James E Sabin
Datos Biográficos
| ID | 4450441 |
|---|---|
| NOMBRE | James E Sabin |
| NOMBRES | James E |
| APELLIDO | Sabin |
| FIRMA | SABIN J E |
| AFILIACIONES | Harvard Pilgrim Health Care |
| VERIFICADO | No |
| TOTAL DE OBRAS | 17 |
| TOTAL DE CITAS | 46 |
| TOTAL COMO AUTOR | 17 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1991 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2021 |
| ÍNDICE H | 1 |
Cross-cultural bioethics
Bystander Ethics and Good Samaritanism
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 continuou…
Limits to Health Care
Limits are legitimized and fair when consumers "consent" to purchase products involving them at fair market prices. Solving the legitimacy and fairness problems for limit-setting decisions is only part of what makes a health care system just overall. Features of the design of our health care system also undercut the car purchase analogy. Health care makes a distinctive but limited contribution to assuring fair equality of opportunity by aiming to…
Rationing Care through Collaboration and Shared Values
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 …
Seeking Legitimacy for DSM-5
In 2013 the American Psychiatric Association (APA) published the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Even before publication, DSM-5 received a torrent of criticism, most prominently over removal of the "bereavement exclusion" for the diagnosis of major depression. We argue that while the APA can claim legitimate authority for deciding scientific questions, it does not have legitimacy for resolving w…
Medication Refusal in Schizophrenia
Clinicians treating patients with recurrent psychosis should encourage contingency planning with patients and families for how to respond to potential recurrences. Whether or not patients create a formal psychiatric advance directive, patients, families, and clinicians will be better prepared to deal with emergencies if they include "scenario planning" as part of ongoing clinical care. In the case under discussion this was not done, resulting in …
Physician-Rating Websites
Web-based physician rating sites are part of a multi-decade cultural shift in the relationship between physicians, patients, and society. But a system in which “patient’s orders” reign is just as lopsided as one that puts “doctor’s orders” in the driver’s seat
Is Physician Self-Disclosure Ever Appropriate
Studies have found that, contrary to what their physicians may have expected, patients were less satisfied with primary care appointments in which physician self-disclosure occurred and reported feeling less warmth, comfort, friendliness and reassurance in those appointments
Cluster Randomized Trials
BACKGROUND: Cluster randomized trials (CRTs) offer unique advantages over standard randomized controlled clinical trials (RCTs) and observational methodologies, and may provide a cost-efficient alternative for answering questions about the best treatments for common conditions. OBJECTIVES: To describe health plan leaders' views on CRTs, identify barriers to conducting CRTs, and solicit recommendations for increasing the acceptability of CRTs. RES…
Setting Limits, Enhancing Democracy
Setting Limits Fairly
"The central idea for this book is that we lack consensus on principles for allocating resources and in the absence of such a consensus we must rely on a fair decision-making process for setting limits on health care. The authors characterize key elements of this process in a variety of health care contexts where such decisions are made - decisions about insurance coverage for new technologies, pharmacy benefit management, the design of physician…
What Are Fairness and Consistency in a National Pharmacy Benefit
From the Department of Philosophy, Tufts University, Medford, Massachusetts and Clinical Bioethics Center, NIH, Bethesda, Maryland. †From the Harvard Medical School, Boston, and Harvard Pilgrim Health Care, Wellesley, Massachusetts. Address correspondence and reprint requests to: Norman Daniels, Department of Philosophy, Tufts University, Miner Hall, Medford, MA 02155. E-Mail: [email protected]
Last Chance Therapies and Managed Care
How can health plans make fair determinations about when "experimental" (and costly) treatments such as high dose chemotherapy with autologous bone marrow transplantation should be covered despite lack of clear clinical consensus about their benefits? Different models for managing "last chance" therapies evolving in some health plans offer promising examples of how issues of fairness and legitimacy in decision-making can be addressed
Limits to Health Care
Wrong Necessity
Determining "Medical Necessity" in Mental Health Practice
In previous work on home care and in vitro fertilization we have\nshown that determinations of medical necessity often rest on a range of moral\nconsiderations as well as clinical facts. This paper reports the results of a\nstudy of difficult insurance coverage decisions brought to us by mental health\nclinicians and reviewers in a managed care setting. We explored these cases\nwith the involved personnel by applying elements of the Socratic appr…
Case Studies
Case Studies
Determining "Medical Necessity" in Mental Health Practice
In previous work on home care and in vitro fertilization we have\nshown that determinations of medical necessity often rest on a range of moral\nconsiderations as well as clinical facts. This paper reports the results of a\nstudy of difficult insurance coverage decisions brought to us by mental health\nclinicians and reviewers in a managed care setting. We explored these cases\nwith the involved personnel by applying elements of the Socratic appr…
Wrong Necessity
Limits to Health Care
Last Chance Therapies and Managed Care
How can health plans make fair determinations about when "experimental" (and costly) treatments such as high dose chemotherapy with autologous bone marrow transplantation should be covered despite lack of clear clinical consensus about their benefits? Different models for managing "last chance" therapies evolving in some health plans offer promising examples of how issues of fairness and legitimacy in decision-making can be addressed
What Are Fairness and Consistency in a National Pharmacy Benefit
From the Department of Philosophy, Tufts University, Medford, Massachusetts and Clinical Bioethics Center, NIH, Bethesda, Maryland. †From the Harvard Medical School, Boston, and Harvard Pilgrim Health Care, Wellesley, Massachusetts. Address correspondence and reprint requests to: Norman Daniels, Department of Philosophy, Tufts University, Miner Hall, Medford, MA 02155. E-Mail: [email protected]
Setting Limits Fairly
"The central idea for this book is that we lack consensus on principles for allocating resources and in the absence of such a consensus we must rely on a fair decision-making process for setting limits on health care. The authors characterize key elements of this process in a variety of health care contexts where such decisions are made - decisions about insurance coverage for new technologies, pharmacy benefit management, the design of physician…
Setting Limits, Enhancing Democracy
Cluster Randomized Trials
BACKGROUND: Cluster randomized trials (CRTs) offer unique advantages over standard randomized controlled clinical trials (RCTs) and observational methodologies, and may provide a cost-efficient alternative for answering questions about the best treatments for common conditions. OBJECTIVES: To describe health plan leaders' views on CRTs, identify barriers to conducting CRTs, and solicit recommendations for increasing the acceptability of CRTs. RES…
Is Physician Self-Disclosure Ever Appropriate
Studies have found that, contrary to what their physicians may have expected, patients were less satisfied with primary care appointments in which physician self-disclosure occurred and reported feeling less warmth, comfort, friendliness and reassurance in those appointments
Physician-Rating Websites
Web-based physician rating sites are part of a multi-decade cultural shift in the relationship between physicians, patients, and society. But a system in which “patient’s orders” reign is just as lopsided as one that puts “doctor’s orders” in the driver’s seat
Medication Refusal in Schizophrenia
Clinicians treating patients with recurrent psychosis should encourage contingency planning with patients and families for how to respond to potential recurrences. Whether or not patients create a formal psychiatric advance directive, patients, families, and clinicians will be better prepared to deal with emergencies if they include "scenario planning" as part of ongoing clinical care. In the case under discussion this was not done, resulting in …
Seeking Legitimacy for DSM-5
In 2013 the American Psychiatric Association (APA) published the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Even before publication, DSM-5 received a torrent of criticism, most prominently over removal of the "bereavement exclusion" for the diagnosis of major depression. We argue that while the APA can claim legitimate authority for deciding scientific questions, it does not have legitimacy for resolving w…
Limits to Health Care
Limits are legitimized and fair when consumers "consent" to purchase products involving them at fair market prices. Solving the legitimacy and fairness problems for limit-setting decisions is only part of what makes a health care system just overall. Features of the design of our health care system also undercut the car purchase analogy. Health care makes a distinctive but limited contribution to assuring fair equality of opportunity by aiming to…
Rationing Care through Collaboration and Shared Values
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 …
Bystander Ethics and Good Samaritanism
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 continuou…
Cross-cultural bioethics
Medicine (12 obras) · Political science (10 obras) · Psychology (10 obras) · Law (9 obras) · Health care (6 obras) · Health Systems, Economic Evaluations, Quality of Life (5 obras) · Legitimacy (5 obras) · Business (4 obras) · Family medicine (4 obras) · Law and economics (4 obras)