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  1. Do Healthcare Professionals Have Different Views About Healthcare Rationing Than College Students? A Mixed Methods Study in Portugal.Micaela Pinho, Ana Pinto Borges & Richard Cookson - 2018 - Public Health Ethics 11 (1):90-102.
    The main aim of this paper is to investigate the views of healthcare professionals in Portugal about healthcare rationing, and compare them with the views of college students. A self-administered questionnaire was used to collect data from a sample of 60 healthcare professionals and 180 college students. Respondents faced a hypothetical rationing dilemma where they had to order four patients and justify their choices. Multinomial logistic regressions were used to test for differences in orderings, and content analysis to categorize the (...)
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  • The Full Spectrum of Ethical Issues in Dementia Research: Findings of a Systematic Qualitative Review.Tim G. Götzelmann, Daniel Strech & Hannes Kahrass - 2021 - BMC Medical Ethics 22 (1):1-11.
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  • Can Health Care Rationing Ever Be Rational?David A. Gruenewald - 2012 - Journal of Law, Medicine and Ethics 40 (1):17-25.
    Mr. M. was a 77-year-old decisionally incapacitated long-term nursing home resident with chronic schizophrenia who was admitted to the hospital with a bacterial pneumonia. His past medical history was notable for deteriorating functional status over the past 2-3 years, urinary retention requiring chronic indwelling bladder catheterization, and two recent hospitalizations for urinary tract infections leading to sepsis. He developed respiratory failure soon after admission and was intubated and placed on mechanical ventilation. Follow-up studies suggested worsening pneumonia and acute respiratory distress (...)
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  • Can Health Care Rationing Ever Be Rational?David A. Gruenewald - 2012 - Journal of Law, Medicine and Ethics 40 (1):17-25.
    Americans' appetite for life-prolonging therapies has led to unsustainable growth in health care costs. It is tempting to target older people for health care rationing based on their disproportionate use of health care resources and lifespan already lived, but aged-based rationing is unacceptable to many. Systems reforms can improve the efficiency of health care and may lessen pressure to ration services, but difficult choices still must be made to limit expensive, marginally beneficial interventions. In the absence of agreement on principles (...)
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  • How Factual Do We Want the Facts? Criteria for a Critical Appraisal of Empirical Research for Use in Ethics.D. Strech - 2010 - Journal of Medical Ethics 36 (4):222-225.
    Most contributions to the current debate about the consideration and application of empirical information in ethics scholarship deal with epistemological issues such as the role and the meaning of empirical research in ethical reasoning. Despite the increased publication of empirical data in ethics literature we still lack systematic analyses and conceptual frameworks that would help us to understand the rarely discussed methodological and practical problems in appraising empirical research. This paper demonstrates the need for critical appraisal and its crucial methodological (...)
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  • How Can Bedside Rationing Be Justified Despite Coexisting Inefficiency? The Need for 'Benchmarks of Efficiency'.Daniel Strech & Marion Danis - 2014 - Journal of Medical Ethics 40 (2):89-93.
    Imperfect efficiency in healthcare delivery is sometimes given as a justification for refusing to ration or even discuss how to pursue fair rationing. This paper aims to clarify the relationship between inefficiency and rationing, and the conditions under which bedside rationing can be justified despite coexisting inefficiency. This paper first clarifies several assumptions that underlie the classification of a clinical practice as being inefficient. We then suggest that rationing is difficult to justify in circumstances where the rationing agent is or (...)
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  • How to Write a Systematic Review of Reasons.Daniel Strech & Neema Sofaer - 2012 - Journal of Medical Ethics 38 (2):121-126.
    Systematic reviews, which were developed to improve policy-making and clinical decision-making, answer an empirical question based on a minimally biased appraisal of all the relevant empirical studies. A model is presented here for writing systematic reviews of argument-based literature: literature that uses arguments to address conceptual questions, such as whether abortion is morally permissible or whether research participants should be legally entitled to compensation for sustaining research-related injury. Such reviews aim to improve ethically relevant decisions in healthcare, research or policy. (...)
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  • Balancing Legitimate Critical-Care Interests: Setting Defensible Care Limits Through Policy Development.Jeffrey Kirby - 2016 - American Journal of Bioethics 16 (1):38-47.
    Critical-care decision making is highly complex, given the need for health care providers and organizations to consider, and constructively respond to, the diverse interests and perspectives of a variety of legitimate stakeholders. Insights derived from an identified set of ethics-related considerations have the potential to meaningfully inform inclusive and deliberative policy development that aims to optimally balance the competing obligations that arise in this challenging, clinical decision-making domain. A potential, constructive outcome of such policy engagement is the collaborative development of (...)
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  • Systematische Literaturrecherchen in den Datenbanken PubMed und BELIT – Ein Werkstattbericht.Oliver Rauprich, Matthias Nolte & Jochen Vollmann - 2010 - Ethik in der Medizin 22 (1):59-67.
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  • Systematic Reviews in Bioethics: Types, Challenges, and Value.R. Mcdougall - 2014 - Journal of Medicine and Philosophy 39 (1):89-97.
    There has recently been interest in applying the techniques of systematic review to bioethics literature. In this paper, I identify the three models of systematic review proposed to date in bioethics: systematic reviews of empirical bioethics research, systematic reviews of normative bioethics literature, and systematic reviews of reasons. I argue that all three types yield information useful to scholarship in bioethics, yet they also face significant challenges particularly in relation to terminology and time. Drawing on my recent experience conducting a (...)
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  • The Ethical Dimension of Nursing Care Rationing.S. Vryonides, E. Papastavrou, A. Charalambous, P. Andreou & A. Merkouris - 2015 - Nursing Ethics 22 (8):881-900.
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