05-26
Genre: Philosophy
ISBN: 3030541614

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.

Resource Allocation in the Public Sector

Resource Allocation in the Public Sector
Author: Colin Fisher
Publisher: Routledge
Total Pages: 305
Release: 2002-01-04
Genre: Business & Economics
ISBN: 1134683103

In the public sector at the moment resources are scarce - or at the very least finite and limited - how they are allocated is therefore of crucial importance. This book analyses this process and examines the competing values that underlie the public service ethic, including the role of markets and quasi-markets, in the delivery of public services. Topics discussed include: * whether people should be denied the public services they need because public bodies are short of money * what balance we should strike between markets and public organisations to provide public services * whether the use of markets has gone too far and whether we need to return to a public service ethic

Surgical Ethics

Surgical Ethics
Author: Alberto R. Ferreres
Publisher: Springer
Total Pages: 313
Release: 2019-03-26
Genre: Medical
ISBN: 3030059642

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.

Crisis Standards of Care

Crisis Standards of Care
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 217
Release: 2013-10-27
Genre: Medical
ISBN: 0309285526

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.

The Rate and Direction of Inventive Activity

The Rate and Direction of Inventive Activity
Author: National Bureau of Economic Research
Publisher: Princeton University Press
Total Pages: 647
Release: 2015-12-08
Genre: Political Science
ISBN: 1400879760

The papers here range from description and analysis of how our political economy allocates its inventive effort, to studies of the decision making process in specific industrial laboratories. Originally published in 1962. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.

The Limits to Scarcity

The Limits to Scarcity
Author: Lyla Mehta
Publisher: Routledge
Total Pages: 287
Release: 2013-05-13
Genre: Business & Economics
ISBN: 1136538941

Scarcity is considered a ubiquitous feature of the human condition. It underpins much of modern economics and is widely used as an explanation for social organisation, social conflict and the resource crunch confronting humanity's survival on the planet. It is made out to be an all-pervasive fact of our lives - be it of housing, food, water or oil. But has the conception of scarcity been politicized, naturalized, and universalized in academic and policy debates? Has overhasty recourse to scarcity evoked a standard set of market, institutional and technological solutions which have blocked out political contestations, overlooking access as a legitimate focus for academic debates as well as policies and interventions? Theoretical and empirical chapters by leading academics and scholar-activists grapple with these issues by questioning scarcity's taken-for-granted nature. They examine scarcity debates across three of the most important resources - food, water and energy - and their implications for theory, institutional arrangements, policy responses and innovation systems. The book looks at how scarcity has emerged as a totalizing discourse in both the North and South. The 'scare' of scarcity has led to scarcity emerging as a political strategy for powerful groups. Aggregate numbers and physical quantities are trusted, while local knowledges and experiences of scarcity that identify problems more accurately and specifically are ignored. Science and technology are expected to provide 'solutions', but such expectations embody a multitude of unexamined assumptions about the nature of the 'problem', about the technologies and about the institutional arrangements put forward as a 'fix.' Through this examination the authors demonstrate that scarcity is not a natural condition: the problem lies in how we see scarcity and the ways in which it is socially generated.