Ethical Challenges in Critical Care Medicine: A Chinese Perspective
Journal of Medicine and Philosophy. 1998 Dec; 23(6): 581-600.
The major ethical challenges for critical care medicine in China include the high cost of patient care in the ICU, the effect of payment mechanisms on access to critical care, the fact that much more money is spent on patients who die than on ones who live, the extent to which an attempt to rescue and save a patient is made, and the great geographical disparity in distribution of critical care. The ethical problems surrounding critical care medicine bear much relation to the culture, public policy and health care system in China. The essay concludes that China should allocate more resources to ordinary medical services rather than to critical care medicine.
Allowing to Die; Bioethics; Critically Ill; Culture; Decision Making; Economics; Family Members; Geographic Factors; Government; Government Financing; Health; Health Care; Hospitals; Intensive Care Units; Justice; Legal Aspects; Medical Devices; Medicine; Non-Western World; Patient Admission; Patient Care; Patients; Physicians; Public Policy; Resource Allocation; Values; Western World;
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