在医疗保健优先设置中,更大的患者利益总是更好吗?
Lars Sandman1, Jan Liliemark2, Erik Gustavsson3
1Centre for Assessment of Medical Technology, Department of Health, Medicine and Caring Sciences, 58183, Linköping, Sweden. lars.sandman@liu.se.
Medicine, health care, and philosophy
|June 1, 2024
概括
在医疗保健中确定优先级需要仔细考虑多个因素. 这项研究认为,由于复杂性和机会成本,大量的患者益处不应该与严重性和成本效益一起成为独立的标准.
科学领域:
- 卫生经济学 卫生经济学
- 医学伦理 医学伦理
- 公共卫生政策 公共卫生政策
背景情况:
- 医疗保健系统面临预算限制,需要公平的优先设定原则.
- 多个标准的方法,包括严重性和成本效益是常见的,但提出复杂的平衡问题.
- 作为一个独立的标准,与其他标准一起讨论了"大患者益处"的作用.
研究的目的:
- 探讨大患者利益作为医疗保健优先设定独立标准的作用.
- 分析其与严重程度,成本效益和机会成本的关系.
- 评估其与分配正义的主要理论的一致性.
主要方法:
- 优先设定框架的概念分析.
- 检查患者利益,成本效益和机会成本之间的关系.
- 审查主要的伦理理论 (功利主义,优先主义,平等主义,充分主义).
主要成果:
- 当考虑机会成本时,患者福利与优先设定有着复杂的关系.
- 如果严重程度,成本效益和机会成本是不变的,那么大量的患者福利不需要优先考虑.
- 在分配正义理论中没有发现患者利益作为独立标准的一般支持.
结论:
- 大量的患者益处不应该被视为卫生保健优先设置的独立标准.
- 严重性和成本效益的考虑,以及机会成本是足够的.
- 建议简化优先级设置,将"大患者益处"作为单独的因素排除在外.
相关概念视频
Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
Ethical Issues
909
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
909
Introduction To Health Care Delivery System
2.7K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.7K
Methods of Documentation VI: Case Management Model
568
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
568
Ethical Dilemmas II
994
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
994
Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K


