Access to intensive care unit beds for neurosurgery patients: A qualitative case study

Journal of Neurology, Neurosurgery and Psychiatry

Volumn 74, Issue 9, 2003, Pages 1299-1303

  Martin, D K ^a   Singer, P A ^a,b   Bernstein, M ^b  

^a UNIVERSITY OF TORONTO   (Canada)

^b UNIVERSITY OF TORONTO   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; DATA ANALYSIS; DOCUMENTATION; EVALUATION; GOOD CLINICAL PRACTICE; HOSPITAL BED; HUMAN; INTENSIVE CARE UNIT; INTERVIEW; MASS MEDIUM; MEDICAL RECORD; NEUROSURGERY; NURSE; PATIENT CARE; PATIENT SELECTION; PHYSICIAN; PRACTICE GUIDELINE; PRIORITY JOURNAL; QUALITATIVE ANALYSIS; STATISTICAL SIGNIFICANCE;

EMPIRICAL APPROACH; HEALTH CARE AND PUBLIC HEALTH;

DECISION MAKING; HEALTH CARE RATIONING; HEALTH CARE SURVEYS; HEALTH SERVICES ACCESSIBILITY; HUMANS; INTENSIVE CARE UNITS; MEDICAL AUDIT; NEUROSURGICAL PROCEDURES; PATIENT ADMISSION; QUALITY OF HEALTH CARE;

EID: 0141674888     PISSN: 00223050     EISSN: None     Source Type: Journal    
DOI: 10.1136/jnnp.74.9.1299     Document Type: Article

References (47)

1. American Thoracic Society Bioethics Task Force. Fair allocation of intensive care unit resources. Am J Respir Crit Care Med 1997;156:1282-301.
2. Detsky AS, Stricker SC, Mulley AG, et al. Prognosis, survival, and the expenditure of hospital resources for patients in an intensive-care unit. N Engl J Med 1981;305:667-72.
3. Farnalls M. The use of limited critical care resources: an ethical dilemma. Journal of the Canadian Association of Critical Care Nurses 1997;8:23-6.
4. Ferreira FL, Bota DP, Bross A, et al. Serial evaluation of the SOFA score to predict outcome in critically ill patients. JAMA 2001;286:1754-8.
5. Kelly DF, Becker DP. Advances in management of neurosurgical trauma: USA and Canada. World J Surg 200125:1179-85.
6. Lanken PN, Terry PB, Osborne ML. Ethics of allocating intensive care unit resources. New Horizons 1997;5:38-50.
7. Lantos JD, Mokallo M, Meadow W. Resource allocation in neonatal and medical ICU's. Epidemiology and rationing at the extremes of life. Am J Respir Crit Care Med 1997;156:185-9.
8. O'Brien MS, Ricotta JJ. Conserving resources after carotid endorterectomy: selective use of the intensive care unit. J Vasc Surg 1991;14:796-800.
9. Singer DE, Carr PL, Mulley AG, et al. Rationing intensive care - physician responses to a resource shortage. N Engl J Med 1983;309:1155-60.
10. Society of Critical care Medicine Ethics Committee. Consensus statement on the triage of critically ill patients. JAMA 1994;271:1200-3.
11. Task Force on Guidelines, Society of Critical Care Medicine. Recommendations for intensive care unit admission and discharge criteria. Crit Care Med 1988;16:807-8.
12. Wang DT, Gomez N, McGuire GP, et al. Utilization of intensive care unit days in a Canadian medical-surgical intensive care unit. Crit Care Med 1999;27:1393-4.
13. Task Force on Guidelines, Society of Critical Care Medicine. Recommendations for intensive care unit admission and discharge criteria. Crit Care Med 1988;16:807-8.
14. Chua HC, Lew TW, Ng PY, et al. Advances in neurointensive care. Ann Acad Med Singapore 2001;30:300-9.
15. Diringer MN, Edwards DF. Admission to a neurological/neurosurgical intensive care unit is associated with reduced mortality rate after intracerebral hemorrhage. Crit Care Med 2001;29:635-40.
16. Franklin DF, Bargsley L. Comprehensive patient monitoring in a neurosurgical intensive care unit. Journal of Neurosurgical Nursing 1993;15:205-12.
17. Hyman SA, Williams V, Maciunas RJ. Neurosurgical intensive care unit organization and function: an American experience. J Neurosurg Anesthesiol 1993;5:71-80.
18. Jeevaratnam DR, Menon DK. Survey of intensive care of severely head injured patients in the United Kingdom. BMJ 1996;312:944-7.
19. Johnson S, Nenov VI, Martin NA, et al. The neurosurgical intensive care unit in an era of health care reform. Neurosurg Clin N Am 1994;5:829-35.
20. Knaus WA, Draper E, Lawrence DE, et al. Neurosurgical admissions to the intensive care unit: intensive monitoring versus intensive therapy. Neurosurgery 1981;8:438-42.
21. Mirski MA, Chang CWJ, Cowan R. Impact of a neuroscience intensive care unit on neurosurgical patient outcomes and cost of care. Evidence-based support for an intensivist-directed specialty ICU model of care. J Neurosurg Anesthesiol 2001;13:83-92.
22. Zimmerman JE, Junker CD, Becker RB, et al. Neurological intensive care admissions: identifying candidates for intermediate care and the services they receive. Neurosurgery 1998;42:91-101.
23. Taylor WA, Thomas NW, Wellings JA, et al. Timing of postoperative intracranial hematoma development and implications for the best use of neurosurgical intensive care. J Neurosurg 1995;82:48-50.
24. McKneally MF, Dickens B, Meslin EM, et al. Bioethics for clinicians: resource allocation. Can Med Assoc J 1997;157:163-7.
25. Ham C, Coulter A. Explicit and implicit rationing: taking responsibility and avoiding blame for health care choices. Journal of Health Services Research and Policy 2001;6:163-9.
26. Zussman R. Intensive care. Chicago: University of Chicago Press, 1992:191.
27. Strosberg MA, Teres D. Gatekeeping in the intensive care unit. Chicago: Health Administration Press, 1997:196.
28. Daniels N, Sabin JE. Setting limits fairly: can we learn to share medical resources? Oxford: Oxford University Press, 2002.
29. Daniels N. Accountability for reasonableness. BMJ 2000;321:1300-1.
30. Ham C, McIver S. Contested decisions: priority setting in the NHS. London: King's Fund, 2000.
31. Martin DK, Giacomini M, Singer PA, Fairness, accountability for reasonableness, and the views of priority setting decision-makers. Health Policy 2002;61:279-90.
32. Martin DK, Singer PA. Priority setting for health technologies in Canada. In: Ham C, Roberts G, eds. Reasonable rationing: international experience of priority setting in health care. London: Open University Press. (In press).
33. Yin RK. Case study research: design and methods. Thousand Oaks, CA: Sage, 1994:1.
34. Strauss A, Corbin J. Basics of qualitative research: techniques and procedures of developing grounded theory. Thousand Oaks, CA: Sage, 1998:73.
35. Richardson L. Writing: a method of inquiry. In: Denzin NK, Lincoln YS, eds. Handbook of qualitative research. London: Sage, 1994.
36. Altheide DL, Johnson JM. Criteria for assessing interpretive validity in qualitative research. In: Denzin NK, Lincoln YS, eds. Handbook of qualitative research. Thousand Oaks: Sage, 1994:485-99.
37. Mays N, Pope C. Qualitative research in health care: assessing quality in qualitative research. BMJ 2000;320:50-2.
38. Mays N, Pope C. Rigour and qualitative research. BMJ 1995;311:109-12.
39. Green J. Generalizability and validity in qualitative research. BMJ 1999;319:420-1.
40. Eddy DM. Health system reform: Will controlling costs require rationing services? JAMA 1994;272:324-8.
41. Light DW. The real ethics of rationing. BMJ 1997;315:112-15.
42. Mehlman MJ. The patient-physician relationship in an era of scarce resources: is there a duty to treat? Connecticut Law Review 1993;25:349-91.
43. Martin DK, Pater JL, Singer PA. Priority-setting decisions for new cancer drugs: a qualitative case study. Lancet 2001;358:1676-81.
44. Norheim OF. Healthcare rationing - are additional criteria needed for assessing evidence based clinical practice guidelines? BMJ 1999;319:1426-9.
45. Norheim OF, Ekeberg O, Evensen SA, et al. Adoption of new health care services in Norway (1993-1997): specialists' self-assessment according to national criteria far priority setting. Health Policy 2001;56:65-79.
46. Rawls J. Justice as fairness. A restatement. Cambridge, MA: The Belknap Press of Harvard University Press, 2001.
47. Ubel PA. Physicians, thou shah not ration: the necessary role of bedside rationing in controlling healthcare costs. Healthcare Papers 2001;2:10-21.