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The Role of Physicians in the Allocation of Health Care: Is Some Justice Better than None?
Kennedy Institute of Ethics Journal ( IF 1.484 ) Pub Date : 2019-01-01 , DOI: 10.1353/ken.2019.0008
Jacqueline Glover

ABSTRACT:Physicians’ advocacy obligations are best understood as going beyond advocacy on behalf of individual patients, which I call the “individualistic view,” to include advocacy for intelligent research-based allocation schemes that promote good outcomes and cost-effective care for all patients, which I call the “systemic view.” This systemic view includes moving beyond self-interest to promote less-wasteful and more cost-conscious allocation decisions and the setting of priorities at all levels to expand health care access. It includes physician involvement in discussions with patients in the context of clinical care, involvement in the formulation and administration of benefit structures and other allocation policies, and, finally, involvement in promoting public dialogue about health care priorities. This involvement is based on a concept of a deliberative process that can result in “just enough” decisions within systems for the preservation and promotion of health care and other societal goods.

中文翻译:

医师在卫生保健分配中的作用:有些正义总比没有好?

摘要:最好将医师的倡导义务理解为代表个别患者的倡导,我称之为“个人观点”,其中包括倡导基于智能研究的分配方案,该方案可为所有患者带来良好的结果和具有成本效益的护理,我称之为“系统视图”。这种系统的观点包括超越个人利益,促进减少浪费和更具成本意识的分配决定,并在所有级别确定优先事项以扩大医疗服务的获取。它包括医师参与临床护理背景下与患者的讨论,参与利益结构的制定和管理以及其他分配政策,最后参与促进有关医疗保健优先事项的公众对话。
更新日期:2019-01-01
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