The ethics and reality of rationing in medicine

Chest

Volumn 140, Issue 6, 2011, Pages 1625-1632

  Scheunemann, Leslie P ^a   White, Douglas B ^b,c  

^a UNIVERSITY OF NORTH CAROLINA HOSPITALS   (United States)

^b UNIVERSITY OF PITTSBURGH MEDICAL CENTER   (United States)

^c UNIVERSITY OF PITTSBURGH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

COST CONTROL; COST EFFECTIVENESS ANALYSIS; EDUCATION; ENVIRONMENTAL PROTECTION; FUNDING; HEALTH CARE; HEALTH CARE COST; HEALTH CARE ORGANIZATION; HEALTH CARE POLICY; HEALTH INSURANCE; HEALTH SERVICE; HUMAN; INDUSTRIALIZATION; INTENSIVE CARE; INTENSIVE CARE UNIT; MEDICAL CARE; MEDICAL DECISION MAKING; MEDICAL ETHICS; PRIORITY JOURNAL; QUALITY ADJUSTED LIFE YEAR; RESOURCE ALLOCATION; REVIEW; SOCIAL CARE;

EID: 83455213912     PISSN: 00123692     EISSN: 19313543     Source Type: Journal    
DOI: 10.1378/chest.11-0622     Document Type: Review

References (63)

1. Holtz-Eakin D. All's not fair in health reform bills. The Boston Globe. December 10, 2009. http://www.boston.com/ bostonglobe/editorial-opinion/oped/ articles/2009/12/10/alls- not-fair-in-health-reform-bills. Accessed December 28, 2010.
2. Singer P. Why we must ration healthcare. The New York Times. July 15, 2009. www.nytimes.com/2009/07/19/magazine/ 19healthcare-t.html. Accessed December 28, 2010.
3. Levinsky NG. The doctor's master. N Engl J Med. 1984; 311(24):1573-1575.
4. Strech D, Persad G, Marckmann G, Danis M. Are physicians willing to ration health care? Conflicting findings in a systematic review of survey research. Health Policy. 2009;90(2-3): 113-124.
5. Strech D, Synofzik M, Marckmann G. How physicians allocate scarce resources at the bedside: a systematic review of qualitative studies. J Med Philos. 2008;33(1):80-99.
6. Sulmasy DP. Physicians, cost control, and ethics. Ann Intern Med. 1992;116(11):920-926. (Pubitemid 23034785)
7. Angell M. The doctor as double agent. Kennedy Inst Ethics J.1993;3(3):279-286.
8. Hurst SA, Slowther AM, Forde R, et al. Prevalence and determinants of physician bedside rationing: data from Europe. J Gen Intern Med. 2006;21(11):1138-1143. (Pubitemid 44506865)
9. Sinuff T, Kahnamoui K, Cook DJ, Luce JM, Levy MM; Values Ethics and Rationing in Critical Care Task Force. Rationing critical care beds: a systematic review. Crit Care Med. 2004;32(7):1588-1597.
10. Cooke M. Cost consciousness in patient care-what is medical education's responsibility? N Engl J Med. 2010;362(14) : 1253-1255.
11. Ward NS, Teno JM, Curtis JR, Rubenfeld GD, Levy MM. Perceptions of cost constraints, resource limitations, and rationing in United States intensive care units: results of a national survey. Crit Care Med. 2008;36(2):471-476. (Pubitemid 351158621)
12. Truog RD, Brock DW, Cook DJ, et al.;for the Task Force on Values, Ethics, and Rationing in Critical Care (VERICC). Rationing in the intensive care unit. Crit Care Med. 2006; 34(4):958-963.
13. Veatch RM. Physicians and cost containment: the ethical confl ict. Jurimetrics. 1990;30(4):461-482.
14. Daniels N, Sabin J. Limits to health care: fair procedures, democratic deliberation, and the legitimacy problem for insurers. Philos Public Aff. 1997;26(4):303-350.
15. King D, Maynard A. Public opinion and rationing in the United Kingdom. Health Policy. 1999;50(1-2):39-53. (Pubitemid 30038205)
16. Halpern NA. Can the costs of critical care be controlled? Curr Opin Crit Care. 2009;15(6):591-596.
17. Skowronski GA. Bed rationing and allocation in the intensive care unit. Curr Opin Crit Care. 2001;7(6):480-484. (Pubitemid 34020416)
18. Calabresi G, Bobbitt P. Tragic Choices: The Conflicts Society Confronts in the Allocation of Tragically Scarce Resources.New York, NY: W. W. Norton & Company; 1978.
19. Egan TM, Kotloff RM. Pro/Con debate: lung allocation should be based on medical urgency and transplant survival and not on waiting time. Chest. 2005;128(1):407-415. (Pubitemid 40994502)
20. Freeman RB Jr, Wiesner RH, Harper A, et al. UNOS/OPTN Liver Disease Severity Score, UNOS/OPTN Liver and Intestine, and UNOS/OPTN Pediatric Transplantation Committees. The new liver allocation system: moving toward evidence-based transplantation policy. Liver Transpl. 2002; 8(9):851-858.
21. Renlund DG, Taylor DO, Kfoury AG, Shaddy RS;United Network for Organ Sharing. New UNOS rules: historical background and implications for transplantation management. J Heart Lung Transplant. 1999;18(11):1065-1070.
22. Childress J, Beauchamp T. Principles of Biomedical Ethics.New York, NY : Oxford University Press;2009.
23. Hadorn D. The Oregon priority-setting exercise: quality of life and public policy. Hastings Cent Rep. 1991;21(3): 11-16.
24. Kitzhaber J, Gibson M. The crisis in health care-The Oregon Health Plan as a strategy for change. Stanford Law & Policy Review. 1991;3:64-72.
25. Oberlander J, Marmor T, Jacobs L. Rationing medical care: rhetoric and reality in the Oregon Health Plan. CMAJ. 2001;164(11):1583-1587. (Pubitemid 32702058)
26. Jacobs L, Marmor T, Oberlander J. The Oregon Health Plan and the political paradox of rationing: what advocates and critics have claimed and what Oregon did. J Health Polit Policy Law. 1999;24(1):161-180. (Pubitemid 29091507)
27. Feldman R. The cost of rationing medical care by insurance coverage and by waiting. Health Econ. 1994;3(6):361-372.
28. Kennedy J, Morgan S. Health care access in three nations: Canada, insured America, and uninsured America. Int J Health Serv. 2006;36(4):697-717. (Pubitemid 47263435)
29. Iapichino G, Corbella D, Minelli C, et al. Reasons for refusal of admission to intensive care and impact on mortality . Intensive Care Med. 2010;36(10):1772-1779.
30. Reignier J, Dumont R, Katsahian S, et al. Patient-related factors and circumstances surrounding decisions to forego lifesustaining treatment, including intensive care unit admission refusal. Crit Care Med. 2008;36(7):2076-2083.
31. Hersch M, Sonnenblick M, Karlic A, Einav S, Sprung CL, Izbicki G. Mechanical ventilation of patients hospitalized in medical wards vs the intensive care unit-an observational, comparative study. J Crit Care. 2007;22(1):13-17. (Pubitemid 46413658)
32. Lieberman D, Nachshon L, Miloslavsky O, et al. Elderly patients undergoing mechanical ventilation in and out of intensive care units: a comparative, prospective study of 579 ventilations. Crit Care. 2010;14(2):R48.
33. Persad G, Wertheimer A, Emanuel EJ. Principles for allocation of scarce medical interventions. Lancet. 2009;373(9661) : 423-431.
34. White DB, Katz MH, Luce JM, Lo B. Who should receive life support during a public health emergency? Using ethical principles to improve allocation decisions. Ann Intern Med.2009;150(2):132-138.
35. Neumann PJ, Weinstein MC. Legislating against use of cost-effectiveness information. N Engl J Med. 2010;363(16): 1495-1497.
36. Woolf SH. Potential health and economic consequences of misplaced priorities. JAMA. 2007;297(5):523-526. (Pubitemid 46220808)
37. Sznajder M, Aegerter P, Launois R, Merliere Y, Guidet B, CubRea. A cost-effectiveness analysis of stays in intensive care units. Intensive Care Med. 2001;27(1):146-153. (Pubitemid 32208981)
38. Talmor D, Shapiro N, Greenberg D, Stone PW, Neumann PJ. When is critical care medicine cost-effective? A systematic review of the cost-effectiveness literature. Crit Care Med.2006;34(11):2738-2747. (Pubitemid 44610938)
39. Kamm F. Morality, Mortality: Volume I: Death and Whom to Save from It. New York, NY: Oxford University Press; 1998.
40. Measuring effectiveness and cost effectiveness: the QALY. National Institute for Health and Clinical Excellence Web site. http://www.nice.org.uk/ newsroom/features/measuring effectivenessandcosteffectivenesstheqaly.jsp. Accessed January 25, 2011.
41. Neumann PJ, Rosen AB, Weinstein MC. Medicare and costeffectiveness analysis. N Engl J Med. 2005;353(14):1516-1522.
42. Ubel PA, Baron J, Nash B, Asch DA. Are preferences for equity over efficiency in health care allocation "all or nothing"? Med Care. 2000;38(4):366-373.
43. American Thoracic Society. Fair allocation of intensive care unit resources. Am J Respir Crit Care Med. 1997;156(4 pt 1): 1282-1301.
44. Guidelines for intensive care unit admission, discharge, and triage. Task Force of the American College of Critical Care Medicine, Society of Critical Care Medicine. Crit Care Med.1999;27(3):633-638.
45. Emanuel EJ, Wertheimer A. Public health. Who should get influenza vaccine when not all can? Science. 2006;312(5775): 854-855. (Pubitemid 43727303)
46. Jonsen AR. Bentham in a box: technology assessment and health care allocation. Law Med Health Care. 1986;14(3-4): 172-174.
47. Egan T. Rebuffed by Oregon, patients take their life-or-death cases public. New York Times. May 1, 1988. http://www.nytimes. com/1988/05/01/us/ rebuffed-by-oregon-patients-take-their-lifeor- death-cases-public.html?scp= 1&sq=may%201%201988%20 coby%20oregon&st=cse. Accessed November 6, 2010.
48. Ubel PA, DeKay ML, Baron J, Asch DA. Cost-effectiveness analysis in a setting of budget constraints-is it equitable? N Engl J Med. 1996;334(18):1174-1177. (Pubitemid 26137978)
49. Perneger TV, Martin DP, Bovier PA. Physicians' attitudes toward health care rationing. Med Decis Making. 2002;22(1): 65-70. (Pubitemid 34087691)
50. Ubel PA, Loewenstein G, Scanlon D, Kamlet M. Individual utilities are inconsistent with rationing choices: A partial explanation of why Oregon's cost-effectiveness list failed. Med Decis Making. 1996;16(2):108-116. (Pubitemid 126501138)
51. Ubel PA, Loewenstein G. The efficacy and equity of retransplantation: an experimental survey of public attitudes. Health Policy. 1995;34(2):145-151.
52. Ubel PA. How stable are people's preferences for giving priority to severely ill patients? Soc Sci Med. 1999;49(7): 895-903. (Pubitemid 29354399)
53. Daniels N. Accountability for reasonableness. BMJ. 2000; 321(7272):1300-1301.
54. Baum NM, Jacobson PD, Goold SD. "Listen to the people": public deliberation about social distancing measures in a pandemic. Am J Bioeth. 2009;9(11):4-14.
55. Danis M, Ginsburg M, Goold S. Experience in the United States with public deliberation about health insurance benefits using the small group decision exercise, CHAT. J Ambul Care Manage. 2010;33(3):205-214.
56. Daniels N. Is the Oregon rationing plan fair? JAMA. 1991; 265(17):2232-2235.
57. Rescher N. The allocation of exotic medical lifesaving therapy. Ethics. 1969;79 (3):173-186.
58. Alexander S. They decide who lives, who dies. LIFE.November 19, 1962;53(19):102-125.
59. Luce JM, Rubenfeld GD. Can health care costs be reduced by limiting intensive care at the end of life? Am J Respir Crit Care Med. 2002;165(6):750-754. (Pubitemid 34229641)
60. Ward NS. Rationing critical care medicine: recent studies and current trends. Curr Opin Crit Care. 2005;11(6):629-632. (Pubitemid 41697340)
61. Halevy A, Neal RC, Brody BA. The low frequency of futility in an adult intensive care unit setting. Arch Intern Med.1996;156(1):100-104. (Pubitemid 26011597)
62. Sachdeva RC, Jefferson LS, Coss-Bu J, Brody BA. Resource consumption and the extent of futile care among patients in a pediatric intensive care unit setting. J Pediatr. 1996;128(6):742-747. (Pubitemid 26181369)
63. Newman TB. The power of stories over statistics. BMJ.2003;327(7429):1424- 1427. (Pubitemid 38045811)