Results for ' healthcare costs'

981 found
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  1.  50
    Controlling Healthcare Costs: Just Cost Effectiveness or “Just” Cost Effectiveness?Leonard M. Fleck - 2018 - Cambridge Quarterly of Healthcare Ethics 27 (2):271-283.
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  2.  43
    Autonomy, consent, and limiting healthcare costs.M. A. Graber - 2005 - Journal of Medical Ethics 31 (7):424-426.
    While protection of autonomy is crucial to the practice of medicine, there is the persistent risk of a disconnect between the notion of self-determination and the need for a socially responsible medical system. An example of unbridled autonomy is the preferential use of costly medications without an appreciation of the impact of using these more expensive drugs on the resource pool of others. In the USA, costly medications of questionable incremental benefit are frequently prescribed with the complicity of both doctors (...)
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  3.  58
    The Effect of Clinical Medical Ethics Consultation on Healthcare Costs.B. J. Heilicser, D. Meltzer & M. Siegler - 2000 - Journal of Clinical Ethics 11 (1):31-38.
  4. Healthcare consumers’ sensitivity to costs: a reflection on behavioural economics from an emerging market.Quan-Hoang Vuong, Tung-Manh Ho, Hong-Kong Nguyen & Thu-Trang Vuong - 2018 - Palgrave Communications 4:70.
    Decision-making regarding healthcare expenditure hinges heavily on an individual's health status and the certainty about the future. This study uses data on propensity of general health exam (GHE) spending to show that despite the debate on the necessity of GHE, its objective is clear—to obtain more information and certainty about one’s health so as to minimise future risks. Most studies on this topic, however, focus only on factors associated with GHE uptake and overlook the shifts in behaviours and attitudes (...)
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  5.  37
    Cost-Effectiveness and the Avoidance of Discrimination in Healthcare: Can We Have Both?Kasper Lippert-Rasmussen - 2023 - Cambridge Quarterly of Healthcare Ethics 32 (2):202-215.
    Many ethical theorists believe that a given distribution of healthcare is morally justified only if (1) it is cost-effective and (2) it does not discriminate against older adults and disabled people. However, if (3) cost-effectiveness involves maximizing the number of quality-adjusted life-years (QALYs) added by a given unit of healthcare resource, or cost, it seems the pursuit of cost-effectiveness will inevitably discriminate against older adults and disabled patients. I show why this trilemma is harder to escape than some (...)
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  6.  18
    The Cost of Healthcare to Americans.Michael Ambrose Erasmus McIntosh - 2002 - Jona's Healthcare Law, Ethics, and Regulation 4 (3):78-89.
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  7.  37
    The Costs of Institutional Racism and its Ethical Implications for Healthcare.Amanuel Elias & Yin Paradies - 2021 - Journal of Bioethical Inquiry 18 (1):45-58.
    This paper discusses the ethical implications of racism and some of the various costs associated with racism occurring at the institutional level. We argue that, in many ways, the laws, social structures, and institutions in Western society have operated to perpetuate the continuation of historical legacies of racial inequities with or without the intention of individuals and groups in society. By merely maintaining existing structures, laws, and social norms, society can impose social, economic, and health costs on racial (...)
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  8.  4
    Unmet care needs of older people: A scoping review.Dominika Kalánková, Minna Stolt, P. Anne Scott, Evridiki Papastavrou, Riitta Suhonen & on Behalf of the Rancare Cost Action Ca8 - 2021 - Nursing Ethics 28 (2):149-178.
    The aim was to synthesize the findings of empirical research about the unmet nursing care needs of older people, mainly from their point of view, from all settings, focusing on (1) methodological approaches, (2) relevant concepts and terminology and (3) type, nature and ethical issues raised in the investigations. A scoping review after Arksey and O’Malley. Two electronic databases, MEDLINE/PubMed and CINAHL (from earliest to December 2019) were used. Systematic search protocol was developed using several terms for unmet care needs (...)
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  9. Is there a natural right to healthcare?Sean Rife - 2012 - Human Affairs 22 (4):613-622.
    In recent years, policy debates in the United States have focused heavily on rising healthcare costs and what measures can be taken to ensure greater provision of healthcare to individuals of limited means. Much of the rhetoric on this subject has taken on an explicitly moral character, and one common sentiment is that healthcare is or should be viewed as a basic human right. However, the notion of a right to healthcare has not been well (...)
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  10. Clinical Psychological Figures in Healthcare Professionals: Resilience and Maladjustment as the “Cost of Care”.Emanuele Maria Merlo, Anca Pantea Stoian, Ion G. Motofei & Salvatore Settineri - 2020 - Frontiers in Psychology 11.
    Background: The health professionals are involved in the paths of care for patients with different medical conditions. Their life is frequently characterized by psychopathological outcomes so that it is possible to identify consistent burdens. Besides the possibility to develop pathological outcomes, some protective factors such as resilience play a fundamental role in facilitating the adaptation process and the management of maladaptive patterns. Personal characteristics and specific indexes such as burdens and resilience are essential variables useful to study in-depth ongoing conditions (...)
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  11.  18
    The Environmental Costs of Artificial Intelligence for Healthcare.Amelia Katirai - 2024 - Asian Bioethics Review 16 (3):527-538.
    Healthcare has emerged as a key setting where expectations are rising for the potential benefits of artificial intelligence (AI), encompassing a range of technologies of varying utility and benefit. This paper argues that, even as the development of AI for healthcare has been pushed forward by a range of public and private actors, insufficient attention has been paid to a key contradiction at the center of AI for healthcare: that its pursuit to improve health is necessarily accompanied (...)
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  12.  27
    Healthcare Rationing Cutoffs and Sorites Indeterminacy.Philip M. Rosoff - 2019 - Journal of Medicine and Philosophy 44 (4):479-506.
    Rationing is an unavoidable mechanism for reining in healthcare costs. It entails establishing cutoff points that distinguish between what is and is not offered or available to patients. When the resource to be distributed is defined by vague and indeterminate terms such as “beneficial,” “effective,” or even “futile,” the ability to draw meaningful boundary lines that are both ethically and medically sound is problematic. In this article, I draw a parallel between the challenges posed by this problem and (...)
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  13.  56
    What healthcare professionals owe us: why their duty to treat during a pandemic is contingent on personal protective equipment (PPE).Udo Schuklenk - 2020 - Journal of Medical Ethics 46 (7):432-435.
    Healthcare professionals’ capacity to protect themselves, while caring for infected patients during an infectious disease pandemic, depends on their ability to practise universal precautions. In turn, universal precautions rely on the availability of personal protective equipment (PPE). During the SARS-CoV2 outbreak many healthcare workers across the globe have been reluctant to provide patient care because crucial PPE components are in short supply. The lack of such equipment during the pandemic was not a result of careful resource allocation decisions (...)
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  14.  19
    Cost-Effectiveness, Incompleteness, and Discrimination.Anders Herlitz - 2023 - Cambridge Quarterly of Healthcare Ethics 32 (2):163-173.
    This paper argues that cost-effectiveness analysis in the healthcare sector introduces a discrimination risk that has thus far been underappreciated and outlines some approaches one can take toward this. It is argued that appropriate standards used in cost-effectiveness analysis in the healthcare sector fail to always fully determine an optimal option, which entails that cost-effectiveness analysis often leaves decision makers with large sets of permissible options. Larger sets of permissible options increase the role of decision makers’ biases, whims, (...)
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  15.  77
    Healthcare regulation as a tool for public accountability.Rui Nunes, Guilhermina Rego & Cristina Brandão - 2009 - Medicine, Health Care and Philosophy 12 (3):257-264.
    The increasing costs of healthcare delivery led to different political and administrative approaches trying to preserve the core values of the welfare state. This approach has well documented weaknesses namely with regard to healthcare rationing. The objective of this paper is to evaluate if independent healthcare regulation is an important tool with regard to the construction of fair processes for setting limits to healthcare. Methodologically the authors depart from Norman Daniels’ and James Sabin’s theory of (...)
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  16.  47
    A Healthcare Planner's Conscience.Donald Evans - 1994 - Cambridge Quarterly of Healthcare Ethics 3 (1):108.
    Across the world, healthcare providers must wrestle with the twin ogres of finite resources and infinite demand. Successful healthcare delivery creates its own legacy of need. For example, a renal failure patient may now be given a greatly extended life by means of dialysis or organ transplantation. In the process, the healthcare provider has created a permanent demand for services during that extended life. It has been estimated that the recurrent cost of maintaining a patient on hemodialysis (...)
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  17.  47
    Cost-equivalence and Pluralism in Publicly-funded Health-care Systems.Dominic Wilkinson & Julian Savulescu - 2018 - Health Care Analysis 26 (4):287-309.
    Clinical guidelines summarise available evidence on medical treatment, and provide recommendations about the most effective and cost-effective options for patients with a given condition. However, sometimes patients do not desire the best available treatment. Should doctors in a publicly-funded healthcare system ever provide sub-optimal medical treatment? On one view, it would be wrong to do so, since this would violate the ethical principle of beneficence, and predictably lead to harm for patients. It would also, potentially, be a misuse of (...)
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  18.  93
    Ethical Issues in the Construction of Cost-Effectiveness Analyses for the Prioritization and Rationing of Healthcare.Dan W. Brock - 1999 - The Proceedings of the Twentieth World Congress of Philosophy 1:215-229.
    The dominant methodology in health policy for prioritizing and rationing health care resources is cost-effectiveness analysis, typically using quality adjusted life years (QALYs) or disability adjusted life years (DALYs) to measure health outcomes. The construction of these measures involves a number of moral or value choices, including: How should states of health and disability be evaluated, and whose preferences (e.g., the disabled or non-disabled) should be used? How should these evaluations reflect that prioritization will involve tradeoffs between health benefits for (...)
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  19.  40
    Provision of healthcare in the context of financial crisis: approaches to the Greek health system and international implications.Charalampos Milionis - 2013 - Nursing Philosophy 14 (1):17-27.
    Both healthcare professionals and the healthcare system must defend each patient's health individually while simultaneously seeking to protect the population's health in general. Nowadays, there is an important increase in the cost of healthcare supply, mainly due to the developments of medical science, the public's expectations and the demographic ageing. Since healthcare resources are not unlimited, it is obvious that immoderate consumption of them by certain patients limits the use of the same funds by others. Therefore, (...)
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  20.  66
    The Cost of Conscience.Jeanette Kennett - 2017 - Cambridge Quarterly of Healthcare Ethics 26 (1):69-81.
    :The spread of demands by physicians and allied health professionals for accommodation of their private ethical, usually religiously based, objections to providing care of a particular type, or to a particular class of persons, suggests the need for a re-evaluation of conscientious objection in healthcare and how it should be regulated. I argue on Kantian grounds that respect for conscience and protection of freedom of conscience is consistent with fairly stringent limitations and regulations governing refusal of service in (...) settings. Respect for conscience does not entail that refusal of service should be cost free to the objector. I suggest that conscientious objection in medicine should be conceptualized and treated analogously to civil disobedience. (shrink)
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  21.  18
    Undocumented migrants’ access to healthcare in Sweden, and the impact of Act 2013:407.Anna O’Sullivan - 2024 - Nursing Ethics 31 (7):1349-1360.
    Background Research shows that undocumented migrants have difficulties in accessing healthcare. Act 2013:407 came into force in 2013 and entitled undocumented migrants to healthcare that cannot be deferred. To date, studies about undocumented migrants’ access to care in Sweden and the impact of Act 2013:407 are sparse. Hence, the aim of this study was to describe professionals’ experiences of access to healthcare for undocumented migrants in Sweden and the impact of Act 2013:407. Methods A qualitative design with (...)
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  22.  29
    “Comprehensive Healthcare for America”: Using the Insights of Behavioral Economics to Transform the U. S. Healthcare System.Paul C. Sorum, Christopher Stein & Dale L. Moore - 2023 - Journal of Law, Medicine and Ethics 51 (1):153-171.
    Abstract“Comprehensive Healthcare for America” is a largely single-payer reform proposal that, by applying the insights of behavioral economics, may be able to rally patients and clinicians sufficiently to overcome the opposition of politicians and vested interests to providing all Americans with less complicated and less costly access to needed healthcare.
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  23.  22
    Intergenerational healthcare inequities in developing countries.Miguel Kottow - 2019 - Developing World Bioethics 20 (3):122-129.
    Concern about the rapid ageing of all societies reaches alarming proportions as healthcare inequities are steeply rising, prompting the elderly to live longer but subject to insufficient social protection and healthcare in the wake of dwindling public resources. The aged population of developing nations are facing additional hardships due to the growing gap between needs and the financial reductions of public institutions, retirement funds, and the trend towards privatization of essential services turned into commodities. Current approaches to allocation (...)
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  24. Public healthcare resource allocation and the Rule of Rescue.R. Cookson, C. McCabe & A. Tsuchiya - 2008 - Journal of Medical Ethics 34 (7):540-544.
    In healthcare, a tension sometimes arises between the injunction to do as much good as possible with scarce resources and the injunction to rescue identifiable individuals in immediate peril, regardless of cost (the “Rule of Rescue”). This tension can generate serious ethical and political difficulties for public policy makers faced with making explicit decisions about the public funding of controversial health technologies, such as costly new cancer drugs. In this paper we explore the appropriate role of the Rule of (...)
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  25.  5
    Healthcare Value Assessment: A Critical Review of Economic Outcome Metrics and Future Directions.Masad Turki Almutairi, Ashwaq Mansour Aljohani, Yosef Awad Aljohani, Zaid Awaidh Sh Almotairi, Abdulmajeed Ayid Almatrafi, Fuad Mohammed Alahmadi, Theban Abdullah Alghamdi, Abdulaziz Mohamed Alahmed, Ahmed Abdullah Alsharif, Aysha Turki Almutairi, Waleed Taleb N. Almughamisi, Faizah Turki Alharbi, Maryam Ibrahim M. Kdaysah, Shahad Mahbub Aloufi & Theyab Mohammed Aldawsari - forthcoming - Evolutionary Studies in Imaginative Culture:112-131.
    This paper provides a critical review of economic outcome metrics used in healthcare value assessment, emphasizing the evolving landscape of resource allocation, patient-centered approaches, and standardization efforts. With healthcare costs rising globally, the efficient allocation of limited resources is essential. Metrics like Quality-Adjusted Life Years (QALYs), Disability-Adjusted Life Years (DALYs), Incremental Cost-Effectiveness Ratios (ICERs), and Cost-Benefit Analysis (CBA) are central to guiding funding decisions, influencing insurance coverage, and shaping treatment prioritization. Emerging trends, such as the integration of (...)
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  26.  70
    (1 other version)Conscientious Objection in Healthcare Provision: A New Dimension.Peter West-Oram & Alena Buyx - 2015 - Bioethics 30 (5):336-343.
    The right to conscientious objection in the provision of healthcare is the subject of a lengthy, heated and controversial debate. Recently, a new dimension was added to this debate by the US Supreme Court's decision in Burwell vs. Hobby Lobby et al. which effectively granted rights to freedom of conscience to private, for-profit corporations. In light of this paradigm shift, we examine one of the most contentious points within this debate, the impact of granting conscience exemptions to healthcare (...)
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  27.  38
    Intersectoral healthcare delivery.Constance M. McCorkle & Edward C. Green - 1998 - Agriculture and Human Values 15 (2):105-114.
    Within a given culture – whether industrialized or more tradition oriented – essentially the same fundamental medical theories, practices, and pharmacopoeia tend to be applied to human and non-human sickness and patients. In modern industrialized societies, however, healthcare services are sharply divided between human and veterinary medicine. There is likewise a sharp division between practitioners in these two health sectors: medical doctors and veterinarians. Yet in non-Western, traditional or indigenous medical systems, the same practitioners often treat both humans and (...)
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  28.  36
    The cost of autonomy: estimates from recent advances in living donor kidney transplantation.Phedias Diamandis - 2010 - Journal of Medical Ethics 36 (3):155-159.
    Autonomy, an individual's right to make personal decisions regarding his/her own health, represents one of the major ethical principles of medicine. While there are many examples citing the benefits this right provides for the individual, the impact that personal healthcare decisions have on others is often neglected. Here, evidence from end-stage renal disease is reviewed to hypothesise the creation of a universal kidney donation programme that although provides unparalleled benefits to its citizens, relies on the participation of a large (...)
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  29.  45
    Withholding and withdrawing treatment for cost‐effectiveness reasons: Are they ethically on par?Lars Sandman & Jan Liliemark - 2019 - Bioethics 33 (2):278-286.
    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 (...)
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  30.  93
    Access to Healthcare and the Pharmaceutical Sector.Klaus M. Leisinger & Karin M. Schmitt - 2011 - Cambridge Quarterly of Healthcare Ethics 20 (2):309-325.
    Health is higher on the international agenda than ever before, and improving the health of poor people is a central issue in development. Poor people suffer from far higher levels of ill health, mortality, and malnutrition than do those better off, and their inadequate health is one of the factors keeping them poor or for their being poor in the first place. Health is a crucially important economic asset, particularly for poor people. Their livelihoods depend on it. When poor people (...)
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  31.  12
    The Costs of Raising Children: Toward a Theory of Financial Obligations.Ayelet Blecher-Prigat - 2012 - Theoretical Inquiries in Law 13 (1):179-207.
    This Article sets out to initiate the development of a theory about the financial obligations that joint parenthood imposes. It considers what joint parents owe one another, separate and apart from any obligation they may or may not have as former spouses or partners. The Article suggests that parenthood is not merely a vertical relationship between an adult parent and a child, but also a horizontal relationship between adults who share it. It is further suggested that the relationship created by (...)
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  32.  68
    Solidarity and the problem of structural injustice in healthcare.Carol C. Gould - 2018 - Bioethics 32 (9):541-552.
    The concept of solidarity has recently come to prominence in the healthcare literature, addressing the motivation for taking seriously the shared vulnerabilities and medical needs of compatriots and for acting to help them meet these needs. In a recent book, Prainsack and Buyx take solidarity as a commitment to bear costs to assist others regarded as similar, with implications for governing health databases, personalized medicine, and organ donation. More broadly, solidarity has been understood normatively to call for ‘standing (...)
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  33.  42
    Healthcare and the Slippery Slope of State Growth: Lessons From the Past.Alberto Mingardi - 2015 - Journal of Medicine and Philosophy 40 (2):169-189.
    All over Europe, the provision of healthcare services is widely considered a primary duty of the government. Universal access to medical care can be considered a basic ingredient of the so-called “European social model.” But if universal access to medical care is seldom questioned, European governments—faced with expanding costs caused by an increasing demand driven by an aging population and technology-driven improvements—are contemplating the possibility of “rationing”1 treatments, or the possibility of allowing a greater role for private suppliers. (...)
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  34. Envelope culture in the healthcare system: happy poison for the vulnerable.Quan-Hoang Vuong, Viet-Phuong La, Giang Hoang, Quang-Loc Nguyen, Thu-Trang Vuong & Minh-Hoang Nguyen - manuscript
    Bribing doctors for preferential treatment is rampant in the healthcare system of developing countries like Vietnam. Although bribery raises the out-of-pocket expenditures of patients, it is so common to be deemed an “envelope culture.” Given the little understanding of the underlying mechanism of the culture, this study employed the mindsponge theory for reasoning the mental processes of both patients and doctors for why they embrace the “envelope culture” and used the Bayesian Mindsponge Framework (BMF) analytics to validate our reasoning. (...)
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  35.  7
    Bridging the Chasm: The Economics of Healthcare Innovation and Access.Prof Juan Martinez - 2023 - Journal of Philosophical Criticism 6 (2):191-198.
    _In the pursuit of health and well-being, healthcare innovation shines as a beacon of hope, promising treatments for once-unconquerable ailments and improved quality of life. However, the chasm between the brilliance of innovation and the reality of patient access poses a complex economic challenge. This article delves into the intricate relationships between healthcare innovation, economic forces, and equitable access, analyzing the factors that drive innovation, the barriers to widespread adoption, and the potential policy remedies to bridge the chasm. (...)
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  36. Big Data Analytics in Healthcare: Exploring the Role of Machine Learning in Predicting Patient Outcomes and Improving Healthcare Delivery.Federico Del Giorgio Solfa & Fernando Rogelio Simonato - 2023 - International Journal of Computations Information and Manufacturing (Ijcim) 3 (1):1-9.
    Healthcare professionals decide wisely about personalized medicine, treatment plans, and resource allocation by utilizing big data analytics and machine learning. To guarantee that algorithmic recommendations are impartial and fair, however, ethical issues relating to prejudice and data privacy must be taken into account. Big data analytics and machine learning have a great potential to disrupt healthcare, and as these technologies continue to evolve, new opportunities to reform healthcare and enhance patient outcomes may arise. In order to investigate (...)
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  37.  31
    (1 other version)Responsibility in Universal Healthcare.Eric Cyphers & Arthur Kuflik - 2023 - Voices in Bioethics 9.
    Photo by Tingey Injury Law Firm on Unsplash ABSTRACT The coverage of healthcare costs allegedly brought about by people’s own earlier health-adverse behaviors is certainly a matter of justice. However, this raises the following questions: justice for whom? Is it right to take people’s past behaviors into account in determining their access to healthcare? If so, how do we go about taking those behaviors into account? These bioethical questions become even more complex when we consider them in (...)
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  38.  34
    The cost of safety: Balancing risk and liberty in psychiatric units.Rocksheng Zhong & Tobias Wasser - 2021 - Bioethics 35 (2):173-177.
    The systems approach is a widely accepted method for addressing healthcare adverse events. However, when adverse events are behavioral in nature, such as self‐injury or aggression, a systems approach can restrict patient autonomy. We propose guidelines for balancing safety and autonomy considerations when developing systems for behavioral adverse events: interventions that do not limit patient liberty, or that therapeutically address the root causes of behavioral adverse events, should be fully utilized. Clinicians should collaborate with patients when designing systems that (...)
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  39.  15
    Should Patients Be Allowed to Pay Out of Pocket? The Ethical Dilemma of Access to Expensive Anti-cancer Treatments in Universal Healthcare Systems: A Dutch Case Study.C. H. C. Bomhof & Eline M. Bunnik - 2024 - Journal of Bioethical Inquiry 21 (4):771-784.
    With the increasing prices of newly approved anti-cancer treatments contributing to rising healthcare costs, healthcare systems are facing complex economic and ethical dilemmas. Especially in countries with universal access and mandatory health insurance, including many European countries, the organizing of funding or reimbursement of expensive new treatments can be challenging. When expensive anti-cancer treatments are deemed safe and effective, but are not (yet) reimbursed, ethical dilemmas arise. In countries with universal healthcare systems, such as the Netherlands, (...)
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  40.  30
    The Cost of Safety During a Pandemic.Rachel M. B. Greiner - 2021 - HEC Forum 33 (1-2):61-72.
    A first-person account of some victims of the virus, the author puts faces and circumstances to the tragedy of the Covid-19 pandemic. Told from a chaplain’s point of view, these narratives will take the reader beyond the numbers and ask questions like: What is the cost of keeping families separated at the end of life, and, if patient/family centered care is so central to healthcare these days, why was it immediately discarded? Is potentially saving human lives worth the risk (...)
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  41.  23
    A scoping review exploring the impact and negotiation of hierarchy in healthcare organisations.Ryan Essex, Jack Kennedy, Denise Miller & Jill Jameson - 2023 - Nursing Inquiry 30 (4):e12571.
    Healthcare organisations are hierarchical; almost all are organised around the ranking of individuals by authority or status, whether this be based on profession, expertise, gender or ethnicity. Hierarchy is important for several reasons; it shapes the delivery of care, what is prioritised and who receives care. It also has an impact on healthcare workers and how they work and communicate together in organisations. The purpose of this scoping review is to explore the qualitative evidence related to hierarchy in (...)
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  42.  1
    Why a responsibility sensitive healthcare system is not disrespectful.Lydia Tsiakiri - forthcoming - Medicine, Health Care and Philosophy:1-11.
    The prevalence of non-communicable diseases, the related increased medical costs, and the recent public health emergency bring out more forcefully pre-existing dilemmas of distributive justice in the healthcare context. Under this reality, would it be justified to hold people responsible for their taken lifestyle decisions, or would it constitute an instance of unjustified disrespectful treatment? From a respect-based standpoint, one could argue that a responsibility-sensitive healthcare system morally disrespects the imprudent ones engaging in disadvantageous differential treatment to (...)
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  43.  25
    Principles for Just Prioritization of Expensive Biological Therapies in the Danish Healthcare System.Tara Bladt, Thomas Vorup-Jensen & Mette Ebbesen - 2023 - Journal of Bioethical Inquiry 20 (3):523-542.
    The Danish healthcare system must meet the need for easy and equal access to healthcare for every citizen. However, investigations have shown unfair prioritization of cancer patients and unfair prioritization of resources for expensive medicines over care. What is needed are principles for proper prioritization. This article investigates whether American ethicists Tom Beauchamp and James Childress’s principle of justice may be helpful as a conceptual framework for reflections on prioritization of expensive biological therapies in the Danish healthcare (...)
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  44.  56
    Prioritising Healthcare Workers for Ebola Treatment: Treating Those at Greatest Risk to Confer Greatest Benefit.Priya Satalkar, Bernice E. Elger & David M. Shaw - 2015 - Developing World Bioethics 15 (2):59-67.
    The Ebola epidemic in Western Africa has highlighted issues related to weak health systems, the politics of drug and vaccine development and the need for transparent and ethical criteria for use of scarce local and global resources during public health emergency. In this paper we explore two key themes. First, we argue that independent of any use of experimental drugs or vaccine interventions, simultaneous implementation of proven public health principles, community engagement and culturally sensitive communication are critical as these measures (...)
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  45. Patient-centered ethos in an era of cost control : palliative care and healthcare reform.Diane E. Meier & Emily Warner - 2014 - In Timothy E. Quill & Franklin G. Miller, Palliative care and ethics. New York: Oxford University Press.
     
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  46.  43
    Value assessment frameworks: who is valuing the care in healthcare?Jonathan Anthony Michaels - 2022 - Journal of Medical Ethics 48 (6):419-426.
    Many healthcare agencies are producing evidence-based guidance and policy that may determine the availability of particular healthcare products and procedures, effectively rationing aspects of healthcare. They claim legitimacy for their decisions through reference to evidence-based scientific method and the implementation of just decision-making procedures, often citing the criteria of ‘accountability for reasonableness’; publicity, relevance, challenge and revision, and regulation. Central to most decision methods are estimates of gains in quality-adjusted life-years, a measure that combines the length and (...)
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  47.  24
    The Cost of Coronavirus Obligations: Respecting the Letter and Spirit of Lockdown Regulations.David M. Shaw - 2021 - Cambridge Quarterly of Healthcare Ethics 30 (2):255-261.
    We all now know that the novel coronavirus is anything but a common cold. The pandemic has created many new obligations for all of us, several of which come with serious costs to our quality of life. But in some cases, the guidance and the law are open to a degree of interpretation, leaving us to decide what is the ethical course of action. Because of the high cost of some of the obligations, a conflict of interest can arise (...)
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  48.  33
    An empirical bioethical examination of Norwegian and British doctors' views of responsibility and (de)prioritization in healthcare.Jim A. C. Everett, Hannah Maslen, Anne-Marie Nussberger, Berit Bringedal, Dominic Wilkinson & Julian Savulescu - 2021 - Bioethics 35 (9):932-946.
    In a world with limited resources, allocation of resources to certain individuals and conditions inevitably means fewer resources allocated to other individuals and conditions. Should a patient's personal responsibility be relevant to decisions regarding allocation? In this project we combine the normative and the descriptive, conducting an empirical bioethical examination of how both Norwegian and British doctors think about principles of responsibility in allocating scarce healthcare resources. A large proportion of doctors in both countries supported including responsibility for illness (...)
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  49.  19
    The Japan Healthcare Debate: Diverse Perspectives.Mark A. Colby (ed.) - 2004 - Global Oriental.
    Driven by the demographic tsunami of a rapidly aging population, costs of universal healthcare in Japan have grown at an unprecedented rate. These trends are mirrored elsewhere, so industrialized countries are asking if Japan will become a global test case for healthcare delivery.
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  50.  59
    How can we decide a fair allocation of healthcare resources during a pandemic?Cristina Roadevin & Harry Hill - 2021 - Journal of Medical Ethics 47 (12):e84-e84.
    Whenever the government makes medical resource allocation choices, there will be opportunity costs associated with those choices: some patients will have treatment and live longer, while a different group of patients will die prematurely. Because of this, we have to make sure that the benefits we get from investing in treatment A are large enough to justify the benefits forgone from not investing in the next best alternative, treatment B. There has been an increase in spending and reallocation of (...)
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