Economic Influences on End-of-Life Care
Empirical Evidence and Ethical Speculation
Bibliographic Data
| ID | 12096136 |
|---|---|
| Authors | Marshall B Kapp (Wright State University, corresponding author) |
| Year | 2001 |
| Volume | 25 |
| Issue | 3 |
| Pages | 251-263 |
| Publication date | 2001-04-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Death Studies (JOURNAL) |
| Journal identifiers | ISSN: 0748-1187 • E-ISSN: 1091-7683 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.1080/07481180126078 |
| PMID | 11785542 |
| OpenAlex | W2055294647 |
| Language | EN |
| References cited | 23 |
Although very little actual evidence on the issue is available, much ethical speculation has been voiced about the probable impact of the current cost containment-oriented economic climate in the United States on decisions that are being made and implemented in the context of end-of-life medical care. This article, after noting that numerous factors besides money drive the behavior of various actors in the health care system, turns to the economic influences on care for dying patients. These influences, both real and imagined, may be manifested in the amount of de facto health care rationing by age that occurs, the prevalent fears of older persons regarding both overtreatment and undertreament, the financial expectations as well as disappointments emanating from the practice of advance medical planning, and the paucity of options from which many impoverished individuals must choose at the end of their lives. It is too early to judge specifically the impact of managed care on end-of-life decisions, but positive opportunities as well as perils may materialize
Advance care planning · Business · Context (archaeology · De facto · Economic growth · Economics · Empirical evidence · End-of-life care · Health care · Health care rationing · Palliative care · Political science · Public economics · Rationing · Speculation · Health Systems, Economic Evaluations, Quality of Life · Healthcare cost, quality, practices · History · Law · Medicine · Nursing · Palliative Care and End-of-Life Issues · Psychology · Finance
| Highly cited | No |
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