tailieunhanh - Báo cáo y học: ": Separate spheres and indirect benefits"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Separate spheres and indirect benefits. | Cost Effectiveness and Resource Allocation Review Separate spheres and indirect benefits Dan W Brock BioMed Central Open Access Address Department of Clinical Bioethics Warren G. Maguson Clinical Centre National Institutes of Health Bethesda MD 20892-1156 USA Email Dan W Brock - Dbrock@ Corresponding author The views in this paper are the author s and do not represent the policies and positions of the National Institutes of Health the Public Health Service or the Department of Health and Human Services. Published 26 February 2003 Received 24 February 2003 Accepted 26 February 2003 Cost Effectiveness and Resource Allocation 2003 1 4 This article is available from http content 1 1 4 2003 Brock licensee BioMed Central Ltd. This is an Open Access article verbatim copying and redistribution of this article are permitted in all media for any purpose provided this notice is preserved along with the article s original URL. Abstract On any plausible account of the basis for health care resource prioritization the benefits and costs of different alternative resource uses are relevant considerations in the prioritization process. Consequentialists hold that the maximization of benefits with available resources is the only relevant consideration. Non-consequentialists do not reject the relevance of consequences of benefits and costs but insist that other considerations and in particular the distribution of benefits and costs are morally important as well. Whatever one s particular account of morally justified standards for the prioritization of different health interventions we must be able to measure those interventions benefits and costs. There are many theoretical and practical difficulties in that measurement such as how to weigh extending life against improving health and quality of life as well as how different quality of life improvements should be valued but they are not my concern here. This paper addresses two related issues