The Ethics of Rationing of Critical Care Services: Should Technology Assessment Play a Role?

The costs of health care continue to increase rapidly and steeply in the United States. One area of great expense is that of intensive care units (ICUs). The causes of inflation have not been addressed effectively. ICU resources could become stretched such that they may no longer be available. This...

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Main Author: Eric L. Bloomfield
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:Anesthesiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2009/915197
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author Eric L. Bloomfield
author_facet Eric L. Bloomfield
author_sort Eric L. Bloomfield
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description The costs of health care continue to increase rapidly and steeply in the United States. One area of great expense is that of intensive care units (ICUs). The causes of inflation have not been addressed effectively. ICU resources could become stretched such that they may no longer be available. This paper discusses some of the ethics and concerns behind decision making when providing ICU services in the United States. In particular, the use of electronic records with decision making tools, risk-analysis methods, and documentation of patient wishes for extraordinary care may help with better utilization of resources in the future.
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spelling doaj-art-8e5575edde7b4662b89377bff8efd7852025-02-03T06:06:15ZengWileyAnesthesiology Research and Practice1687-69621687-69702009-01-01200910.1155/2009/915197915197The Ethics of Rationing of Critical Care Services: Should Technology Assessment Play a Role?Eric L. Bloomfield0Department of Anesthesiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USAThe costs of health care continue to increase rapidly and steeply in the United States. One area of great expense is that of intensive care units (ICUs). The causes of inflation have not been addressed effectively. ICU resources could become stretched such that they may no longer be available. This paper discusses some of the ethics and concerns behind decision making when providing ICU services in the United States. In particular, the use of electronic records with decision making tools, risk-analysis methods, and documentation of patient wishes for extraordinary care may help with better utilization of resources in the future.http://dx.doi.org/10.1155/2009/915197
spellingShingle Eric L. Bloomfield
The Ethics of Rationing of Critical Care Services: Should Technology Assessment Play a Role?
Anesthesiology Research and Practice
title The Ethics of Rationing of Critical Care Services: Should Technology Assessment Play a Role?
title_full The Ethics of Rationing of Critical Care Services: Should Technology Assessment Play a Role?
title_fullStr The Ethics of Rationing of Critical Care Services: Should Technology Assessment Play a Role?
title_full_unstemmed The Ethics of Rationing of Critical Care Services: Should Technology Assessment Play a Role?
title_short The Ethics of Rationing of Critical Care Services: Should Technology Assessment Play a Role?
title_sort ethics of rationing of critical care services should technology assessment play a role
url http://dx.doi.org/10.1155/2009/915197
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