DRGs and the Ethical Reallocation of Resources
Veatch, Robert M.
Hastings Center Report. 1986 Jun; 16(3): 32-40.
To allocate resources ethically under the Diagnosis Related Group (DRG) system of reimbursement, it will not be sufficient to appeal to traditional patient-centered principles such as individual beneficence and autonomy. The concept of full beneficence, which requires that the benefits and harms to all parties--not just the patient--must be considered, is one social principle that should be applied. Another applicable principle is justice, which--subject to certain caveats--requires assigning funds to give people in different diagnostic groups equal opportunities for health. When determining how to cut costs by eliminating some benefits, clinicians should not participate in deciding who should get less care but should remain committed to their patients' interests. (KIE abstract)
Autonomy; Beneficence; Biomedical Technologies; Costs and Benefits; Decision Making; Diagnosis; Economics; Evaluation; Health; Health Care; Heart Diseases; Hospitals; Justice; Moral Policy; Obligations to Society; Patient Advocacy; Patients; Peer Review; Physicians; Public Policy; Remuneration; Resource Allocation; Review; Social Impact; Treatment Refusal; Utilitarianism; Values;
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