The Care of the Terminally Ill: Morality and Economics
New England Journal of Medicine. 1983 Dec 15; 309(24): 1490-1494.
The economic and moral dimensions of current expenditures for terminal care in the U.S. are explored. The authors' analysis of available data does not support a conclusion that these expenditures are unreasonable or unjust. They recommend that efforts to reduce the costs of caring for the dying should be undertaken with great caution and should concentrate on three basic goals: development of better criteria for admission to intensive and critical care units; promotion of patient and family autonomy with regard to decisions to withhold treatment; and promotion of alternative forms of institutional care, such as hospice care. (KIE abstract)
Administrators; Autonomy; Biomedical Technologies; Caring; Costs and Benefits; Decision Making; Economic Value of Life; Economics; Forms; Goals; Hospices; Hospitals; Institutional Policies; Intensive Care Units; Life; Moral Obligations; Morality; Physicians; Prolongation of Life; Public Policy; Resource Allocation; Selection for Treatment; Statistics; Terminal Care; Terminally Ill; Value of Life; Withholding Treatment;
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