Inadequate Treatment for Elderly Patients: Professional Norms and Tight Budgets Could Cause “Ageism” in Hospitals [Book Review]
Health Care Analysis (2):1-10 (2012)
We have studied ethical considerations of care among health professionals when treating and setting priorities for elderly patients in Norway. The views of medical doctors and nurses were analysed using qualitative methods. We conducted 21 in depth interviews and 3 focus group interviews in hospitals and general practices. Both doctors and nurses said they treated elderly patients different from younger patients, and often they were given lower priorities. Too little or too much treatment, in the sense of too many interventions and too much drugs, combined with too little care and comfort, was admitted as a relatively frequent yet unwanted consequence of the way clinical priorities were set for elderly patients. This was explained in terms of elderly patients not tolerating the same treatment as younger patients, and questions were raised about the quality of life of many elderly patients after treatment. These explanations were frequently referred to as medically sound decision making. Other explanations had little to do with medically sound decisions. These often included deep frustration with executive guidelines and budget constraints
|Keywords||Ageism Elderly patients Priority settings Nurses Physicians Qualitative interviews Professional norms|
|Categories||categorize this paper)|
References found in this work BETA
The Ethics of Care: Personal, Political, and Global.Virginia Held - 2005 - Oxford University Press.
Moral Distress Among Norwegian Doctors.R. Forde & O. G. Aasland - 2008 - Journal of Medical Ethics 34 (7):521-525.
Making a Difference: A Qualitative Study on Care and Priority Setting in Health Care. [REVIEW]Helge Skirbekk & Per Nortvedt - 2011 - Health Care Analysis 19 (1):77-88.
In Quest of Justice? Clinical Prioritisation in Healthcare for the Aged.R. Pedersen, P. Nortvedt, M. Nordhaug, A. Slettebo, K. H. Grothe, M. Kirkevold, B. S. Brinchmann & B. Andersen - 2008 - Journal of Medical Ethics 34 (4):230-235.
Negotiated or Taken-for-Granted Trust? Explicit and Implicit Interpretations of Trust in a Medical Setting.Helge Skirbekk - 2009 - Medicine, Health Care and Philosophy 12 (1):3-7.
Citations of this work BETA
Ageism and Autonomy in Health Care: Explorations Through a Relational Lens.Laura Pritchard-Jones - 2017 - Health Care Analysis 25 (1):72-89.
Prioritising Patient Care.Helge Skirbekk, Marit Helene Hem & Per Nortvedt - forthcoming - Nursing Ethics:096973301666497.
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