Ethics and Economics Appraisals in Health Care
Social Science and Medicine. 1985; 21(10): 1199-1202.
Medicine has been faced with the problem of proving its efficiency, not only in clinical results but also in terms of cost effectiveness. Economic appraisal in health care which requires human experimentation must conform to ethical rules, including consideration of existing scientific knowledge, risk analysis, and informed consent. Value conflicts may occur when the best treatment is not the most economical or, on a larger scale, when the therapeutic strategy which is most efficient, on the average, for a group of patients is not the most efficient for an individual in that group. A medical strategy considered only in terms of costs and benefits may be in opposition to social needs, so there must be consideration of the medical consequences of economic studies. (KIE abstract)
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