Rationing and Resource Allocation in Healthcare

Rationing and Resource Allocation in Healthcare

Author: Ezekiel J. Emanuel

Publisher: Oxford University Press

Published: 2018

Total Pages: 569

ISBN-13: 0190200766

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Budgets of governments and private insurances are limited. Not all drugs and services that appear beneficial to patients or physicians can be covered. Is there a core set of benefits that everyone should be entitled to? If so, how should this set be determined? Are fair decisions just impossible, if we know from the outset than not all needs can be met? While early work in bioethics has focused on clinical issues and a narrow set of principles, in recent years there has been a marked shift towards addressing broader population-level issues, requiring consideration of more demanding theories in philosophy, political science, and economics. At the heart of bioethics' new orientation is the goal of clarity on a complex set of questions in rationing and resource allocation. Rationing and Resource Allocation in Healthcare: Essential Readings provides key excerpts from seminal and pertinent texts and case studies about these topics, contextualized by original introductions. The volume is divided into three broad sections: Conceptual Distinctions and Ethical Theory; Rationing; and Resource Allocation. Containing the most important and classic articles surrounding the theoretical and practical issues related to rationing and how to allocate scare medical resources, this collection aims to assist and inform those who wish to be a part of bioethics' 21st century shift including practitioners and policy-makers, and students and scholars in the health sciences, philosophy, law, and medical ethics.


Allocating Health Care Resources

Allocating Health Care Resources

Author: James M. Humber

Publisher: Springer Science & Business Media

Published: 1995-01-11

Total Pages: 222

ISBN-13: 1592594476

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In ALLOCATING HEALTH CARE RESOURCES, leading authorities and researchers expose the basic philosophical, ethical, and economic issues underlying the current health care debate. The contributors wrestle with such complicated issues as whether it is ethical to ration health care, the morality of the worldwide bias against children in allocating health care resources, whether sin taxes can be defended morally, and how to achieve a just health care system. The book also includes an insightful analysis of the Clinton health care reform plan. ALLOCATING HEALTH CARE RESOURCES will be of interest to philosophers, health policy experts, medical ethicists, health professionals, and concerned citizens. It serves to clarify and illuminate the logic and rhetoric of health care reform, and so to help us all achieve a fair and equitable distribution of these precious resources.


Challenges of an Aging Society

Challenges of an Aging Society

Author: Rachel Pruchno

Publisher: JHU Press

Published: 2007-09-10

Total Pages: 474

ISBN-13: 9780801886485

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In this important and timely collection, some of the best minds in gerontology and bioethics -- including Nancy Dubler, Rick Moody, Andrew Achenbaum, Robert Hudson, and Robert Binstock -- explore the ethical, social, and political challenges of an aging society. A unique combination of disciplines and perspectives -- from economics to nursing, psychology to theology -- this valuable synthesis of theory and practice provides frameworks and analyses for considering the ethical issues of both individual and societal aging. The contributors address the major policy challenges of Social Security, Medicare, and prescription drugs as well as ethical issues ranging from individual autonomy to family responsibility to distributive justice. Specific topics covered include end-of-life decision making, family relations across generations, age-based intergenerational policies, and the reform of Social Security. Contributors:W. Andrew Achenbaum, Ph.D., University of Houston, Houston; Vern L. Bengtson, Ph.D., University of Southern California, Los Angeles; Robert H. Binstock, Ph.D., Case Western Reserve University; Christine E. Bishop, Ph.D., Brandeis University; Thomas R. Cole, Ph.D., University of Texas Medical School at Houston; Peter A. Diamond, Ph.D., Massachusetts Institute of Technology; Nancy Neveloff Dubler, LL.B., Albert Einstein College of Medici Msgr. Charles J. Fahey, Fordham University; Lucy Feild, Ph.D., R.N., Partners Human Research Quality Improvement Program; Martha B. Holstein, Ph.D., DePaul University; Robert B. Hudson, Ph.D., Boston University; Eric R. Kingson, Ph.D., Syracuse University; Ronald J. Manheimer, Ph.D., University of North Carolina at Ashevil Kyriakos S. Markides, Ph.D., University of Texas Medical Branch; Daniel C. Marson, J.D., Ph.D., University of Alabama at Birmingham; H. Rick Moody, Ph.D., AARP Peter R. Orszag, Ph.D., Brookings Institution; Rachel Pruchno, Ph.D., University of Medicine and Dentistry of New Jersey--School of Osteopathic Medici Norella M. Putney, Ph.D., University of Southern California, Los Angeles; Michael Smyer, Ph.D., Boston Colle Bruce Stuart, Ph.D.,University of Maryl Melanie A. Wakeman, Ph.D., California State University, Los Angeles; Steven P. Wallace, Ph.D., University of California at Los Angeles; John B. Williamson, Ph.D., Boston College.


The Allocation of Health Care Resources

The Allocation of Health Care Resources

Author: John McKie

Publisher: Routledge

Published: 2016-12-05

Total Pages: 148

ISBN-13: 1351895060

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The competition for limited health care resources is intensifying. We urgently need an acceptable method for deciding how they should be allocated. But the goods that health care produces are of very different kinds. Health care can extend the lives of children and of older people. It can make it possible for a person to walk, when without health care that person would be permanently bedridden; and it can reduce the pain and distress of people who are terminally ill. How can we possibly decide which of these - and many more - diverse achievements of health care are more deserving than others? We need a common unit by which we might be able to measure these very different goods. The Quality-Adjusted Life Year, or QALY, is the most developed proposal for such a unit of measure. In this book a distinguished team of ethicists and economists defend the core of the QALY proposal: that health care resources should be used so as to produce more years of life, of the highest possible quality. This leads to a discussion of such fundamental questions as whether all lives are of equal value, whether health care should be allocated on the basis of need and whether the QALY approach incorporates an adequate account of fairness or justice. The result is the most thorough account yet of the ethical issues raised by the use of the QALY as a basis for allocating health care resources.


Retooling for an Aging America

Retooling for an Aging America

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2008-08-27

Total Pages: 316

ISBN-13: 0309131952

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As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.


Ageing, Autonomy and Resources

Ageing, Autonomy and Resources

Author: A.Harry Lesser

Publisher: Routledge

Published: 2018-12-13

Total Pages: 245

ISBN-13: 042986079X

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First Published in 1999, lesser collects fourteen papers to create a discourse on the practical importance in a society where the proportion of elderly people is increasing. Exploring how autonomy and how it should be defined, and ethically when is it right to preserve a person’s autonomy and in comparison is it ever ethically right to bring elderly peoples autonomy as a secondary concern is it saves them from harm?


Medical Ethics and the Elderly

Medical Ethics and the Elderly

Author: Gurcharan S. Rai

Publisher: CRC Press

Published: 2018-04-19

Total Pages: 189

ISBN-13: 1315346702

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This ground-breaking and highly regarded book explores the central ethical issues arising from the day-to-day care of older patients. This Third Edition incorporates key recent developments including guidance from the General Medical Council and the National Council for Palliative Care on consent and refusal of treatment, The Mental Capacity Act 2005 and the NHS Code of Practice on Confidentiality. The key aim of the book remains to provide a practical guide for health professionals who are involved with doctors in making difficult decisions. Medical students who now study medical ethics and their application in the day-to-day management of patients as part of the undergraduate curriculum will also benefit.


Web-Age Information Management

Web-Age Information Management

Author: Bin Cui

Publisher: Springer

Published: 2016-05-31

Total Pages: 566

ISBN-13: 3319399586

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This two-volume set, LNCS 9658 and 9659, constitutes the thoroughly refereed proceedings of the 17th International Conference on Web-Age Information Management, WAIM 2016, held in Nanchang, China, in June 2016. The 80 full research papers presented together with 8 demonstrations were carefully reviewed and selected from 266 submissions. The focus of the conference is on following topics: data mining, spatial and temporal databases, recommender systems, graph data management, information retrieval, privacy and trust, query processing and optimization, social media, big data analytics, and distributed and cloud computing.


The Cambridge Handbook of Age and Ageing

The Cambridge Handbook of Age and Ageing

Author: Malcolm L. Johnson

Publisher: Cambridge University Press

Published: 2005-12-01

Total Pages: 1683

ISBN-13: 1139447491

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The Cambridge Handbook of Age and Ageing, first published in 2005, is a guide to the body of knowledge, theory, policy and practice relevant to age researchers and gerontologists around the world. It contains almost 80 original chapters, commissioned and written by the world's leading gerontologists from 16 countries and 5 continents. The broad focus of the book is on the behavioural and social sciences but it also includes important contributions from the biological and medical sciences. It provides comprehensive, accessible and authoritative accounts of all the key topics in the field ranging from theories of ageing, to demography, physical aspects of ageing, mental processes and ageing, nursing and health care for older people, the social context of ageing, cross cultural perspectives, relationships, quality of life, gender, and financial and policy provision. This handbook will be a must-have resource for all researchers, students and professionals with an interest in age and ageing.


Health Care for an Aging Population

Health Care for an Aging Population

Author: Chris Hackler

Publisher: State University of New York Press

Published: 1994-07-28

Total Pages: 248

ISBN-13: 1438405316

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This volume examines one of the most important policy issues to be faced as policymakers address both current and future health care needs—the allocation of health care resources for an aging population. The first part looks at the role of the aged in society, what justice requires of the young toward the old and of the old toward the young, the source of rising health care costs, and the need to control medical spending. The second part focuses on dramatic and controversial proposals by Daniel Callahan and others to control medical spending in the next century by rationing life-prolonging treatment according to age. Concluding chapters provide concrete proposals for a system that solves our immediate problems of cost and access while preparing for the extraordinary needs of an aging population. This book explores proposed changes in the U.S. health-care system to meet unprecedented demand expected early in the next century when the "baby boom" generation reaches retirement age and eligibility for Medicare. A focal point is the possibility of withholding publicly-funded, life-prolonging medical care from the very old.