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dc.creatorWilliams, Alanen
dc.date.accessioned2015-05-05T18:34:08Zen
dc.date.available2015-05-05T18:34:08Zen
dc.date.created1992-03en
dc.date.issued1992-03en
dc.identifier10.1136/jme.18.1.7en
dc.identifier.bibliographicCitationJournal of Medical Ethics. 1992 Mar; 18(1): 7-11.en
dc.identifier.issn0306-6800en
dc.identifier.urihttp://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Cost-Effectiveness+Analysis:+Is+It+Ethical?&title=Journal+of+Medical+Ethics.++&volume=18&issue=1&pages=7-11&date=1992&au=Williams,+Alanen
dc.identifier.urihttp://dx.doi.org/10.1136/jme.18.1.7en
dc.identifier.urihttp://hdl.handle.net/10822/737078en
dc.description.abstractMany clinicians believe that allowing costs to influence clinical decisions is unethical. They are mistaken in this belief, because it cannot be ethical to ignore the adverse consequences upon others of the decisions you make, which is what 'costs' represent. There are, however, some important ethical issues in deciding what costs to count, and how to count them. But these dilemmas are equally strong with respect to what benefits to count and how to count them, some of which expose ethically untenable assumptions about such widely-used clinical criteria as survival rates. One of the advantages of systematic cost-effectiveness analysis is that it exposes these hidden assumptions, and requires explicit judgements to be made about which ethical position is appropriate in a particular policy context. This should have the important incidental benefit of improving the accountability of policy-makers to the community they are serving.en
dc.formatArticleen
dc.languageenen
dc.sourceBRL:KIE/36476en
dc.subjectAccountabilityen
dc.subjectCosts and Benefitsen
dc.subjectDecision Makingen
dc.subjectDiscriminationen
dc.subjectEconomicsen
dc.subjectHealthen
dc.subjectHealth Careen
dc.subjectJusticeen
dc.subjectLifeen
dc.subjectMoral Policyen
dc.subjectPhysiciansen
dc.subjectPolicy Analysisen
dc.subjectPublic Opinionen
dc.subjectPublic Policyen
dc.subjectQuality Adjusted Life Yearsen
dc.subjectQuality of Lifeen
dc.subjectResource Allocationen
dc.subjectSelection for Treatmenten
dc.subjectSocial Discriminationen
dc.subjectStandardsen
dc.titleCost-Effectiveness Analysis: Is It Ethical?en
dc.provenanceDigital citation created by the National Reference Center for Bioethics Literature at Georgetown University for the BIOETHICSLINE database, part of the Kennedy Institute of Ethics' Bioethics Information Retrieval Project funded by the United States National Library of Medicine.en
dc.provenanceDigital citation migrated from OpenText LiveLink Discovery Server database named NBIO hosted by the Bioethics Research Library to the DSpace collection BioethicsLine hosted by Georgetown University.en


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