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    Bystander Ethics and Good Samaritanism: A Paradox for Learning Health Organizations.James E. Sabin, Noelle M. Cocoros, Crystal J. Garcia, Jennifer C. Goldsack, Kevin Haynes, Nancy D. Lin, Debbe McCall, Vinit Nair, Sean D. Pokorney, Cheryl N. McMahill-Walraven, Christopher B. Granger & Richard Platt - 2019 - Hastings Center Report 49 (4):18-26.
    In 2012, a U.S. Institute of Medicine report called for a different approach to health care: “Left unchanged, health care will continue to underperform; cause unnecessary harm; and strain national, state, and family budgets.” The answer, they suggested, would be a “continuously learning” health system. Ethicists and researchers urged the creation of “learning health organizations” that would integrate knowledge from patient‐care data to continuously improve the quality of care. Our experience with an ongoing research study on atrial fibrillation—a trial known (...)
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  2.  51
    Comparing Drug Effectiveness at Health Plans: The Ethics of Cluster Randomized Trials.James E. Sabin, Kathleen Mazor, Vanessa Meterko, Sarah L. Goff & Richard Platt - 2008 - Hastings Center Report 38 (5):39-48.
    "Cluster randomized trials," in which groups of patients are randomly assigned to different therapeutic interventions, provide a powerful way of evaluating drugs. CRTs have not been widely used, in good part because of concerns about whether patients must give informed consent to participate in them. A better understanding of how CRTs fit into clinical practice resolves the concerns.
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    Rationing Care through Collaboration and Shared Values.James E. Sabin - 2018 - Hastings Center Report 48 (1):22-24.
    Although “rationing” continues to be a dirty word for the public in health policy discourse, Nir Eyal and colleagues handle the concept exactly right in their article in this issue of the Hastings Center Report. They correctly characterize rationing as an ethical requirement, not a moral abomination. They identify the key health policy question as how rationing can best be done, not whether it should be done at all. They make a cogent defense of what they call “rationing through inconvenience” (...)
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