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Priority setting in head and neck oncology in low-resource environments
Luiz P Kowalski1, Alvaro Sanabria2
1Department Otorhinolaryngology - Head and Neck Surgery, Centro de Tratamento e Pesquisa Hospital do Cancer A.C.Camargo, São Paulo, Brazil.
Current Opinion in Otolaryngology & Head and Neck Surgery
|March 15, 2019
Summary
Physicians in low-resource settings face ethical dilemmas due to scarce treatments, impacting patient care and increasing burnout. They must optimize available resources for the best possible outcomes.
Area of Science:
- Healthcare Management
- Medical Ethics
- Global Health
Background:
- Priority setting for medical treatments predominantly originates from developed nations.
- Low-resource settings necessitate careful consideration of numerous factors for treatment selection.
- Physicians in these settings experience pressure to achieve optimal results with limited resources, leading to ethical challenges and burnout.
Purpose of the Study:
- To explore the challenges faced by physicians in resource-limited environments when prioritizing treatments.
- To understand the ethical dilemmas and psychological impact on physicians due to resource scarcity.
Main Methods:
- Qualitative analysis of physician experiences in low-resource settings.
- Review of factors influencing treatment decisions under resource constraints.
Main Results:
- Limited availability of major treatments and specialized centers is common in low-resource settings.
- Surgeons often act as patient advocates, navigating system limitations and negotiating treatment plans.
- Decisions involve balancing protocol recommendations with the reality of available resources and potential delays.
Conclusions:
- Surgeons grapple with providing optimal care using scarce resources, aiming for successful treatment completion.
- The study underscores the necessity of maximizing the utility of available resources in challenging healthcare environments.
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