Rule of rescue or the good of the many? An analysis of physicians' and nurses' preferences for allocating ICU beds

Intensive Care Medicine

Volumn 37, Issue 7, 2011, Pages 1210-1217

  Kohn, Rachel ^a   Rubenfeld, Gordon D ^b   Levy, Mitchell M ^c   Ubel, Peter A ^d   Halpern, Scott D ^a  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

^b SUNNYBROOK RESEARCH INSTITUTE   (Canada)

^c BROWN UNIVERSITY   (United States)

^d UNIVERSITY OF MICHIGAN SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

Cost containment; Ethics; Intensive care unit; Organ donation; Rationing; Resource allocation

Indexed keywords

ARTICLE; CONTROLLED STUDY; CRITICALLY ILL PATIENT; DYING; EMERGENCY HEALTH SERVICE; FEMALE; HEALTH CARE MANAGEMENT; HOSPITAL BED; HUMAN; INTENSIVE CARE UNIT; MALE; MEDICAL PRACTICE; NURSE; ORGAN DONOR; PHYSICIAN; QUALITATIVE ANALYSIS; QUESTIONNAIRE; RULE OF RESCUE;

ATTITUDE OF HEALTH PERSONNEL; BEDS; HUMANS; INTENSIVE CARE UNITS; NURSES; PHYSICIANS; QUESTIONNAIRES; RESOURCE ALLOCATION;

EID: 79961032227     PISSN: 03424642     EISSN: 14321238     Source Type: Journal    
DOI: 10.1007/s00134-011-2257-6     Document Type: Article

References (30)

1. AR Jonsen 1986 Bentham in a box: technology assessment and health care allocation Law Med Health Care 14 172 174 3645228 1:STN:280:DyaL2s7ntFCktQ%3D%3D
2. M Osborne TW Evans 1994 Allocation of resources in intensive care: a transatlantic perspective Lancet 343 778 780 7907737 10.1016/S0140-6736(94) 91845-7 1:STN:280:DyaK2c7otVKrsg%3D%3D (Pubitemid 24098700)
3. NA Halpern SM Pastores 2010 Critical care medicine in the United States 2000-2005: an analysis of bed numbers, occupancy rates, payer mix, and costs Crit Care Med 38 65 71 19730257 10.1097/CCM.0b013e3181b090d0
4. A Amaral GD Rubenfeld 2009 The future of critical care Curr Opin Crit Care 15 308 313 19512919 10.1097/MCC.0b013e32832e4550
5. JM Luce GD Rubenfeld 2002 Can health care costs be reduced by limiting intensive care at the end of life? Am J Respir Crit Care Med 165 750 754 11897638 (Pubitemid 34229641)
6. M Garrouste-Orgeas L Montuclard JF Timsit J Reignier T Desmettre P Karoubi D Moreau L Montesino A Duguet S Boussat C Ede Y Monseau T Paule B Misset J Carlet French ADMISSIONREA Study Group 2005 Predictors of intensive care unit refusal in French intensive care units: a multiple-center study Crit Care Med 33 750 755 15818100 10.1097/01.CCM.0000157752.26180.F1
7. MJ Strauss JP Logerfo JA Yeltatzie N Temkin LD Hudson 1986 Rationing of intensive-care unit services. An everyday occurrence JAMA 255 1143 1146 3945032 10.1001/jama.255.9.1143 1:STN:280:DyaL287hsFKqtg%3D%3D (Pubitemid 16167099)
8. Truog RD, Brock DW, Cook DJ, Danis M, Luce JM, Rubenfeld GD, Levy MM; for the Task Force on Values, Ethics, and Rationing in Critical Care (VERICC) (2006) Rationing in the intensive care unit. Cri Care Med 34:958-963
9. NS Ward MM Levy 2007 Rationing and critical care medicine Crit Care Med 35 S102 S105 17242597 10.1097/01.CCM.0000252922.55244.FB (Pubitemid 46148383)
10. DE Singer PL Carr AG Mulley GE Thibault 1983 Rationing intensive care-physician responses to a resource shortage N Engl J Med 309 1155 1160 6413862 10.1056/NEJM198311103091905 1:STN:280:DyaL2c%2FhsVSiug%3D%3D (Pubitemid 14232149)
11. PN Lanken PB Terry DC Adler, et al. 1997 Fair allocation of intensive care unit resources Am J Respir Crit Care Med 156 1282 1301
12. Society of Critical Care Medicine Ethics (1994) Consensus statement on the triage of critically iII patients. JAMA 271:1200-1203
13. MG Bloche 1999 Clinical loyalties and the social purposes of medicine JAMA 281 268 274 9918483 10.1001/jama.281.3.268 1:STN:280:DyaK1M7hsFSnsA%3D%3D (Pubitemid 29058117)
14. NS Ward JM Teno JR Curtis GD Rubenfeld MM Levy 2008 Perceptions of cost constraints, resource limitations, and rationing in United States intensive care units: results of a national survey Crit Care Med 36 471 476 18216601 10.1097/CCM.0B013E3181629511 (Pubitemid 351158621)
15. The Society of Critical Care Medicine Ethics Committee 1994 Attitudes of critical care medicine professionals concerning distribution of intensive care resources Crit Care Med 22 358 362
16. SA Hurst SC Hull G DuVal M Danis 2005 Physicians' responses to resource constraints Arch Intern Med 165 639 644 15795339 10.1001/archinte.165.6.639 (Pubitemid 40393145)
17. SA Hurst AM Slowther R Forde R Pegoraro S Reiter-Theil A Perrier E Garrett-Mayer M Danis 2006 Prevalence and determinants of physician bedside rationing: data from Europe J Gen Int Med 21 1138 1143 10.1111/j.1525-1497.2006. 00551.x (Pubitemid 44506865)
18. PA Ubel 2006 Tough questions, even harder answers J Gen Int Med 21 1209 1210 10.1111/j.1525-1497.2006.00617.x (Pubitemid 44506880)
19. JW Peabody J Luck P Glassman TR Dresselhaus M Lee 2000 Comparison of vignettes, standardized patients, and chart abstraction: a prospective validation study of 3 methods for measuring quality JAMA 283 1715 1722 10755498 10.1001/jama.283.13.1715 1:STN:280:DC%2BD3c3hs1aktg%3D%3D (Pubitemid 30196212)
20. AM D'Alessandro JW Peltier JE Phelps 2008 An empirical examination of the antecedants of the acceptance of donation after cardiac death by health care professionals Am J Transplant 7 1 8
21. SD Halpern SA Hussen TS Metkus NS Ward JM Luce JR Curtis 2007 Development of an email database of US intensive care physicians J Crit Care 22 28 33 17371741 10.1016/j.jcrc.2006.12.006 (Pubitemid 46413662)
22. American Association for Public Opinion Research (2008) Standard definitions: final dispositions of case codes and outcome rates for surveys, 5th edn. http://www.aapor.org/uploads/Standard-Definitions-07-08-Final.pdf. Accessed 11 August 2009
23. EH Bradley LA Curry KJ Devers 2007 Qualitative data analysis for health services research: developing taxonomy, themes, and theory Health Serv Res 42 1758 1772 17286625 10.1111/j.1475-6773.2006.00684.x (Pubitemid 47024850)
24. Halpern SD, Kohn R, Metkus T, Asch DA, Volpp KG (2011) Lottery-based versus fixed incentives to increase response to clinician surveys. Health Serv Res. doi: 10.1111/j.1475-6773.2011.01264.x
25. CS Lesser CR Lucey B Egener, et al. 2010 A behavioral and systems view of professionalism JAMA 304 2732 2737 21177508 10.1001/jama.2010.1864 1:CAS:528:DC%2BC3cXhs1WhsrvL
26. DC Angus MA Kelley RJ Schmitz, et al. 2000 Caring for the critically ill patient. Current and projected workforce requirements for care of the critically ill and patients with pulmonary disease: can we meet the requirements of an aging population? JAMA 284 2762 2770 11105183 10.1001/jama.284.21.2762 1:STN:280:DC%2BD3M%2Fms1GnsQ%3D%3D
27. DA Redelmeier A Tversky 1990 Discrepancy between medical decisions for individual patients and for groups N Engl J Med 322 1162 1164 2320089 10.1056/NEJM199004193221620 1:STN:280:DyaK3c3gs1SitQ%3D%3D (Pubitemid 20149556)
28. NS Ward JM Teno JR Curtis GD Rubenfeld MM Levy 2008 Perceptions of cost constraints, resource limitations, and rationing in United States intensive care units: results of a national survey Crit Care Med 36 471 476 18216601 10.1097/CCM.0B013E3181629511 (Pubitemid 351158621)
29. PA Ubel RM Arnold AL Caplan 1993 Rationing failure-the ethical lessons of the retransplantation of scare vital organs JAMA 270 2469 2474 8230624 10.1001/jama.270.20.2469 1:STN:280:DyaK2c%2FkslGnug%3D%3D (Pubitemid 23342297)
30. DC Hadorn 1991 Setting health-care priorities in Oregon. Cost-effectiveness meets the rule of rescue JAMA 265 2218 2225 1901610 10.1001/jama.265.17.2218 1:STN:280:DyaK3M7psVWhsA%3D%3D