Selecting patients when resources are limited

A study of US medical directors of kidney dialysis and transplantation facilities

Dados Bibliográficos

ID11019652
AutoresJohn F Kilner (University of Kentucky, autor correspondente)
Ano1988
Volume78
Fascículo2
Páginas144-147
Data de publicação1988-02-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoAmerican Journal of Public Health (JOURNAL)
Identificadores do periódicoISSN: 0090-0036 • E-ISSN: 1541-0048
EditoraAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.78.2.144
PMID3276235
OpenAlexW2165770404
IdiomaEN
Citações recebidas3
Referências citadas17

This study reports and discusses responses of 453 medical directors of renal dialysis and transplantation facilities to detailed patient selection questionnaires. The questionnaires examine selection criteria being used today as well as those which would be employed were resources to remain or become scarce relative to need. Selection criteria examined (and the number of directors supporting them when resources are limited) are: qualitative prognosis, psychological stability, likelihood of medical benefit, quantitative prognosis, medical benefit (virtually all); willingness, age (very large majority); unique moral duties, disproportionate resources, environment, progress of science, social value (majority); ability to pay, random selection, constituency (very large minority); sex (virtually none). Qualitative prognosis, quantitative prognosis, medical benefit, ability to pay, and especially age are the criteria employed today whose influence would increase if resources are further limited. Some of the ethical implications of various criteria are discussed

Actuarial science · Business · Dialysis · Economic growth · Economics · Family medicine · Health care · Health care rationing · Selection (genetic algorithm) · Ethics in medical practice · Internal Medicine · Medicine · Organ Donation and Transplantation · Palliative Care and End-of-Life Issues · Transplantation