The ethics of health care rationing: an introduction
"Should organ transplants be given to patients who have waited the longest, or need it most urgently, or those whose survival prospects are the best? The rationing of health care is universal and inevitable, taking place in poor and affluent countries, in publicly funded and private health care...
Gespeichert in:
| Hauptverfasser: | , |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
London
Routledge
2014
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Zusammenfassung: | "Should organ transplants be given to patients who have waited the longest, or need it most urgently, or those whose survival prospects are the best? The rationing of health care is universal and inevitable, taking place in poor and affluent countries, in publicly funded and private health care systems. Doctors must budget for as well as dispense health care whilst aging populations severely stretch allocation of resources.The Ethics of Health Care Rationing is a clear and much-needed introduction to this increasingly important topic, considering and assessing the major ethical problems and dilemmas about the allocation, scarcity and rationing of health care. Beginning with a helpful overview of why rationing is an ethical problem, the authors examine the following key topics:What is the value of health? How can it be measured?What does it mean that a treatment is "good value for money"? What sort of distributive principles - utilitarian, egalitarian or prioritarian - should we rely on when thinking about health care rationing?Does rationing health care unfairly discriminate against the elderly and people with disabilities?Should patients be held responsible for their health? Why does the debate on responsibility for health lead to issues about socioeconomic status and social inequality? Throughout the book, examples from the US, UK and other countries are used to illustrate the ethical issues at stake. Additional features such as chapter summaries, annotated further reading and discussion questions make this an ideal starting point for students new to the subject, not only in philosophy but also in closely related fields such as politics, health economics, public health, medicine, nursing and social work".. |
| Beschreibung: | Includes bibliographical references (pages 161-165) and index |
| Beschreibung: | xi, 170 Seiten 25 cm |
| ISBN: | 9780415521154 0415521157 9780415521185 0415521181 |
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| 264 | 1 | |a London |b Routledge |c 2014 | |
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| 520 | |a "Should organ transplants be given to patients who have waited the longest, or need it most urgently, or those whose survival prospects are the best? The rationing of health care is universal and inevitable, taking place in poor and affluent countries, in publicly funded and private health care systems. Doctors must budget for as well as dispense health care whilst aging populations severely stretch allocation of resources.The Ethics of Health Care Rationing is a clear and much-needed introduction to this increasingly important topic, considering and assessing the major ethical problems and dilemmas about the allocation, scarcity and rationing of health care. Beginning with a helpful overview of why rationing is an ethical problem, the authors examine the following key topics:What is the value of health? How can it be measured?What does it mean that a treatment is "good value for money"? What sort of distributive principles - utilitarian, egalitarian or prioritarian - should we rely on when thinking about health care rationing?Does rationing health care unfairly discriminate against the elderly and people with disabilities?Should patients be held responsible for their health? Why does the debate on responsibility for health lead to issues about socioeconomic status and social inequality? Throughout the book, examples from the US, UK and other countries are used to illustrate the ethical issues at stake. Additional features such as chapter summaries, annotated further reading and discussion questions make this an ideal starting point for students new to the subject, not only in philosophy but also in closely related fields such as politics, health economics, public health, medicine, nursing and social work".. | ||
| 650 | 7 | |a PHILOSOPHY / General |2 bisacsh | |
| 650 | 4 | |a Ethik | |
| 650 | 4 | |a Health care rationing |x Moral and ethical aspects | |
| 650 | 4 | |a PHILOSOPHY / General | |
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Datensatz im Suchindex
| _version_ | 1811034750859608064 |
|---|---|
| adam_text |
Contents
Acknowledgements X
Introduction 1
1 Ethics and health care 7
1.1 The vaccination programs 7
1.2 The ubiquity of rationing health care 10
1.3 The inevitability of rationing health care 14
1.4 Moral argument 19
Chapter summary 25
Further readings 28
2 The value of health 29
2.1 Well-being and health 29
2.2 Health-related quality of life 33
2.3 Quality-adjusted measures 41
2.4 The burden of disease 43
2.5 Whom to ask? 49
Chapter summary 51
Further readkigs 52
3 Ethics and cost-effective ness S3
3.1 What is cost-effectiveness analysis? 53
3.2 Calculating health benefits 56
3.3 How is cost-effectiveness analysis used? 59
via
Contents
3.4 Equity weights 66
3.5 Discounting 74
Chapter summary 77
Discussion questions 77
Further readings 78
4 Problems of discrimination 79
4.1 Two lines of attack 79
4.2 Disability discrimination 80
4.3 Fair innings 88
4.4 Age-weigh ting and the burden of disease 95
4.5 Further moral considerations 98
Chapter summary 101
Discussion questions 102
Further readings 102
5 The aggregation of health benefits 104
5.1 The aggregation problem 104
5.2 The number problem 108
5.3 Fair chances 1 12
5.4 Choosing patients 1 16
5.5 Giving priority to the worse off 1 18
Chapter summary 124
Discussion questions 125
Further readings 125
6 Responsibility for health 127
6.1 Equality and luck 127
6.2 An alternative proposal 134
6.3 Are smokers really responsible? 139
6.4 The social gradient in health 141
6.5 Social justice and health care rationing 145
Contents DC
Chapter summary [49
Discussion questions 149
Further readings [50
Conclusion 151
Glossary 158
Bibliography 161
Index 167 |
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| author | Bognar, Greg Hirose, Iwao 1970- |
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| dewey-ones | 174 - Occupational ethics |
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| dewey-tens | 170 - Ethics (Moral philosophy) |
| discipline | Philosophie |
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| publisher | Routledge |
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| spelling | Bognar, Greg Verfasser aut The ethics of health care rationing an introduction Greg Bognar and Iwao Hirose London Routledge 2014 xi, 170 Seiten 25 cm txt rdacontent n rdamedia nc rdacarrier Includes bibliographical references (pages 161-165) and index "Should organ transplants be given to patients who have waited the longest, or need it most urgently, or those whose survival prospects are the best? The rationing of health care is universal and inevitable, taking place in poor and affluent countries, in publicly funded and private health care systems. Doctors must budget for as well as dispense health care whilst aging populations severely stretch allocation of resources.The Ethics of Health Care Rationing is a clear and much-needed introduction to this increasingly important topic, considering and assessing the major ethical problems and dilemmas about the allocation, scarcity and rationing of health care. Beginning with a helpful overview of why rationing is an ethical problem, the authors examine the following key topics:What is the value of health? How can it be measured?What does it mean that a treatment is "good value for money"? What sort of distributive principles - utilitarian, egalitarian or prioritarian - should we rely on when thinking about health care rationing?Does rationing health care unfairly discriminate against the elderly and people with disabilities?Should patients be held responsible for their health? Why does the debate on responsibility for health lead to issues about socioeconomic status and social inequality? Throughout the book, examples from the US, UK and other countries are used to illustrate the ethical issues at stake. Additional features such as chapter summaries, annotated further reading and discussion questions make this an ideal starting point for students new to the subject, not only in philosophy but also in closely related fields such as politics, health economics, public health, medicine, nursing and social work".. PHILOSOPHY / General bisacsh Ethik Health care rationing Moral and ethical aspects PHILOSOPHY / General Medizinische Ethik (DE-588)4074672-0 gnd rswk-swf Gesundheitsökonomie (DE-588)4130935-2 gnd rswk-swf Gesundheitsökonomie (DE-588)4130935-2 s Medizinische Ethik (DE-588)4074672-0 s DE-604 Hirose, Iwao 1970- Verfasser (DE-588)1063889006 aut Erscheint auch als Online-Ausgabe 978-1-315-77824-2 Erscheint auch als Online-Ausgabe 1-315-77824-6 Digitalisierung UB Regensburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=028034226&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Bognar, Greg Hirose, Iwao 1970- The ethics of health care rationing an introduction PHILOSOPHY / General bisacsh Ethik Health care rationing Moral and ethical aspects PHILOSOPHY / General Medizinische Ethik (DE-588)4074672-0 gnd Gesundheitsökonomie (DE-588)4130935-2 gnd |
| subject_GND | (DE-588)4074672-0 (DE-588)4130935-2 |
| title | The ethics of health care rationing an introduction |
| title_auth | The ethics of health care rationing an introduction |
| title_exact_search | The ethics of health care rationing an introduction |
| title_full | The ethics of health care rationing an introduction Greg Bognar and Iwao Hirose |
| title_fullStr | The ethics of health care rationing an introduction Greg Bognar and Iwao Hirose |
| title_full_unstemmed | The ethics of health care rationing an introduction Greg Bognar and Iwao Hirose |
| title_short | The ethics of health care rationing |
| title_sort | the ethics of health care rationing an introduction |
| title_sub | an introduction |
| topic | PHILOSOPHY / General bisacsh Ethik Health care rationing Moral and ethical aspects PHILOSOPHY / General Medizinische Ethik (DE-588)4074672-0 gnd Gesundheitsökonomie (DE-588)4130935-2 gnd |
| topic_facet | PHILOSOPHY / General Ethik Health care rationing Moral and ethical aspects Medizinische Ethik Gesundheitsökonomie |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=028034226&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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