David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
Learn more about PhilPapers
R. Pedersen, P. Nortvedt, M. Nordhaug, A. Slettebo, K. H. Grothe, M. Kirkevold, B. S. Brinchmann & B. Andersen
Journal of Medical Ethics 34 (4):230-235 (2008)
Background: A fair distribution of healthcare services for older patients is an important challenge, but qualitative research exploring clinicians’ consideration in daily clinical prioritisation in healthcare services for the aged is scarce.Objectives: To explore what kind of criteria, values, and other relevant considerations are important in clinical prioritisations in healthcare services for older patients.Design: A semi-structured interview-guide was used to interview 45 clinicians working with older patients. The interviews were analysed qualitatively using hermeneutical content analysis and template organising style.Participants: 20 physicians and 25 nurses working in public hospitals and nursing homes in different parts of Norway.Results and interpretations: Important dilemmas relate to under-provision of community care and comprehensive approaches, and over-utilisation of certain specialised services. Overt ageism is generally not reported, but the healthcare services for the aged seem to be inadequate due to more subtle processes, for example, dominating considerations and ideals and operating conditions that do not pay sufficient attention to older patients’ needs and considerations of justice. Clinical prioritisations are described as being dominated by adapting traditional biomedical approaches to the operating conditions. Many of the clinicians indicate that there is a potential for improving end of life decisions and for reducing exaggerated use of life-prolonging treatment and hospitalisations.Conclusion: The interviews in this study indicate that considerations of justice and patients’ perspectives should be given more attention to strike a balance between specialised medical approaches and more general and comprehensive approaches in healthcare services for older patients
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
Helge Skirbekk & Per Nortvedt (2012). Inadequate Treatment for Elderly Patients: Professional Norms and Tight Budgets Could Cause “Ageism” in Hospitals. [REVIEW] Health Care Analysis (2):1-10.
Helge Skirbekk & Per Nortvedt (2011). Making a Difference: A Qualitative Study on Care and Priority Setting in Health Care. [REVIEW] Health Care Analysis 19 (1):77-88.
Marita Nordhaug & Per Nortvedt (2011). Justice and Proximity: Problems for an Ethics of Care. [REVIEW] Health Care Analysis 19 (1):3-14.
Similar books and articles
P. Nortvedt, R. Pedersen, K. H. Grothe, M. Nordhaug, M. Kirkevold, A. Slettebo, B. S. Brinchmann & B. Andersen (2008). Clinical Prioritisations of Healthcare for the Aged--Professional Roles. Journal of Medical Ethics 34 (5):332-335.
K. Halvorsen, A. Slettebo, P. Nortvedt, R. Pedersen, M. Kirkevold, M. Nordhaug & B. S. Brinchmann (2008). Priority Dilemmas in Dialysis: The Impact of Old Age. Journal of Medical Ethics 34 (8):585-589.
D. Hunter (2007). Am I My Brother's Gatekeeper? Professional Ethics and the Prioritisation of Healthcare. Journal of Medical Ethics 33 (9):522-526.
Daniel Groll (2011). What Health Care Providers Know: A Taxonomy of Clinical Disagreements. Hastings Center Report 41 (5):27-36.
Deborah Zion (2004). HIV/AIDS Clinical Research, and the Claims of Beneficence, Justice, and Integrity. Cambridge Quarterly of Healthcare Ethics 13 (4):404-413.
Kristine Bærøe & Ole Frithjof Norheim (2011). Mapping Out Structural Features in Clinical Care Calling for Ethical Sensitivity: A Theoretical Approach to Promote Ethical Competence in Healthcare Personnel and Clinical Ethical Support Services (Cess). Bioethics 25 (7):394-402.
Mark J. Hanson (1998). The Religious Difference in Clinical Healthcare. Cambridge Quarterly of Healthcare Ethics 7 (1):57-67.
Alastair V. Campbell (1995). Health as Liberation: Medicine, Theology, and the Quest for Justice. Pilgrim Press.
David C. Thomasma (1999). Stewardship of the Aged: Meeting the Ethical Challenge of Ageism. Cambridge Quarterly of Healthcare Ethics 8 (2):148-159.
Norman Daniels (2001). Justice, Health, and Healthcare. American Journal of Bioethics 1 (2):2 – 16.
Sheldon Ekland-Olson (2013). Life and Death Decisions: The Quest for Morality and Justice in Human Societies. Routledge.
Atsushi Asai & Yasuhiro Kadooka (2013). Reexamination of the Ethics of Placebo Use in Clinical Practice. Bioethics 27 (4):186-193.
Sheila A. M. McLean (2009). Clinical Ethics Consultation in the United Kingdom. Diametros 22:76 – 89.
Guilhermina Rego, Cristina Brandão, Helena Melo & Rui Nunes (2002). Distributive Justice and the Introduction of Generic Medicines. Health Care Analysis 10 (2):221-229.
Added to index2010-08-24
Total downloads4 ( #555,575 of 1,796,539 )
Recent downloads (6 months)1 ( #466,495 of 1,796,539 )
How can I increase my downloads?