Physicians at the Bedside: Practitioners' Thoughts and Actions Regarding Bedside Allocation of Resources
Journal of Medical Humanities and Bioethics. 1986 Fall/Winter; 7(2): 122-132.
A medical student doing a research project at the Hastings Center addressed the issue of how socioeconomic considerations influence physician decision making in routine patient care. He interviewed 15 people, including cardiothoracic surgeons, medical educators, private practitioners, medical students and educators, and two dentists. His questions focused on the subjective or extra-clinical criteria used in the respondents' clinical allocation decisions, the concern for and priority of society in their daily practice, and the concerns and priority of their medical practice in their daily life. He concluded that most everyday allocation decisions are made tacitly, with nonbiomedical criteria playing a role even in decisions that appear to have been intended to be impartial. (KIE abstract)
Attitudes; Allocation of Resources; Decision Making; Dentistry; Economics; Education; Health; Health Care; Internship and Residency; Life; Medical Education; Medical Students; Patient Advocacy; Patient Care; Physician Patient Relationship; Physicians; Research; Resource Allocation; Residency; Selection for Treatment; Social worth; Socioeconomic Factors; Students; Survey;
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Pellegrino, Edmund D. (1994-12)In the preceding article, Mehlman and Massey examine possible legal responses to the issues that confront physicians faced with treating patients who have insufficient financial resources. This commentary explores the ...