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Fair Resource Allocation And Rationing At The Bedside

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Fair Resource Allocation and Rationing at the Bedside

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Fair Resource Allocation and Rationing at the Bedside by Reidun Forde Book Summary:

Health systems need to set priorities fairly. In one way or another, part of this important task will fall to physicians. How do they make judgments about resource stewardship, and how should they do so? How can they make such decisions in a manner that is compatible with their clinical duties to patients? In this book, philosophers, bioethicists, physicians, lawyers and health policy experts make the case that priority setting and rationing contribute significantly to the possibility of affordable and fair healthcare and that clinicians play an indispensable role in that process. The book depicts the results of a survey of European physicians about their experiences with rationing and other cost containment strategies, and their perception of scarcity and fairness in their health care systems. Responding to and complementing these findings, commentators discuss why resource allocation and bedside rationing is necessary and justifiable. The book explores how bedside rationing relates to clinical judgments about medical necessity and medical indications, marginal benefits, weak evidence based medicine, off-label use. The book highlights how comparative studies of health care systems can advance more effective and fair bedside rationing through learning from one another. From a practical standpoint, the book offers a number of strategies for health care systems and clinicians to work in tandem to allocate and ration resources as fairly as possible: how to foster more attention to fairness when rationing at the bedside, how to avoid exacerbating health disparities when allocating resources, how to teach about bedside rationing to students, how to discuss rationing more explicitly in the public arena and in the doctor's office.

Medical Law and Ethics

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Medical Law and Ethics by Jonathan Herring Book Summary:

Medical Law and Ethics covers the core legal principles, key cases, and statutes that govern medical law alongside the key ethical debates and dilemmas that exist in the field. Carefully constructed features highlight these debates, drawing out the European angles, religious beliefs, and feminist perspectives which influence legal regulations. Other features such as 'a shock to the system', 'public opinion' and 'reality check' introduce further socio-legal discussion and contribute to the lively and engaging manner in which the subject is approached. Online resources This book is accompanied by the following online resources: - Complete bibliography and list of further reading - Links to the key cases mentioned in the book - A video from the author which introduces the book and sets the scene for your studies - Links to key sites with information on medical law and ethics - Answer guidance to one question per chapter

Bioethics and Public Health Law

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Bioethics and Public Health Law by Mary Anne Bobinski,David Orentlicher,I. Glenn Cohen,Mark A. Hall Book Summary:

Financial and ethical issues are integrated into this concise and engaging treatment of Bioethics and Public Health Law. The complex relationship between patients, providers, the state, and public health institutions are explored through high-interest cases, informative notes, and compelling problems. The updated Fourth Edition includes recent cases and developments in biotechnology, including stem cell research and gene patents, and updates to HIPPA coverage, DNA research, and bio-banks. Discussions of confidentiality and informed consent include new legislative and judicial responses to posthumous reproduction and the challenges arising from international reproductive tourism.

Ethics at the Bedside

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Ethics at the Bedside by June Levine-Ariff Book Summary:

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Bioethics at the Bedside

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Bioethics at the Bedside by Canadian Medical Association Book Summary:

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Ethical Dimensions of Health Policy

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Ethical Dimensions of Health Policy by Marion Danis,Carolyn M. Clancy,Larry R. Churchill Book Summary:

This book takes the conversation between bioethics and health policy to a new level. Moving beyond principles and normative frameworks, bioethicists writing in the volume consider the actual policy problems faced by health care systems, while policy-makers reflect on the moral values inherent in both the process and content of health policy. The result is a vigorous dialogue with some of the nation's leading experts at the interface of ethics and health policy. the book provides a history of the values implicit in U.S. health policy, a discussion of the federal and state roles in policy making, an ethical examination of the social goals expressed through various policies, an analysis of the role of public opinion in the creation of health policy, and an exploration of the value of the private sector in health policy. In addition, the authors examine some of the major ethical controversies in health policy, such as the challenge of balancing ethical concerns with economic realities, the need to allocate scarce health resources, the call for heightened accountability, and the impact of various policies on vulnerable populations. The book concludes with an examination of the ethical issues in health services research, including the threats to privacy that arise in such research. To a greater extent than any previous volume, it establishes a strong connection between the disciplines of medical ethics and health policy.

Journal of the American Medical Association

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Journal of the American Medical Association by N.A Book Summary:

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Practical Ethics for Nurses and Nursing Students

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Practical Ethics for Nurses and Nursing Students by Kathryn Schroeter Book Summary:

Delivering comprehensive and ethical patient-cenetered care is the goal of every nurse--and every nursing student. Practical Ethics for Nurses and Nursing Students is a concise and easy-to-use reference manual to assist nurses in achieving this practice goal. Although the manual addresses a broad spectrum of clinical situations, the challenge of patient communication underlies ever chapter. While evaluative strategies and therapeutic interventions frequently change, communication--with patients, their loved ones, and other members of the healthcare team--is a timeless and personal art. The concepts described in Practical Ethics for Nurses and Nursing Students are as important to patient care as any diagnostic or management technique. When a nurse or nursing student masters the art of communication with patients and has learned to identify and resolve ethical problems, she or he has acquired enduring, career-enhancing skills. Most importantly, she or he will provide better care to patients.

Handbook of the Humanities and Aging

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Handbook of the Humanities and Aging by Thomas R. Cole,David R. Van Tassel,David Dirck Van Tassel,Robert Kastenbaum Book Summary:

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Gatekeeping in the Intensive Care Unit

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Gatekeeping in the Intensive Care Unit by Martin A. Stosberg,Daniel Teres Book Summary:

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When Others Must Choose

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When Others Must Choose by New York State Task Force on Life and the Law Book Summary:

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ICU Resource Allocation in the New Millennium

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ICU Resource Allocation in the New Millennium by David Crippen Book Summary:

Intensive care medicine is one of the fastest growing services provided by hospitals and perhaps one of the most expensive. Yet in response to the global financial crisis of the last few years, healthcare funding is slowing or decreasing throughout the world. How we manage health care resources in the intensive care unit (ICU) now and in a future that promises only greater cost constraints is the subject of this book, the third in an informal series of volumes providing a global perspective on difficult issues arising in the ICU. Taking 12 developed countries as their focus, leading experts provide a country-by-country analysis of current ICU resource allocation. A second group of experts use the chapters as a departure point to analyze current ICU resource allocation at the level of the global medical village. The process is repeated, but with an eye toward the future – first country by country, then at the global level – that takes into account initiatives and reforms now underway. A fictional healthcare plan, the “Fair & Equitable Healthcare Plan,” is put forth to address weaknesses in existing approaches, and healthcare experts and ethicists are invited to respond to its often provocative provisions. Itself structured as a dialogue, the book is an excellent way to start or to continue serious discussion about the allocation of ICU healthcare resources now and in the years ahead.

The Ethics of Managed Care: Professional Integrity and Patient Rights

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The Ethics of Managed Care: Professional Integrity and Patient Rights by W.B. Bondeson,J.W. Jones Book Summary:

This collection provides a philosophical and historical analysis of the development and current situation of managed care. It discusses the relationship between physician professionalism and patient rights to affordable, high quality care. Its special feature is its depth of analysis as the philosophical, social, and economic issues of managed care are developed. It will be of interest to educated readers in their role as patients and to all levels of medical and health care professionals.

Bioethics

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Bioethics by Peter A. Clark Book Summary:

The main strength of this book is that it examines the challenges facing the field of Bioethics today from medical, ethical and legal perspectives. A critical exchange of ideas from professionals in interdisciplinary fields allows everyone to learn and benefit from the insights gained through others' experiences. Examining, analyzing and understanding these complex medical-ethical-legal issues and cases and how they are resolved will serve as a paradigm for all professionals who will be confronted with these complex bioethical issues now and in the future. The more we face these challenges directly, examine them critically and debate them enthusiastically the more knowledge will be gained and hopefully, we will gain more practical wisdom.

Conservative Judaism

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Conservative Judaism by N.A Book Summary:

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Hospital Ethics

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Hospital Ethics by N.A Book Summary:

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Law and the Health System

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Law and the Health System by Lawrence O. Gostin Book Summary:

This casebook is a spin-off publication from Law, Science and Medicine, Third Edition and has extensive notes and comments and presents the life-changing attributes of contemporary medical and public health advances within an interdisciplinary context. Law and the Health System combines health law and public health into one volume and exposes students to a variety of disciplines that govern the interaction among law, science, and medicine.

The Pharos of Alpha Omega Alpha

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The Pharos of Alpha Omega Alpha by Alpha Omega Alpha Book Summary:

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Research Ethics Consultation

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Research Ethics Consultation by Marion Danis,Emily Largent,Christine Grady,Sara Chandros Hull,David Wendler Book Summary:

The National Institutes of Health Clinical Center's Bioethics Consultation Service draws on a decade of experience to share a collection of their most interesting and informative research ethics consultations. The result is insight into the ethical issues that arise in clinical research and the practice of research ethics consultation.

Just Caring

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Just Caring by Leonard M. Fleck Book Summary:

What does it mean to be a "just" and "caring" society when we have only limited resources to meet unlimited health care needs? Do we believe that all lives are of equal value? Is human life priceless? Should a "just" and "caring" society refuse to put limits on health care spending? In Just Caring, Leonard Fleck reflects on the central moral and political challenges of health reform today. He cites the millions of Americans who go without health insurance, thousands of whom die prematurely, unable to afford the health care needed to save their lives. Fleck considers these deaths as contrary to our deepest social values, and makes a case for the necessity of health care rationing decisions. The core argument of this book is that no one has a moral right to impose rationing decisions on others if they are unwilling to impose those same rationing decisions on themselves in the same medical circumstances. Fleck argues we can make health care rationing fair, in ways that are mutually respectful, if we engage in honest rational democratic deliberation. Such civic engagement is rare in our society, but the alternative is endless destructive social controversy that is neither just nor caring.

Ethics, Conflict and Medical Treatment for Children E-Book

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Ethics, Conflict and Medical Treatment for Children E-Book by Dominic Wilkinson,Julian Savulescu Book Summary:

What should happen when doctors and parents disagree about what would be best for a child? When should courts become involved? Should life support be stopped against parents’ wishes? The case of Charlie Gard, reached global attention in 2017. It led to widespread debate about the ethics of disagreements between doctors and parents, about the place of the law in such disputes, and about the variation in approach between different parts of the world. In this book, medical ethicists Dominic Wilkinson and Julian Savulescu critically examine the ethical questions at the heart of disputes about medical treatment for children. They use the Gard case as a springboard to a wider discussion about the rights of parents, the harms of treatment, and the vital issue of limited resources. They discuss other prominent UK and international cases of disagreement and conflict. From opposite sides of the debate Wilkinson and Savulescu provocatively outline the strongest arguments in favour of and against treatment. They analyse some of the distinctive and challenging features of treatment disputes in the 21st century and argue that disagreement about controversial ethical questions is both inevitable and desirable. They outline a series of lessons from the Gard case and propose a radical new ‘dissensus’ framework for future cases of disagreement. This new book critically examines the core ethical questions at the heart of disputes about medical treatment for children. The contents review prominent cases of disagreement from the UK and internationally and analyse some of the distinctive and challenging features around treatment disputes in the 21st century. The book proposes a radical new framework for future cases of disagreement around the care of gravely ill people.

Improving the Health of Older People

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Improving the Health of Older People by Robert L. Kane,J. Grimley Evans,Professor of Geriatric Medicine John Grimley-Evans,David Macfadyen,Associate Dean for Health Policy David Macfadyen Book Summary:

This book examines the worldwide growth of elderly populations and its consequences for future care, and the associated costs for this sector of the population. Living a longer life does not necessarily imply an improvement in the quality of life. Important issues concerning the overall quality of additional years gained through increase in life expectancy are addressed in this book. Progress in specific dimensions of wellbeing are described. Recent gains in knowledge are reviewed, together with advances in our understanding of falls, sensory disorders, mental health in old age, osteoporosis, incontinence, drug therapy and iatrogenic disorders. The book extends outside medical care to encompass the family, which is the key issue in developing countries, community care, nursing home and hospice care; health care services that are particularly appreciated by older people are described. It will provide readers with a knowledge base for developing policies and programs that will advance the wellbeing of the elderly people of the world.

South African Medical Journal

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South African Medical Journal by N.A Book Summary:

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Clinical Ethics Consultation

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Clinical Ethics Consultation by Dr Jan Schildmann,Prof Dr John-Stewart Gordon,Professor Jochen Vollmann Book Summary:

This volume brings together researchers from different European countries and disciplines who are involved in Clinical Ethics Consultation (CEC). The work provides an analysis of the theories and methods underlying CEC as well a discussion of practical issues regarding the implementation and evaluation of CEC. The first section deals with different possible approaches in CEC. The authors explore the question of how we should decide complex cases in clinical ethics, that is, which ethical theory, approach or method is most suitable in order to make an informed ethical decision. It also discusses whether clinical ethicists should be ethicists by education or rather well-trained facilitators with some ethical knowledge. The second chapter of this book focuses on practical aspects of the implementation of CEC structures. The analysis of experienced clinical ethicists refers to macro and micro levels in both developed and transitional countries. Research on the evaluation of CEC is at the centre of the final chapter of this volume. In this context conceptual as well as empirical challenges with respect to a sound approach to judgements about the quality of the work of CECs are described and suggestion for further research in this area are made. In summary this volumes brings together theorists and healthcare practitioners with expertise in CEC. In this respect the volume serves as good example for a multi- and interdisciplinary approach to clinical ethics which combines philosophical reasoning and empirical research.

The Canadian Journal of Cardiology

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The Canadian Journal of Cardiology by N.A Book Summary:

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METHODS IN MEDICAL ETHICS

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METHODS IN MEDICAL ETHICS by Tom Tomlinson Book Summary:

This book systematically reviews a variety of methods for addressing ethical problems in medicine, accounting for both their weaknesses and strengths. Illustrated throughout with specific cases or controversies, the book aims to develop an informed eclecticism that knows how to pick the right tool for the right job.

American Journal of Respiratory and Critical Care Medicine

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American Journal of Respiratory and Critical Care Medicine by N.A Book Summary:

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Oxford Cases in Medicine and Surgery

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Oxford Cases in Medicine and Surgery by Hugo Farne,Edward Norris-Cervetto,James Warbrick-Smith Book Summary:

Oxford Cases in Medicine and Surgery, second edition, teaches students a logical step-by-step diagnostic approach to common patient presentations. This approach mirrors that used by successful clinicians on the wards, challenging students with questions at each stage of a case (history-taking, examination, investigation, management). In tackling these questions, students understand how to critically analyse information and learn to integrate their existing knowledge to a real-life scenario from start to finish. Each chapter focuses on a common presenting symptom (e.g. chest pain). By starting with a symptom, mirroring real life settings, students learn to draw on their knowledge of different physiological systems - for example, cardiology, respiratory, gastroenterology - at the same time. All the major presenting symptoms in general medicine and surgery are covered, together with a broad range of pathologies. This book is an essential resource for all medicine students, and provides a modern, well-rounded introduction to life on the wards. Ideal for those starting out in clinical medicine and an ideal refresher for those revising for OSCEs and finals.

20 Common Problems Ethics in Primary Care

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20 Common Problems Ethics in Primary Care by Jeremy Sugarman Book Summary:

"Inside, you'll find chapters that help you resolve ethical issues related to compliance, alternative medicine, confidentiality, genetic testing, suspected abuse, treatment of minors, as well as other challenging areas."--BOOK JACKET.

Ethics Consultation

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Ethics Consultation by Mark P. Aulisio,Robert M. Arnold,Stuart J. Youngner Book Summary:

In the clinical setting, questions of medical ethics raise a host of perplexing problems, often complicated by conflicting perspectives and the need to make immediate decisions. In this volume, bioethicists and physicians provide a nuanced, in-depth approach to the difficult issues involved in bioethics consultation. Addressing the needs of researchers, clinicians, and other health professionals on the front lines of bioethics practice, the contributors focus primarily on practical concerns—whether ethics consultation is best done by individuals, teams, or committees; how an ethics consult service should be structured; the need for institutional support; and techniques and programs for educating and training staff—without neglecting more theoretical considerations, such as the importance of character or the viability of organizational ethics.

Compendium of Awards

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Compendium of Awards by Tobacco-Related Disease Research Program (University of California (System)) Book Summary:

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Crisis Standards of Care

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Crisis Standards of Care by Institute of Medicine,Board on Health Sciences Policy,Committee on Crisis Standards of Care: A Toolkit for Indicators and Triggers Book Summary:

Disasters and public health emergencies can stress health care systems to the breaking point and disrupt delivery of vital medical services. During such crises, hospitals and long-term care facilities may be without power; trained staff, ambulances, medical supplies and beds could be in short supply; and alternate care facilities may need to be used. Planning for these situations is necessary to provide the best possible health care during a crisis and, if needed, equitably allocate scarce resources. Crisis Standards of Care: A Toolkit for Indicators and Triggers examines indicators and triggers that guide the implementation of crisis standards of care and provides a discussion toolkit to help stakeholders establish indicators and triggers for their own communities. Together, indicators and triggers help guide operational decision making about providing care during public health and medical emergencies and disasters. Indicators and triggers represent the information and actions taken at specific thresholds that guide incident recognition, response, and recovery. This report discusses indicators and triggers for both a slow onset scenario, such as pandemic influenza, and a no-notice scenario, such as an earthquake. Crisis Standards of Care features discussion toolkits customized to help various stakeholders develop indicators and triggers for their own organizations, agencies, and jurisdictions. The toolkit contains scenarios, key questions, and examples of indicators, triggers, and tactics to help promote discussion. In addition to common elements designed to facilitate integrated planning, the toolkit contains chapters specifically customized for emergency management, public health, emergency medical services, hospital and acute care, and out-of-hospital care.

Tragic Choices

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Tragic Choices by Guido Calabresi,Philip Bobbitt Book Summary:

This book offers a general theoretical account of how societies cope with decisions which they regard as tragic.

Resolving Ethical Dilemmas

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Resolving Ethical Dilemmas by Bernard Lo Book Summary:

Designed for clinicians, this guide to approaching ethical decisions and developing action plans addresses such routine problems as informed consent and more difficult issues such as economic incentives to decrease medical care. It presents real-life case studies and expands on them to clarify the ethical issues and develop action plans. This edition includes new chapters on paediatrics, surgery, obstetrics and gynaecology, and organizational policies to decrease medical services.

Practical Teaching in Emergency Medicine

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Practical Teaching in Emergency Medicine by Robert L. Rogers,Amal Mattu,Michael E. Winters,Joseph P. Martinez,Terrence Mulligan Book Summary:

Emergency medicine attendings who wish to hone their teachingskills can find a number of books on educational strategies writtenby physicians from other disciplines. However, until thepublication of the first edition of this book, they did not haveaccess to a text written by emergency medicine physicians onmethods of teaching that are directly applicable to teaching EM.This book was compiled to meet that need. Following the introductory section, which provides importantbackground information, the book’s contents are organizedinto 4 sections that correspond to the core needs and interests ofEM educators: Section 2 focuses on practical and ethicalconsiderations of teaching in the ED; Section 3 provides strategiesfor teaching specific groups of learners; Section 4 looks at theskills that are characteristic of the best EM educators; andSection 5 looks indepthly at specific teaching techniques andstrategies. Now more than ever this book addresses the needs of physicianeducators from all over the world. New chapters discuss lecturingto an international audience; using simulation as a teaching tool;how to make journal club work for you, and other topics that are ofbroad interest to medical educators in this field. Ingeneral, each chapter has been updated and reviewed to make surethe content was something that emergency physician educators coulduse in any country . The chapter contributors are widely regarded as leaders in thefield of emergency medicine education and faculty development.Authors were given free rein to develop their chapters and write intheir own style. They were asked to present their personal views onhow to successfully teach the art of emergency medicine, ratherthan review evidence-based guidelines regarding medical education.As a result, most of the chapters have few references. Thisfirst-person approach to a multi-authored textbook yields acompilation that varies in style from chapter to chapter andexposes the reader to a variety of communication techniques.

Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations

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Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations by Institute of Medicine,Board on Health Sciences Policy,Committee on Guidance for Establishing Standards of Care for Use in Disaster Situations Book Summary:

The influenza pandemic caused by the 2009 H1N1 virus underscores the immediate and critical need to prepare for a public health emergency in which thousands, tens of thousands, or even hundreds of thousands of people suddenly seek and require medical care in communities across the United States. Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations draws from a broad spectrum of expertise--including state and local public health, emergency medicine and response, primary care, nursing, palliative care, ethics, the law, behavioral health, and risk communication--to offer guidance toward establishing standards of care that should apply to disaster situations, both naturally occurring and man-made, under conditions in which resources are scarce. This book explores two case studies that illustrate the application of the guidance and principles laid out in the report. One scenario focuses on a gradual-onset pandemic flu. The other scenario focuses on an earthquake and the particular issues that would arise during a no-notice event. Outlining current concepts and offering guidance, this book will prove an asset to state and local public health officials, health care facilities, and professionals in the development of systematic and comprehensive policies and protocols for standards of care in disasters when resources are scarce. In addition, the extensive operations section of the book provides guidance to clinicians, health care institutions, and state and local public health officials for how crisis standards of care should be implemented in a disaster situation.

Bibliography of Bioethics

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Bibliography of Bioethics by LeRoy Walters Book Summary:

Bibliography of works which discuss the ethical aspects of: physician patient relationship, health care, contraception, abortion, population, reproductive technologies, genetic intervention, mental health therapies, human experimentation, artificial and transplated organs are tissues, death and dying, and international dimensions of biology and medicine.