Health Care Analysis 7 (2):131-137 (1999)
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Abstract |
Medical criteria rooted in evidence-based medicine are often seen as a value-neutral âtrump cardâ which puts paid to any further debate about setting priorities for treatment. On this argument, doctors should stop providing treatment at the point when it becomes medically futile, and that is also the threshold at which the health purchaser should stop purchasing. This paper offers three kinds of ethical criteria as a counterweight to analysis based solely on medical criteria. The first set of arguments concerns futility, probability and utility; the second, justice and fairness; the third, consent and competence. The argument is illustrated by two recent case studies about futility and priority-setting: the US example of âBaby Ryanâ and the UK case of âChild Bâ
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Keywords | evidence-based medicine resource allocation medical futility justice informed consent |
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DOI | 10.1023/A:1009432903439 |
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Citations of this work BETA
Severity as a Priority Setting Criterion: Setting a Challenging Research Agenda.Mathias Barra, Mari Broqvist, Erik Gustavsson, Martin Henriksson, Niklas Juth, Lars Sandman & Carl Tollef Solberg - 2019 - Health Care Analysis 1:1-20.
Implicit Normativity in Evidence-Based Medicine: A Plea for Integrated Empirical Ethics Research.Albert C. Molewijk, A. M. Stiggelbout, W. Otten, H. M. Dupuis & Job Kievit - 2003 - Health Care Analysis 11 (1):69-92.
Severity as a Priority Setting Criterion: Setting a Challenging Research Agenda.Mathias Barra, Mari Broqvist, Erik Gustavsson, Martin Henriksson, Niklas Juth, Lars Sandman & Carl Tollef Solberg - 2020 - Health Care Analysis 28 (1):25-44.
Evidence-Based Medicine and Quality of Care.Donna Dickenson & Paolo Vineis - 2002 - Health Care Analysis 10 (3):243-259.
Evidence-Based Medicine as an Instrument for Rational Health Policy.Nikola Biller-Andorno, Reidar K. Lie & Ruud Ter Meulen - 2002 - Health Care Analysis 10 (3):261-275.
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