Search results for 'Health care rationing' (try it on Scholar)

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  1. Fuat S. Oduncu (2013). Priority-Setting, Rationing and Cost-Effectiveness in the German Health Care System. Medicine, Health Care and Philosophy 16 (3):327-339.score: 188.0
    Germany has just started a public debate on priority-setting, rationing and cost-effectiveness due to the cost explosion within the German health care system. To date, the costs for German health care run at 11,6 % of its Gross Domestic Product (GDP, 278,3 billion €) that represents a significant increase from the 5,9 % levels present in 1970. In response, the German Parliament has enacted several major and minor legal reforms over the last three decades for (...)
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  2. Rui Nunes & Guilhermina Rego (2013). Priority Setting in Health Care: A Complementary Approach. [REVIEW] Health Care Analysis:1-12.score: 145.0
    Explicit forms of rationing have already been implemented in some countries, and many of these prioritization systems resort to Norman Daniels’ “accountability for reasonableness” methodology. However, a question still remains: is “accountability for reasonableness” not only legitimate but also fair? The objective of this paper is to try to adjust “accountability for reasonableness” to the World Health Organization’s holistic view of health and propose an evolutionary perspective in relation to the “normal” functioning standard proposed by Norman Daniels. (...)
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  3. Paul Anand (1999). QALYS and the Integration of Claims in Health-Care Rationing. Health Care Analysis 7 (3):239-253.score: 140.0
    The paper argues against the polarisation of the health economics literature into pro- and anti-QALY camps. In particular, we suggest that a crucial distinction should be made between the QALY measure as a metric of health, and QALY maximisation as an applied social choice rule. We argue against the rule but for the measure and that the appropriate conceptualisation of health-care rationing decisions should see the main task as the integration of competing and possibly incommensurable (...)
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  4. Allyson M. Pollock (1995). Paper One: The Politics of Destruction: Rationing in the UK Health Care Market. [REVIEW] Health Care Analysis 3 (4):299-308.score: 131.0
    Rationing health care is not new. As governments world wide struggle to contain the costs of health care, health policy analysts debate how rationing should be done. However, they too often neglect how the mechanisms for funding and allocating health care resources are themselves vehicles for rationing treatment. In the UK, where health care rationing debates currently abound, there has been no formal evaluation of the role of (...)
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  5. Erik Gustavsson (2013). From Needs to Health Care Needs. Health Care Analysis (1):1-14.score: 128.0
    One generally considered plausible way to allocate resources in health care is according to people’s needs. In this paper I focus on a somewhat overlooked issue, that is the conceptual structure of health care needs. It is argued that what conceptual understanding of needs one has is decisive in the assessment of what qualifies as a health care need and what does not. The aim for this paper is a clarification of the concept of (...)
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  6. Robert Baker (1993). Visibility and the Just Allocation of Health Care: A Study of Age-Rationing in the British National Health Service. [REVIEW] Health Care Analysis 1 (2):139-150.score: 128.0
    The British National Health Service (BNHS) was founded, to quote Minister of Health Aneurin Bevan, to ‘universalise the best’. Over time, however, financial constraints forced the BNHS to turn to incrementalist budgeting, to rationalise care and to ask its practitioners to act as gatekeepers. Seeking a way to ration scarce tertiary care resources, BNHS gatekeepers began to use chronological age as a rationing criterion. Age-rationing became the ‘done thing’ without explicit policy directives and in (...)
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  7. Leonard M. Fleck (1994). Just Caring: Health Reform and Health Care Rationing. Journal of Medicine and Philosophy 19 (5):435-443.score: 120.0
    Health reform must include health care rationing, both for reasons of fairness and efficiency. Few politicians are willing to accept this claim, including the Clinton Administration. Brown and others have argued that enormous waste and inefficiency must be wrung out of our health care system before morally problematic cost constraining options, such as rationing, can be justifiably adopted. However, I argue that most of the policies and practices that would diminish waste and inefficiency (...)
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  8. Carina Fourie, What Do Theories of Social Justice Have to Say About Health Care Rationing?score: 120.0
    One of the most controversial issues in many health care systems is health care rationing. In essence, rationing refers to the denial of - or delay in - access to scarce goods and services in health care, despite the existence of medical need. Scarcity of financial and medical resources confronts society with painful questions. Who should decide which medicine or new treatment will be covered by social security and on which criteria such (...)
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  9. Leonard M. Fleck (1994). Just Caring: Oregon, Health Care Rationing, and Informed Democratic Deliberation. Journal of Medicine and Philosophy 19 (4):367-388.score: 120.0
    This essay argues that our national efforts at health reform ought to be informed by eleven key lessons from Oregon. Specifically, we must learn that the need for health care rationing is inescapable, that any rationing process must be public and visible, and that fair rationing protocols must be self-imposed through a process of rational democratic deliberation. Part I of this essay notes that rationing is a ubiquitous feature of our health (...) system at present, but it is mostly hidden rationing, which is presumptively unjust. Part II argues that the need for health care rationing is inescapable. Although Oregon is flawed as a model of health rationing, it gives us worthy moral lessons for health reform at the national level, which I analyze and defend in Part III. The most significant of these lessons is the importance of rational democratic deliberation in articulating fair rationing protocols for a community. In Part IV I sketch the philosophic justification for this approach and respond to some important criticisms from Daniels. Keywords: cost containment, democratic deliberation, fairness, justice, rationing CiteULike Connotea Del.icio.us What's this? (shrink)
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  10. David A. Gruenewald (2012). Can Health Care Rationing Ever Be Rational? Journal of Law, Medicine and Ethics 40 (1):17-25.score: 120.0
    Americans' appetite for life-prolonging therapies has led to unsustainable growth in health care costs. It is tempting to target older people for health care rationing based on their disproportionate use of health care resources and lifespan already lived, but aged-based rationing is unacceptable to many. Systems reforms can improve the efficiency of health care and may lessen pressure to ration services, but difficult choices still must be made to limit expensive, (...)
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  11. Richard Hull, Philosophical, Ethical, and Moral Aspects of Health Care Rationing: A Review of Daniel Callahan's Setting Limits. [REVIEW]score: 120.0
    My assigned task in today’s colloquium is to review philosophers’ perspectives on the broad question of whether health care rationing ought to target the elderly. This is a revolutionary question, particularly in a society that is so sensitive to apparent discrimination, and the question must be approached carefully if it is to be successfully dealt with. Three subordinate questions attend this one and must be addressed in the course of answering it. The first such question has (...)
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  12. Leonard M. Fleck (2011). Just Caring: Health Care Rationing, Terminal Illness, and the Medically Least Well Off. Journal of Law, Medicine and Ethics 39 (2):156-171.score: 119.0
    What does it mean to be a “just” and “caring” society in meeting the health care needs of the terminally ill when we have only limited resources to meet virtually unlimited health care needs? That question is the focus of this essay. Put another way: relative to all the other health care needs in our society, especially the need for lifesaving or life-prolonging health care, how high a priority ought the health (...)
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  13. James Lindemann Nelson (1996). Measured Fairness, Situated Justice: Feminist Reflections on Health Care Rationing. Kennedy Institute of Ethics Journal 6 (1):53-68.score: 119.0
    : Bioethical discussion of justice in health care has been much enlivened in recent years by new developments in the theory of rationing and by the emergence of a strong communitarian voice. Unfortunately, these developments have not enjoyed much in the way of close engagement with feminist-inspired reflections on power, privilege, and justice. I hope here to promote interchange between "mainstream" treatments of justice in health care and feminist thought.
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  14. D. Seedhouse (1995). Why Bioethicists Have Nothing Useful to Say About Health Care Rationing. Journal of Medical Ethics 21 (5):288-291.score: 119.0
    Bioethicists are increasingly commenting on health care resource allocation, and sometimes suggest ways to solve various rationing dilemmas ethically. I argue that both because of the assumptions bioethicists make about social reality, and because of the methods of argument they use, they cannot possibly make a useful contribution to the debate. Bioethicists who want to make a practical difference should either approach health care resource allocation as if the matter hinged upon tribal competition (which is (...)
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  15. Greg Bognar & Iwao Hirose (2014). The Ethics of Health Care Rationing: An Introduction. Routledge.score: 119.0
    Health care resources are always scarce. Inevitably, they are rationed in one form or another. Rapidly aging populations and new medical technologies also put pressure on health care budgets. This situation gives rise to a fundamental ethical question: What sort of principles should guide the distribution of health care resources? This book introduces and assesses the ethical problems arising from this question. Beginning with an overview of basic ethical concepts and moral reasoning, the authors (...)
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  16. Robert A. Pearlman (1992). An Ethical Framework for Rationing Health Care. Journal of Medicine and Philosophy 17 (1):79-96.score: 116.0
    This paper proposes an ethical framework for rationing publicly financed health care. We begin by classifying alternative rationing criteria according to their ethical basis. We then examine the ethical arguments for four rationing criteria. These alternatives include rationing high technology services, non-basic services, services to patients who receive the least medical benefit, and services that are not equally available to all. We submit that a just health care system will not limit basic (...)
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  17. Aaron L. Mackler (2001). Jewish and Roman Catholic Approaches to Access to Health Care and Rationing. Kennedy Institute of Ethics Journal 11 (4):317-336.score: 116.0
    : In addressing issues of access to health care and rationing, Jewish and Roman Catholic writers identify similar guiding values and specific concerns. Moral thinkers in each tradition tend to support the guarantee of universal access to at least a basic level of health care for all members of society, based on such values as human dignity, justice, and healing. Catholic writers are more likely to frame their arguments in terms of the common good and (...)
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  18. Ole Frithjof Norheim (1995). The Norwegian Welfare State in Transition: Rationing and Plurality of Values as Ethical Challenges for the Health Care System. Journal of Medicine and Philosophy 20 (6):639-655.score: 116.0
    This paper presents the Norwegian national health care system and the manner in which the problems of rationing and pluralism of values create new ethical and political challenges. The paper concludes with some doubts about the feasibility of the transformation taking place within this kind of health care system, with special reference to governmental control and consumer preference. Keywords: national health care, pluralism, rationing, two-tier system CiteULike Connotea Del.icio.us What's this?
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  19. Leonard M. Fleck (1987). Drgs: Justice and the Invisible Rationing of Health Care Resources. Journal of Medicine and Philosophy 12 (2):165-196.score: 116.0
    This is the primary question which this essay will answer. But there is a prior methodological question that also needs to be addressed: How do we go about rationally (non-arbitrarily) assessing whether DRGs are just or not? I would suggest that grand, ideal theories of justice (Rawls, Nozick) have only very limited utility for answering this question. What we really need is a theory of "interstitial justice," that is, an approach to making justice judgments that is suitable to assessing the (...)
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  20. N. S. Jecker & R. A. Pearlman (1992). An Ethical Framework for Rationing Health Care. Journal of Medicine and Philosophy 17 (1):79-96.score: 116.0
    This paper proposes an ethical framework for rationing publicly financed health care. We begin by classifying alternative rationing criteria according to their ethical basis. We then examine the ethical arguments for four rationing criteria. These alternatives include rationing high technology services, non-basic services, services to patients who receive the least medical benefit, and services that are not equally available to all. We submit that a just health care system will not limit basic (...)
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  21. Yvonne Denier (2008). Mind the Gap! Three Approaches to Scarcity in Health Care. Medicine, Health Care and Philosophy 11 (1):73-87.score: 113.0
    This paper addresses two ways in which scarcity in health care turns up and three ways in which this dual condition of scarcity can be approached. The first approach is the economic approach, which focuses on the causes of cost-increase in health care and on developing various mechanisms of rationing and priority-setting in health care. The second approach is the justice approach, which interprets scarcity as one of the Humean ‹Circumstances of Justice.’ Whereas (...)
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  22. Larry R. Churchill (2005). Age-Rationing in Health Care: Flawed Policy, Personal Virtue. Health Care Analysis 13 (2):137-146.score: 107.0
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  23. 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.score: 107.0
    The focus of the study is the conflict between care and concern for particular patients, versus considerations that take impartial considerations of justice to be central to moral deliberations. To examine these questions we have conducted qualitative interviews with health professionals in Norwegian hospitals. We found a value norm that implicitly seemed to overrule all others, the norm of ‘making a difference for the patients’. We will examine what such a statement implies, aiming to shed some light over (...)
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  24. Maureen Ramsay (1995). Review Article Making Choices: The Ethical Problems in Determining Criteria for Health Care Rationing. [REVIEW] Health Care Analysis 3 (2):171-175.score: 104.0
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  25. Peter R. Sedgwick (2013). Instrumentalism, Civil Association and the Ethics of Health Care: Understanding the “Politics of Faith”. [REVIEW] Health Care Analysis 21 (3):208-223.score: 103.0
    This paper offers critical reflection on the contemporary tendency to approach health care in instrumentalist terms. Instrumentalism is means-ends rationality. In contemporary society, the instrumentalist attitude is exemplified by the relationship between individual consumer and a provider of goods and services. The problematic nature of this attitude is illustrated by Michael Oakeshott’s conceptions of enterprise association and civil association. Enterprise association is instrumental; civil association is association in terms of an ethically delineated realm of practices. The latter offers (...)
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  26. Per-Erik Liss (2003). The Significance of the Goal of Health Care for the Setting of Priorities. Health Care Analysis 11 (2):161-169.score: 103.0
    The purpose of the article is to argue for the significance of a clarified goal of health care for the setting of priorities. Three arguments are explored. First, assessment of needs becomes necessary in so far as the principle of need should guide the priority-setting. The concept of health care need includes a goal component. This component should for rational reasons be identical with the goal of health care. Second, in order to use resources (...)
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  27. Peter Allmark (2005). Bayes and Health Care Research. Medicine, Health Care and Philosophy 7 (3):321-332.score: 103.0
    Bayes’ rule shows how one might rationally change one’s beliefs in the light of evidence. It is the foundation of a statistical method called Bayesianism. In health care research, Bayesianism has its advocates but the dominant statistical method is frequentism. There are at least two important philosophical differences between these methods. First, Bayesianism takes a subjectivist view of probability (i.e. that probability scores are statements of subjective belief, not objective fact) whilst frequentism takes an objectivist view. Second, Bayesianism (...)
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  28. Ursula Naue (2008). 'Self-Care Without a Self': Alzheimer's Disease and the Concept of Personal Responsibility for Health. [REVIEW] Medicine, Health Care and Philosophy 11 (3):315-324.score: 103.0
    The article focuses on the impact of the concept of self-care on persons who are understood as incapable of self-care due to their physical and/or mental ‘incapacity’. The article challenges the idea of this health care concept as empowerment and highlights the difficulties for persons who do not fit into this concept. To exemplify this, the self-care concept is discussed with regard to persons with Alzheimer’s disease (AD). In the case of persons with AD, self- (...) is interpreted in many different ways—depending on the point of view, for instance as an affected person or a carer. To prevent a marginalisation of the growing group of elderly persons with dementia, the article argues that concepts such as those of personhood, wellbeing, autonomy, rationality and normality have to be re-thought with regard to an increasingly ageing population. Taking into account that AD as a socio-medical construct has to be understood in the context of power relations, the article focuses on the mutual influence between the concepts of self-care and of AD and its possible impact on governing dementia and AD in particular. Michel Foucault’s considerations on ‘technologies of the self’ provide the basis for the discussion of the self-care concept within existing societal power relations. (shrink)
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  29. Leonard M. Fleck (2001). Pricing Life: Why It's Time for Health Care Rationing, by Peter A. Ubel, M.D. Cambridge, Mass.: MIT Press, 2000. 208 Pp. $25.00. [REVIEW] Cambridge Quarterly of Healthcare Ethics 10 (2):214-218.score: 102.0
    This is a book for reflective laypersons and health professionals who wish to better understand what the problem of healthcare rationing is all about. Ubel says clearly in the Introduction that it is unlikely that professional economists or philosophers are going to be very satisfied with this effort. For him it is more important (p. xix). This is a reasonable aim made achievable by Ubel's clear and engaging writing style. Probably the people who most need to be drawn (...)
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  30. W. A. Landman & L. D. Henley (1999). Equitable Rationing of Highly Specialised Health Care Services for Children: A Perspective From South Africa. Journal of Medical Ethics 25 (3):224-229.score: 101.0
    The principles of equality and equity, respectively in the Bill of Rights and the white paper on health, provide the moral and legal foundations for future health care for children in South Africa. However, given extreme health care need and scarce resources, the government faces formidable obstacles if it hopes to achieve a just allocation of public health care resources, especially among children in need of highly specialised health care. In this (...)
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  31. Maria W. Merritt (2011). Health Researchers' Ancillary Care Obligations in Low-Resource Settings: How Can We Tell What is Morally Required? Kennedy Institute of Ethics Journal 21 (4):311-347.score: 99.0
    Health researchers working in low-resource settings routinely encounter serious unmet health needs for which research participants have, at best, limited treatment options through the local health system (Taylor, Merritt, and Mullany 2011). A recent case discussion features a study conducted in Bamako, Mali (Dickert and Wendler 2009). The study objective was to see whether children with severe malaria develop pulmonary hypertension in order to improve the general understanding of morbidity and mortality associated with malaria. In the study (...)
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  32. Mark A. Hall (1997). Making Medical Spending Decisions: The Law, Ethics, and Economics of Rationing Mechanisms. Oxford University Press.score: 99.0
    This book explores the making of health care rationing decisions through the analysis of three alternative decision makers: patients paying out of pocket; officials setting limits on treatments and coverage; and physicians at the bedside. Hall develops this analysis along three dimensions: political economics, ethics, and law. The economic dimension addresses the practical feasibility of each method. The ethical dimension discusses the moral aspects of these methods, while the legal dimension traces the most recent developments in jurisprudence (...)
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  33. Christian Witting (2001). National Health Service Rationing: Implications for the Standard of Care in Negligence. Oxford Journal of Legal Studies 21 (3):443-471.score: 99.0
    In this paper it is argued that courts must, where appropriate, take into account the fact that National Health Service hospitals are under‐funded when they determine the standard of care owed by such hospitals and their professional staff to patients. Although this suggestion is inconsistent with the traditional view of the courts, its adoption would bring negligence cases into harmony with judicial review decisions. It would also cohere with a new understanding of accident causation within complex organisations, which (...)
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  34. Larry R. Churchill (1999). The United States Health Care System Under Managed Care: How the Commodification of Health Care Distorts Ethics and Threatens Equity. [REVIEW] Health Care Analysis 7 (4):393-411.score: 98.0
    Describing the U.S. health care system meansdescribing managed care under commercial forces.Managed care creates new moral tension forpractitioners, but more importantly, in its currentform it intensifies the commercialization of healthexpectations and interactions. The largely unregulatedmarketing of health services under managed care hasbeen a major factor in the increasing number ofuninsured citizens, while claims for cost reductionthrough managed care are equivocal. Risk-ratingpractices integral to the current medical marketplacethwart concerns for justice in allocation and createvulnerabilities (...)
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  35. Megan Black & Gavin Mooney (2002). Equity in Health Care From a Communitarian Standpoint. Health Care Analysis 10 (2):193-208.score: 98.0
    Equity in health and health care is animportant issue. It has been proposed that thepursuit of equity in health care is beinghampered by the dominance of individualism inhealth care practices. This paper explores theway in which communitarian ideals and practicesmight lend themselves to the pursuit of equity.Communitarians acknowledge, respect and fosterthe bonds that unite and identify communities.The paper argues that, to achieve equity inhealth care, these bonds need to be recognisedand harnessed rather than (...)
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  36. Rogeer Hoedemaekers & Wim Dekkers (2003). Justice and Solidarity in Priority Setting in Health Care. Health Care Analysis 11 (4):325-343.score: 98.0
    During the last decade a “technical” approach has become increasingly influential in health care priority setting. The various country reports illustrate, however, that non-technical considerations cannot be avoided. As they often remain implicit in health care package decisions, this paper aims to make these normative judgements an explicit part of the procedure. More specifically, it aims to integrate different models of distributive justice as well as the principle of solidarity in four different phases of a decision-making (...)
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  37. Gavin Mooney (2000). Vertical Equity in Health Care Resource Allocation. Health Care Analysis 8 (3):203-215.score: 98.0
    This paper introduces this mini-series on verticalequity in health care. It reflects on the fact that byand large equity policies in health care have failedand that there is a need for positive discriminationto promote equity better in future. This positivediscrimination is examined under the heading of`vertical equity'.The paper considers Varian's notion of `envy' as abasis for equity in health care but concludes thatthis is not a helpful route to go down. Better itwould seem to (...)
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  38. Lawrence O. Gostin (2002). Rights and Duties of HIV Infected Health Care Professionals. Health Care Analysis 10 (1):67-85.score: 98.0
    In 1991, the CDC recommended that health care workers (HCWs) infectedwith HIV or HBV (HbeAg positive) should be reviewed by an expert paneland should inform patients of their serologic status before engaging inexposure-prone procedures. The CDC, in light of the existing scientificuncertainty about the risk of transmission, issued cautiousrecommendations. However, considerable evidence has emerged since 1991suggesting that we should reform national policy. The data demonstratesthat risks of transmission of infection in the health care setting areexceedingly low. (...)
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  39. Nicola Pasini (2000). Solidarity and the Role of the State in Italian Health Care. Health Care Analysis 8 (4):341-354.score: 98.0
    The article deals with the issue of solidarity in health care,with particular reference to the Italian context. It presents thedifficulties of the Italian NHS and assesses the current proposalto counter the crisis of the Welfare State by giving upinstitutional arrangements, in order to favour the so-called`social private'. Moreover, it addresses the question ofprioritisation and targeting in the context of health care,arguing for the insufficiency of the standard approach of neutralliberalism, and showing how the concept of solidarity (...)
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  40. Christoph Benn & Adnan A. Hyder (2002). Equity and Resource Allocation in Health Care: Dialogue Between Islam and Christianity. Medicine, Health Care and Philosophy 5 (2):181-189.score: 98.0
    Inequities in health and health care are one of the greatest challenges facing the international community today. This problem raises serious questions for health care planners, politicians and ethicists alike. The major world religions can play an important role in this discussion. Therefore, interreligious dialogue on this topic between ethicists and health care professionals is of increasing relevance and urgency. This article gives an overview on the positions of Islam and Christianity on equity (...)
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  41. Niklas Juth (2013). Challenges for Principles of Need in Health Care. Health Care Analysis:1-15.score: 98.0
    What challenges must a principle of need for prioritisations in health care meet in order to be plausible and practically useful? Some progress in answering this question has recently been made by Hope, Østerdal and Hasman. This article continue their work by suggesting that the characteristic feature of principles of needs is that they are sufficientarian, saying that we have a right to a minimally acceptable or good life or health, but nothing more. Accordingly, principles of needs (...)
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  42. Stephen Wilmot (2000). Corporate Moral Responsibility in Health Care. Medicine, Health Care and Philosophy 3 (2):139-146.score: 98.0
    The question of corporate moral responsibility – of whether it makes sense to hold an organisation corporately morally responsible for its actions,rather than holding responsible the individuals who contributed to that action – has been debated over a number of years in the business ethics literature. However, it has had little attention in the world of health care ethics. Health care in the United Kingdom(UK) is becoming an increasingly corporate responsibility, so the issue is increasingly relevant (...)
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  43. Stephen Pattison (2013). Religion, Spirituality and Health Care: Confusions, Tensions, Opportunities. [REVIEW] Health Care Analysis 21 (3):193-207.score: 98.0
    This paper raises some issues about understanding religion, religions and spirituality in health care to enable a more critical mutual engagement and dialogue to take place between health care institutions and religious communities and believers. Understanding religions and religious people is a complex, interesting matter. Taking into account the whole reality of religion and spirituality is not just about meeting specific needs, nor of trying to ensure that religious people abandon their distinctive beliefs and insights when (...)
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  44. Lars Bernfort (2003). Decisions on Inclusion in the Swedish Basic Health Care Package—Roles of Cost-Effectiveness and Need. Health Care Analysis 11 (4):301-308.score: 98.0
    Background: Inclusion or not of a treatment strategy in the publicly financed health care is really a matter of prioritisation. In Sweden priority setting decisions are governed by law in which it is stated that decisions should be guided by firstly the principle of need and secondly the principle of cost-effectiveness.
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  45. Jean V. McHale (2013). Faith, Belief, Fundamental Rights and Delivering Health Care in a Modern NHS: An Unrealistic Aspiration? [REVIEW] Health Care Analysis 21 (3):224-236.score: 98.0
    This paper considers the way in which English law safeguards fundamental rights to respect for faith and belief in relation to the delivery of health care. It explores the implications of the Human Rights Act 1998 and the Equality Act 2010. It explores some of the challenges in attempting to reconcile fundamental rights to faith and belief and the delivery of health care, both now and in the future and whether this is a realistic aspiration in (...)
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  46. Jean-Paul Moatti (1999). Ethical Issues in the Economic Assessment of Health Care Technologies. Health Care Analysis 7 (2):153-165.score: 98.0
    This paper challenges traditional views which oppose health economics and medical ethics by arguing that economic assessment is a necessary complement to medical ethics and can help to improve public participation and democratic processes in choices about resource allocation for health care technologies. In support of this argument, four points are emphasized: (1) Most current biomedical ethical debates implicitly deal with economic issues of resource allocation. (2) Clinical decisions, which usually respect the Hippocratic code of ethics, are (...)
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  47. Shelley Morrisette, William D. Oberman, Allison D. Watts & Joseph B. Beck (2013). Health Care: A Brave New World. [REVIEW] Health Care Analysis:1-18.score: 98.0
    The current U.S. health care system, with both rising costs and demands, is unsustainable. The combination of a sense of individual entitlement to health care and limited acceptance of individual responsibility with respect to personal health has contributed to a system which overspends and underperforms. This sense of entitlement has its roots in a perceived right to health care. Beginning with the so-called moral right to health care (all life is sacred), (...)
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  48. Rein Vos, Rob Houtepen & Klasien Horstman (2002). Evidence-Based Medicine and Power Shifts in Health Care Systems. Health Care Analysis 10 (3):319-328.score: 98.0
    It is important and urgent to question therelationship between evidence-based medicineand power shifts in health care systems.Although definitions of EBM are phrased as ascientific approach to medicine, EBM is anormative concept: it aims to improve medicineand health care. Both proponents and opponentsuse a normative concept. More particularly,they provide particular views on positions,responsibilities, possibilities, norms andrelationships between professionals, patientgroups, governments and other parties in healthcare and society. From this perspective, wewant to analyse the role of EBM in (...)
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  49. Rogeer Hoedemaekers & Wija Oortwijn (2003). Problematic Notions in Dutch Health Care Package Decisions. Health Care Analysis 11 (4):287-294.score: 98.0
    This paper discusses the problematic and sometimes implicit nature of some central notions and criteria used in debates about inclusion (or exclusion) of health care services in the health care benefit package. An analysis of discussions about four health care services—lungtransplantation, statins, (sildenafil (viagra) and rivastigmine—illustrates a case-by-case approach and inconsistent use of criteria, which present a challenge to develop a decision-making procedure in which important criteria or central notions can be discussed explicitly.
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  50. Helen L. Treanor (2000). Health Risks and the Health Care Professional. Medicine, Health Care and Philosophy 3 (3):251-254.score: 98.0
    Health care professionals are one of a large group of individuals who are exposed to significant risks by virtue of their occupation, such as the police, mountain rescuers, fire-service. The types of risk to which health care professionals are exposed are numerous, many of which remain largely unrecognised by the public and may even be underestimated by the professionals themselves. Examples of these health risks include fatigue, emotional/psychological trauma, physical injury caused by the use of (...)
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