作者: Norman G. Levinsky
DOI: 10.1056/NEJM199803263381313
关键词: Health care 、 Community hospital 、 Orthopedic surgery 、 Payment 、 Medicine 、 Surgery 、 Medical emergency 、 Truth Disclosure 、 Health care rationing 、 Chief executive officer 、 Withholding Treatment 、 General Medicine
摘要: Several years ago, I served as a panelist at conference on health care ethics university-affiliated community hospital. The chief of orthopedic surgery asked my opinion proposal made to him by the hospital's executive officer (CEO). CEO explained that hospital was losing money hip-replacement surgery, because payment received from Medicare, which paid for nearly all hip replacements, less than cost. A major component cost price prosthesis. requested surgeons use much expensive prosthesis . . .