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[Ethical problems in internal medicine].

A W von Eiff

    Schweizerische Medizinische Wochenschrift
    |March 28, 1992
    PubMed
    Summary
    This summary is machine-generated.

    Physicians must weigh medical decisions based on evidence, risks, and ethics. Cost-benefit analysis is crucial, especially in internal medicine, impacting both clinical and general practice outcomes.

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    Area of Science:

    • Medical Ethics
    • Clinical Decision-Making
    • Health Economics

    Context:

    • Physicians must balance risks and benefits in medical practice.
    • Psychological and ethical considerations are integral to medical decision-making.
    • Expert knowledge of scientific advancements and ethical principles is essential.

    Purpose:

    • To explore the multifaceted nature of issue-weighing in medical and scientific work.
    • To highlight the importance of anthropological knowledge and ethical principles (nil nocere).
    • To examine the role of cost-benefit analysis in diagnostic and therapeutic measures within internal medicine.

    Summary:

    • Issue-weighing in medicine involves assessing utility, risks, psychological, and ethical factors.
    • Internal medicine decision-making encompasses patient history, diagnostics, therapeutics, and prophylaxis.

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  • Cost-effectiveness must be weighed against individual patient needs, particularly during healthcare cost restraints.

    • Impact:

    • Informed clinical practice through comprehensive risk-benefit and ethical assessments.
    • Improved patient care by integrating psychological and ethical dimensions.
    • Guidance for healthcare policy regarding the justification of cost-intensive interventions.