Lifestyle choices and medical technology: allocating organ transplants.

作者: R H Blank

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摘要: One of the most difficult sets issues health care policy-makers and administrators face in dealing with proliferation high-cost medical technologies centers on role that individual behavior plays health. As proportion morbidity mortality linked to lifestyle choice increases, pressures redefine responsible personal will heighten. This article argues any strategy allocate resources must take into account choices individuals put them at heightened risk for diseases or condi tions which necessitate costly intervention. approach requires a revived emphasis responsibility corresponding constraints conventional notions uninhibit ed choice. Eventually, access expensive technolo gies might be denied who fail reduce their high-risk behavior. The sensitive ethical policy problems raised by this issue are discussed here as they relate current expan sion government funding organ transplantation.

参考文章(19)
Abraham Galea, Alcoholism and related problems University of Malta Medical School. ,(1984)
John H Knowles, The responsibility of the individual. Daedalus. ,vol. 106, pp. 57- 80 ,(1977)
Linda M Shaw, Alcoholism and Health AORN Journal. ,vol. 33, pp. 698- 698 ,(1981) , 10.1016/S0001-2092(07)62992-5
Christopher J. Zook, Francis D. Moore, High-Cost Users of Medical Care New England Journal of Medicine. ,vol. 302, pp. 996- 1002 ,(1980) , 10.1056/NEJM198005013021804
Albert R. Jonsen, The artificial heart's threat to others. Hastings Center Report. ,vol. 16, pp. 9- 11 ,(1986) , 10.2307/3562463
G J Annas, The prostitute, the playboy, and the poet: rationing schemes for organ transplantation. American Journal of Public Health. ,vol. 75, pp. 187- 189 ,(1985) , 10.2105/AJPH.75.2.187
F. Ingelfinger, Medicine: meritorious or meretricious Science. ,vol. 200, pp. 942- 946 ,(1978) , 10.1126/SCIENCE.644336
Oscar Salvatierra, Optimal use of organs for transplantation. The New England Journal of Medicine. ,vol. 318, pp. 1329- 1331 ,(1988) , 10.1056/NEJM198805193182009