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Ethical issues arising from variation in health services utilization at the end of life.
MedLine Citation:
PMID:  21488560     Owner:  NLM     Status:  In-Process    
Research on health services delivery, particularly at the end of life, has demonstrated that more care does not necessarily lead to better technical quality, patient satisfaction, or outcomes. These findings raise three ethical issues: (1) justice in the allocation of scarce resources across health service areas; (2) nonmaleficence in the provision of appropriate amounts of care to patients; and (3) transparency about local healthcare practice so patients can make enlightened decisions about healthcare choices. We conclude that in this era of healthcare accountability, managers and clinicians can use these ethical principles to drive change in the process of providing more efficient, more effective, and more patient-centered care, especially at the end of life.
William Brinson Weeks; William A Nelson
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Frontiers of health services management     Volume:  27     ISSN:  0748-8157     ISO Abbreviation:  Front Health Serv Manage     Publication Date:  2011  
Date Detail:
Created Date:  2011-04-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8501389     Medline TA:  Front Health Serv Manage     Country:  United States    
Other Details:
Languages:  eng     Pagination:  17-26     Citation Subset:  H    
Dartmouth Institute for Health Policy and Clinical Practice, USA.
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Comment In:
Front Health Serv Manage. 2011 Spring;27(3):35-41   [PMID:  21488562 ]
Front Health Serv Manage. 2011 Spring;27(3):43-8   [PMID:  21488563 ]
Front Health Serv Manage. 2011 Spring;27(3):27-33   [PMID:  21488561 ]

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