Reference Clinical fairness- Improving bedside rationing

Difficulties in medical ethics are traditionally discussed in relation to problem arising in clinical care between individuals: disagreements between patients and health care providers as to the best course of action, confidentiality, end-of-life choices, how to make ethically justifiable decisions for patients who are incapable of decision-making, and the like. Difficulties related to fairness, to sharing what resources we have equitably in caring for the sick, pose a special challenge. They are situations where thinking in terms of individuals tends to be less helpful. To address these issues, we need to think in terms of groups. In terms of weighing conflicting claims in a way that can be justified as fair overall, as well as to the individuals involved. This thesis explores the practice of clinical rationing, and the ethical issues associated with it, with a particular focus on fairness. We conducted studies showing that doctors ration care and realize that they do so, that they attempt to include various concerns for fairness in their allocation decisions, and use various strategies for doing so. Some of these [...] HURST, Samia. Clinical fairness- Improving bedside rationing. Thèse de privat-docent