Appropriateness in Patient Care: A New Conceptual Framework
Sharpe, Virginia A.
Faden, Alan I.
Milbank Quarterly. 1996 Mar; 74(1): 115-138.
In this article, we look at some of the challenges that accompany the conceptual and practical stress on the "appropriateness" of care. Although these challenges may extend over the range of health services, we have (following the historical attention to unnecessary surgery) limited our discussion to decision-making for surgical interventions. In particular we focus on the evaluative nature of the concept of appropriateness and propose a framework for distinguishing between three sources of value that give meaning to this concept in patient care. The first is the
Biomedical Technologies; Consensus; Costs and Benefits; Consent; Decision Making; Evaluation; Evaluation Studies; Futility; Goals; Health; Health Care; Health Services; Health Services Misuse; Health Services Research; Informed Consent; Life; Nature; Patient Care; Patients; Physicians; Quality of Life; Random Selection; Research; Risks and Benefits; Surgery; Technology; Terminology; Treatment Outcome; Treatment Refusal; Values; Withholding Treatment;
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