000			03605nam a2200529 i 4500
001			703714
005			20230120114710.0
007			cr||||||||||||
008			140414t20152015enk sb 000 0 eng d
020			_a9780199989454 (ebook)
035			_a(StDuBDS)AH27135759
040			_aStDuBDS _beng _cStDuBDS _dUk _dStDuBDSZ _dUkPrAHLS
050		0	_aRA410.5 _b.F35 2015
050		4	_aRA971.3
072		7	_aMBDC _2bicssc
072		7	_aHEA _2ukslc
072		7	_aMBDC _2thema
245	0	0	_aFair resource allocation and rationing at the bedside / _cedited by Marion Danis, Samia Hurst, Len Fleck , Reidun Forde, and Anne Slowther.
264		4	_c℗♭2015
300			_axix, 453 pages
336			_atext _2rdacontent
337			_acomputer _2rdamedia
338			_aonline resource _2rdacarrier
366			_b20141120
500			_aFormerly CIP. _5Uk
504			_aIncludes bibliographical references.
520	8		_aHealth 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.
530			_aAlso available in printed form ISBN 9780199989447
533			_aElectronic reproduction. _cAskews and Holts. _nMode of access: World Wide Web.
650		0	_aHealth care rationing.
650		0	_aHealth care rationing _xMoral and ethical aspects.
650	1	2	_aHealth Care Rationing _xmethods.
650	1	2	_aResource Allocation _xmethods.
650	2	2	_aEthics, Clinical.
650	2	2	_aHealth Care Rationing _xethics.
650	2	2	_aResource Allocation _xethics.
650		7	_aHealth and Wellbeing _2ukslc
650		7	_aMedical ethics & professional conduct _2thema
655		7	_2lcsh
700	1		_aDanis, Marion, _eeditor.
700	1		_aHurst, Samia, _eeditor.
700	1		_aFleck, Leonard M., _eeditor.
700	1		_aForde, Reidun, _eeditor.
700	1		_aSlowther, Anne, _eeditor.
856	4	0	_uhttp://www.vlebooks.com/vleweb/product/openreader?id=WestLondon&isbn=9780199989454
942			_n0 _2ddc
999			_c53139 _d53139