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Titolo:
THE MEANING OF URGENCY IN THE ALLOCATION OF SCARCE HEALTH-CARE RESOURCES - A COMPARISON BETWEEN RENAL-TRANSPLANTATION AND PSYCHOGERIATRIC NURSING-HOME CARE
Autore:
VAREKAMP I; MEILAND FJM; HOOS AM; WENDTE JF; DEHAES JCJM; KROL LJ;
Indirizzi:
UNIV AMSTERDAM,ACAD MED CTR,INST SOCIAL MED,MEIBERGDREEF 15 NL-1105 AZ AMSTERDAM NETHERLANDS UNIV AMSTERDAM,ACAD MED CTR,INST SOCIAL MED NL-1105 AZ AMSTERDAM NETHERLANDS URIJE UNIV,UNIV HOSP,RES CTR PRIMARY SECONDARY HLTH CARE AMSTERDAM NETHERLANDS UNIV AMSTERDAM,ACAD MED CTR,DEPT PSYCHOL MED NL-1105 AZ AMSTERDAM NETHERLANDS
Titolo Testata:
Health policy
fascicolo: 2, volume: 44, anno: 1998,
pagine: 135 - 148
SICI:
0168-8510(1998)44:2<135:TMOUIT>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Keywords:
SELECTION; WAITING LIST; URGENCY; PSYCHOGERIATRIC NURSING HOME CARE; RENAL TRANSPLANTATION; QUALITATIVE RESEARCH;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Science Citation Index Expanded
Citazioni:
19
Recensione:
Indirizzi per estratti:
Citazione:
I. Varekamp et al., "THE MEANING OF URGENCY IN THE ALLOCATION OF SCARCE HEALTH-CARE RESOURCES - A COMPARISON BETWEEN RENAL-TRANSPLANTATION AND PSYCHOGERIATRIC NURSING-HOME CARE", Health policy, 44(2), 1998, pp. 135-148

Abstract

In the juridical and ethical literature on patient selection criteriait is an unargued premise that those who are most urgently in need oftreatment or care will be given priority. The aim of this study is togain insight into the medical practice of waiting list problems and patient selection at the microlevel, especially with respect to urgency. Thus, the study intends to contribute to the medical ethical discussion on patient selection for scarce resources. The results of qualitative research into the meaning and occurrence of urgency in two health care services, renal transplantation and psychogeriatric nursing home care, are discussed. In the first sector, patients are seldom considered urgent. Criteria for urgency are technical dialysis problems or severe psychological burden due to protracted dialysis treatment. In contrast, psychogeriatric patients are often considered urgent, with the principal criterion being too heavy a care load for informal carers. Both health care services show variation in assigning urgency codes. It appears that the exact meaning of urgency is not self-evident and thatadmission of urgent patients to nursing homes can be negotiated by professionals or informal carers. This points to the necessity of a discussion within these services as to the actual content matter of urgency. Further. professionals involved in renal transplantation raise several moral and practical arguments against giving patients priority, even if they need treatment urgently. It shows that distributive justicecannot always be applied. Occasionally non-urgent patients are rated urgent as they have been waiting very long due to specific allocation procedures. In these cases urgency is granted in an unexpected way that is ultimately in accordance with the notion of procedural justice. (C) 1998 Elsevier Science Ireland Ltd. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/09/20 alle ore 21:54:39