Clozapine rationing in a state mental hospital: Reviewing a hec's case consultation [Book Review]

HEC Forum 5 (5):302-318 (1993)

Abstract
Clozapine (Clozaril) is a new, powerful, costly anti-psychotic medicine, with a possible serious side effect (agranulocytosis) that entails weekly blood monitoring. In a three hundred bed state mental hospital that is allotted thirty clozapine slots (high costs effectively rationing this drug), a woman with schizophrenia responds minimally to this medication. Her attending physician wishes to withdraw the medicine and give it to another patient with schizophrenia on the ward who might have a better response. The woman's family threatens to make a public outcry. Both the attending physician and the family ask the HEC for a consult
Keywords clozapine  ethics committee  rationing  schizophrenia  state mental hospital
Categories (categorize this paper)
DOI 10.1007/BF01560484
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

Our Archive


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 42,401
External links

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

The Silent World of Doctor and Patient.Jay Katz - 1984 - Johns Hopkins University Press.
Second Thoughts on Living Wills.John A. Robertson - 1991 - Hastings Center Report 21 (6):6-9.
Uncertainty and the Shaping of Medical Decisions.Eric B. Beresford - 1991 - Hastings Center Report 21 (4):6-11.

View all 9 references / Add more references

Citations of this work BETA

No citations found.

Add more citations

Similar books and articles

Analytics

Added to PP index
2009-01-28

Total views
50 ( #160,766 of 2,255,327 )

Recent downloads (6 months)
1 ( #997,996 of 2,255,327 )

How can I increase my downloads?

Downloads

My notes

Sign in to use this feature