Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

"Not clinically indicated": patients' interests or resource allocation?

T Hope1, D Sprigings, R Crisp

  • 1Oxford Practice Skills Project, Medical School Offices, John Radcliffe Hospital.

BMJ (Clinical Research Ed.)
|February 6, 1993
PubMed
Summary

Deciding an intervention isn't clinically indicated can mask ethical issues. This may mean it's not beneficial for the patient or that resources are better allocated elsewhere, especially in cardiac surgery for the elderly.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Co-designing roadmaps for promoting culturally relevant food in long-term care homes for the African, Caribbean and Black populations in Canada: a multi-method, participatory action research study protocol.

BMC nutrition·2026
Same author

Observations on the Effects of Nitrous Acid and Opium in the Cure of Dysentery.

The Medical and physical journal·2018
Same author

Mr. Hope's Case of Extra-Uterine Conception.

The Medical and physical journal·2018
Same author

Ferumoxytol-enhanced MRI in the peripheral vasculature.

Clinical radiology·2018
Same author

How well does physician selection of microbiologic tests identify Clostridium difficile and other pathogens in paediatric diarrhoea? Insights using multiplex PCR-based detection.

Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases·2015
Same author

Awareness of deficit after traumatic brain injury: a literature review.

Australian occupational therapy journal·2011

Area of Science:

  • Medical Ethics
  • Health Economics
  • Geriatric Medicine

Background:

  • Clinical decisions regarding intervention necessity can involve complex ethical considerations.
  • Resource allocation in healthcare is a significant challenge, particularly for elderly populations.

Purpose of the Study:

  • To explore the ethical assumptions underlying decisions of clinical non-indication for interventions.
  • To analyze these assumptions in the context of cardiac surgery for elderly patients.
  • To examine various resource allocation theories in relation to these ethical decisions.

Main Methods:

  • Ethical analysis of clinical decision-making.
  • Discussion of resource allocation theories including QALYs, needs theories, sanctity of life, lottery, and market forces.
Keywords:
Health Care and Public HealthProfessional Patient Relationship

Related Experiment Videos

  • Case study approach focusing on cardiac surgery in elderly patients.

    • Main Results:

    • Decisions of non-indication may stem from patient-specific benefit assessment or broader resource allocation concerns.
    • Different ethical theories offer varying justifications for resource distribution.
    • The ethical implications are particularly pronounced in high-cost, high-resource interventions like cardiac surgery for the elderly.

    Conclusions:

    • Distinguishing between patient benefit and resource allocation is crucial for ethical clarity in clinical decisions.
    • The choice of allocation theory significantly impacts ethical judgments regarding intervention for elderly cardiac surgery patients.
    • Further ethical deliberation is needed to navigate these complex resource allocation challenges.