PittsburghV1, PascalFrancis, Curation, bibRecord, 000204

Critical Care Rationing: International Comparisons

Identifieur interne : 000204 ( PascalFrancis/Curation ); précédent : 000203; suivant : 000205

Critical Care Rationing: International Comparisons

Auteurs : Timothy W. Evans [Royaume-Uni] ; Stefano Nava [Italie] ; Guillermo Vazquez Mata [Espagne] ; Bertrand Guidet [France] ; Elisa Estenssoro [Argentine] ; Robert Fowler [Canada] ; Leslie P. Scheunemann [États-Unis] ; Douglas White [États-Unis] ; Constantine A. Manthous [États-Unis]

Source :

Chest : (American College of Chest Physicians) [ 0012-3692 ] ; 2011.

RBID : Pascal:12-0033678

Descripteurs français

Pascal (Inist)
- Soin, International, Etude comparative, Anesthésie, Appareil circulatoire, Cardiologie.

English descriptors

KwdEn :
- Anesthesia, Cardiology, Care, Circulatory system, Comparative study, International.

Abstract

Every country has finite resources that are expended to provide citizens with social "goods," including education, protection, infrastructure, and health care. Rationing-of any resource- refers to distribution of an allotted amount and may involve withholding some goods that would benefit some citizens. Health-care rationing is controversial because good health complements so many human endeavors. We explored (perceptions regarding) critical care rationing in seven industrialized countries. Academic physicians from England, Spain, Italy, France, Argentina, Canada, and the United States wrote essays that addressed specific questions including: (1) What historical, cultural, and medical institutional features inform my country's approach to rationing of health care? (2) What is known about formal rationing, especially in critical care, in my country ? (3) How does rationing occur in my ICU? Responses suggest that critical care is rationed, by varying mechanisms, in all seven countries. We speculate that while no single "best" method of rationing is likely to be acceptable or optimal for all countries, professional societies could serve international health by developing evidence-based guidelines for just and effective rationing of critical care.

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Pascal:12-0033678

Le document en format XML

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<author><name sortKey="Vazquez Mata, Guillermo" sort="Vazquez Mata, Guillermo" uniqKey="Vazquez Mata G" first="Guillermo" last="Vazquez Mata">Guillermo Vazquez Mata</name>
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<front><div type="abstract" xml:lang="en">Every country has finite resources that are expended to provide citizens with social "goods," including education, protection, infrastructure, and health care. Rationing-of any resource- refers to distribution of an allotted amount and may involve withholding some goods that would benefit some citizens. Health-care rationing is controversial because good health complements so many human endeavors. We explored (perceptions regarding) critical care rationing in seven industrialized countries. Academic physicians from England, Spain, Italy, France, Argentina, Canada, and the United States wrote essays that addressed specific questions including: (1) What historical, cultural, and medical institutional features inform my country's approach to rationing of health care? (2) What is known about formal rationing, especially in critical care, in my country ? (3) How does rationing occur in my ICU? Responses suggest that critical care is rationed, by varying mechanisms, in all seven countries. We speculate that while no single "best" method of rationing is likely to be acceptable or optimal for all countries, professional societies could serve international health by developing evidence-based guidelines for just and effective rationing of critical care.</div>
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</fC03>
<fC03 i1="02" i2="X" l="ENG"><s0>International</s0>
<s5>10</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA"><s0>Internacional</s0>
<s5>10</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE"><s0>Etude comparative</s0>
<s5>11</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG"><s0>Comparative study</s0>
<s5>11</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA"><s0>Estudio comparativo</s0>
<s5>11</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE"><s0>Anesthésie</s0>
<s5>12</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG"><s0>Anesthesia</s0>
<s5>12</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA"><s0>Anestesia</s0>
<s5>12</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Appareil circulatoire</s0>
<s5>13</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Circulatory system</s0>
<s5>13</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Aparato circulatorio</s0>
<s5>13</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE"><s0>Cardiologie</s0>
<s5>14</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>Cardiology</s0>
<s5>14</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Cardiología</s0>
<s5>14</s5>
</fC03>
<fN21><s1>016</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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Critical Care Rationing: International Comparisons

Critical Care Rationing: International Comparisons

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