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

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


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



    Upload a copy of this work     Papers currently archived: 92,100

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles


Added to PP

67 (#243,580)

6 months
2 (#1,203,099)

Historical graph of downloads
How can I increase my downloads?

Citations of this work

No citations found.

Add more citations

References found in this work

Clinical ethics: a practical approach to ethical decisions in clinical medicine.Albert R. Jonsen, Mark Siegler & William J. Winslade - 2015 - New York: McGraw-Hill Education. Edited by Mark Siegler & William J. Winslade.
The silent world of doctor and patient.Jay Katz - 1984 - Baltimore: 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 10 references / Add more references