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

The doctor's dilemma

D H Irvine1, L J Donaldson

  • 1Regional Postgraduate Institute for Medicine and Dentistry, Division for General Practice, Newcastle upon Tyne, UK.

British Medical Bulletin
|October 1, 1995
PubMed
Summary
This summary is machine-generated.

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

Prevalence of chronic pain in the UK: a systematic review and meta-analysis of population studies.

BMJ open·2016
Same author

Health inequality and governance in Scotland since 2007.

Public health·2013
Same author

Influenza A(H1N1)pdm09 in England, 2009 to 2011: a greater burden of severe illness in the year after the pandemic than in the pandemic year.

Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin·2012
Same author

Alcohol skin preparation causes surgical fires.

Annals of the Royal College of Surgeons of England·2012
Same author

Mortality due to pandemic (H1N1) 2009 influenza in England: a comparison of the first and second waves.

Epidemiology and infection·2011
Same author

Hospitalization in two waves of pandemic influenza A(H1N1) in England.

Epidemiology and infection·2010
Same journal

Augmentation in Achilles tendon repair: evidence versus enthusiasm.

British medical bulletin·2026
Same journal

Regional musculoskeletal pain in workers-is the traditional medical model increasing disability?

British medical bulletin·2026
Same journal

Human health in relation to visible, functional, and accessible green space: a systematic review and narrative synthesis of the 3 + 30 + 300 guideline.

British medical bulletin·2026
Same journal

Muscle herniae in exercise-induced leg pain: diagnostic pitfalls and the 'repair paradox'.

British medical bulletin·2026
Same journal

Scaffolds and platelet concentrates in bone regenerative medicine: applications, mechanisms, and future approaches.

British medical bulletin·2026
Same journal

Back squat and deadlift fatiguing protocols elicit distinct countermovement jump profiles: phase-specific predictors and soreness responses.

British medical bulletin·2026
See all related articles

Discussions on healthcare rationing must include clinical decision-making. Doctors face increasing pressure from managed care systems and evidence-based practice, requiring a balance between patient duty and broader considerations.

Area of Science:

  • Healthcare Management
  • Medical Ethics
  • Clinical Decision-Making

Background:

  • Healthcare expenditure is closely linked to clinical decisions.
  • Rationing discussions necessitate an understanding of clinical decision-making processes.
  • Physicians' roles are evolving within healthcare systems.

Purpose of the Study:

  • To explore the intersection of clinical decision-making and healthcare rationing.
  • To examine the factors influencing physicians' involvement in rationing.
  • To analyze the ethical implications of balancing individual patient care with broader healthcare considerations.

Main Methods:

  • Conceptual analysis of clinical decision-making in the context of healthcare rationing.
  • Examination of the impact of managed care systems on physician responsibilities.

Related Experiment Videos

  • Review of the influence of evidence-based practice movements on clinical practice.

    • Main Results:

    • Physicians are increasingly involved in rationing decisions due to corporate responsibilities within managed care.
    • The movement towards clinically effective practice also contributes to physicians' role in rationing.
    • These forces necessitate a re-evaluation of the ethical underpinnings of clinical practice.

    Conclusions:

    • Clinical decision-making is central to healthcare rationing discussions.
    • Physicians' duties to individual patients must be weighed against wider healthcare system considerations.
    • The evolving landscape of healthcare requires a fundamental review of ethical clinical practice.