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First Critique of the Fair and Equitable Health Care Act

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ICU Resource Allocation in the New Millennium

Abstract

Dr. Crippen has assembled this volume to explore how critical care medicine (CCM) professionals approach the care of patients when they or their proxies request marginal or no-benefit care consuming increasingly limited resources in the global critical care village. Most chapters in this volume attest to how CCM professionals operationalize the dilemma of supply versus demand imbalance in their national systems and cultures under variable numbers of ICU beds, technology infrastructure, professional manpower, and historical and cultural precedents in the context of worldwide bioethical pleuralism [1].

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References

  1. Engelhardt Jr HT. Critical care: why there is no global bioethics. Curr Opin Crit Care. 2005;11(6):605–9.

    Article  PubMed  Google Scholar 

  2. Kofke WA, Rie MA. Research ethics and law of healthcare system quality improvement: the conflict of cost containment and quality. Crit Care Med. 2003;31(3 Suppl):S143–52.

    Article  PubMed  Google Scholar 

  3. Rie MA, Kofke WA. Nontherapeutic quality improvement: the conflict of organizational ethics and societal rule of law. Crit Care Med. 2007;35(2 Suppl):S66–84.

    Article  PubMed  Google Scholar 

  4. Rie MA. The Oregonian ICU: multitiered monetarized morality in health insurance law. J Law Med Ethics. 1995;23(2):149–66.

    Article  PubMed  CAS  Google Scholar 

  5. Lohr KN, Yordy K, Harrison PF, et al. Health care systems: lessons from international comparisons. Health Aff. 1992;11(4):239–41.

    Article  CAS  Google Scholar 

  6. Prosser W. Handbook on the law of torts. St. Paul, MN: West Publishing Company; 1941.

    Google Scholar 

  7. Engelhardt Jr HT. Critical care: why there is no global bioethics. J Med Philos. 1998;23(6):643–51.

    Article  PubMed  Google Scholar 

  8. Fein IA, Wiener JM, Strosberg MA, Baker R. Rationing America’s medical care. The Oregon plan and beyond. Washington, DC: Brookings Institution Press; 1992.

    Google Scholar 

  9. Kitzhaber JA, Kemmy AM. Access to care, controlling costs, and the Oregon health plan. Acad Emerg Med. 1994;1(1):3–6.

    Article  PubMed  CAS  Google Scholar 

  10. Kitzhaber JA. The Oregon Health Plan: a process for reform. Ann Emerg Med. 1994;23(2):330–3.

    Article  PubMed  CAS  Google Scholar 

  11. Kitzhaber JA. Prioritising health services in an era of limits: the Oregon experience. BMJ. 1993;307(6900):373–7.

    Article  PubMed  CAS  Google Scholar 

  12. Kitzhaber JA. Oregon Act to allocate resources more efficiently, The proposal would guarantee healthcare access to all. Health Prog. 1990;71(9):20.

    PubMed  CAS  Google Scholar 

  13. “Institute_for_Healthcare_Improvement”. Pursuing the Triple Aim: CareOregon. http://www.careoregon.org/carenews/2008/Winter-2008-9/documents/CareOregon_Case_Study.pdf (2011). Accessed 6 July 2011.

  14. Engelhardt HT. The foundations of bioethics second edition. Oxford: Oxford University Press; 1995.

    Google Scholar 

  15. Engelhardt Jr HT, Rie MA. Intensive care units, scarce resources, and conflicting principles of justice. JAMA. 1986;255(9):1159–64.

    Article  PubMed  Google Scholar 

  16. JOINT_SPECIAL_COMMITTEE_ON_HEALTH_CARE_TRANSFORMATION. House Bill 3650. http://www.leg.state.or.us/11reg/measpdf/hb3600.dir/hb3650.intro.pdf (2011). Accessed 6 July 2011.

  17. Ioannidis JP, Ioannidis JPA. Why most published research findings are false. PLoS Med Public Library Sci. 2005;2(8):e124.

    Google Scholar 

  18. Cleemput I, Neyt M, Thiry N, et al. Using threshold values for cost per quality-adjusted life-year gained in healthcare decisions. Int J Technol Assess Health Care. 2011;27(1):71–6.

    Article  PubMed  Google Scholar 

  19. Zhao FL, Yue M, Yang H, et al. Willingness to pay per quality-adjusted life year: is one threshold enough for decision-making?: results from a study in patients with chronic prostatitis. Med Care. 2011;49(3):267–2.

    Article  PubMed  Google Scholar 

  20. Guyatt GH, Haynes RB, Jaeschke RZ, et al. Users’ guides to the medical literature: XXV. Evidence-based medicine: principles for applying the users’ guides to patient care. Evidence-based medicine working group. JAMA. 2000;284(10):1290–6.

    Article  PubMed  CAS  Google Scholar 

  21. Levine M, Walter S, Lee H, et al. Users’ guides to the medical literature. IV. How to use an article about harm. Evidence-based medicine working group. JAMA. 1994;271(20):1615–9.

    Article  PubMed  CAS  Google Scholar 

  22. Kofke WA. Incrementally applied multifaceted therapeutic bundles in neuroprotection clinical trials…time for change. Neurocrit Care. 2010;12(3):438–44.

    Article  PubMed  Google Scholar 

  23. Smith GC, Pell JP. Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomised controlled trials. BMJ. 2003;327(7429):1459–61.

    Article  PubMed  Google Scholar 

  24. Dyde SW. Philosophy of right. http://srzbiz.com/intellectualism/philosophy/hegel/Hegel,_G.W.F._-_Philosophy_Of_Right.pdf (2011). Accessed 18 July 2011.

  25. Thomson (1st Baron Kelvin) W. Some Favorite Quotes. http://nowandfutures.com/quotes.html (2011). Accessed 18 July 2011.

  26. US_SupremeCourt. United States v. Macintosh, 283 US 605; 1931.

    Google Scholar 

  27. Serumaga B, Ross-Degnan D, Avery AJ, et al. Effect of pay for performance on the management and outcomes of hypertension in the United Kingdom: interrupted time series study. BMJ. 2011;342:d108.

    Article  PubMed  Google Scholar 

  28. Nicholas LH, Dimick JB, Iwashyna TJ. Do hospitals alter patient care effort allocations under pay-for-performance? Health Serv Res. 2011;46(1 Pt 1):61–81.

    Article  PubMed  Google Scholar 

  29. Chen TT, Chung KP, Lin IC, et al. The unintended consequence of diabetes mellitus pay-for-performance (P4P) program in Taiwan: are patients with more comorbidities or more severe conditions likely to be excluded from the P4P program? Health Serv Res. 2011;46(1 Pt 1):47–60.

    Article  PubMed  Google Scholar 

  30. Augustine S, Lawrence RH, Raghavendra P, et al. Benefits and costs of pay for performance as perceived by residents: a qualitative study. Acad Med. 2010;85(12):1888–96.

    Article  PubMed  Google Scholar 

  31. Van Herck P, De Smedt D, Annemans L, et al. Systematic review: effects, design choices, and context of pay-for-performance in health care. BMC Health Serv Res. 2010;10:247.

    Article  PubMed  Google Scholar 

  32. Alshamsan R, Majeed A, Ashworth M, et al. Impact of pay for performance on inequalities in health care: systematic review. J Health Serv Res Pol. 2010;15(3):178–84.

    Article  Google Scholar 

  33. Kahn JM, Scales DC, Au DH, et al. An official American Thoracic Society policy statement: pay-for-performance in pulmonary, critical care, and sleep medicine. Am J Respir Crit Care Med. 2010;181(7):752–61.

    Article  PubMed  Google Scholar 

  34. Tanenbaum SJ. Pay for performance in Medicare: evidentiary irony and the politics of value. J Health Polit Policy Law. 2009;34(5):717–46.

    Article  PubMed  Google Scholar 

  35. Qaseem A, Snow V, Gosfield A, et al. Pay for performance through the lens of medical professionalism. Ann Intern Med. 2010;152(6):366–9.

    PubMed  Google Scholar 

  36. Gawande A. The cost conundrum: what a Texas town can teach US about Health Care. The New Yorker; 2009:36–44.

    Google Scholar 

  37. Fisher ES, Wennberg DE, Stukel TA, et al. The implications of regional variations in Medicare spending. Part 2: health outcomes and satisfaction with care [Summary for patients in Ann Intern Med. 2003 Feb 18;138(4):I49; PMID: 12585852]. Ann Intern Med. 2003;138(4):288–98.

    PubMed  Google Scholar 

  38. Fisher ES, Wennberg DE, Stukel TA, et al. The implications of regional variations in Medicare spending. Part 1: the content, quality, and accessibility of care [Summary for patients in Ann Intern Med. 2003 Feb 18;138(4):I36; PMID: 12585853]. Ann Intern Med. 2003;138(4):273–87.

    PubMed  Google Scholar 

  39. Kaestner R, Silber JH. Evidence on the efficacy of inpatient spending on medicare patients. Milbank Quart. 2010;88(4):560–94.

    Article  Google Scholar 

  40. Silber JH, Kaestner R, Even-Shoshan O, et al. Aggressive treatment style and surgical outcomes. Health Serv Res. 2010;45(6 Pt 2):1872–2.

    Article  PubMed  Google Scholar 

  41. Lemeshow S, Klar J, Teres D. Outcome prediction for individual intensive care patients: useful, misused, or abused? Intensive Care Med. 1995;21(9):770–6.

    Article  PubMed  CAS  Google Scholar 

  42. Keegan MT, Gajic O, Afessa B. Severity of illness scoring systems in the intensive care unit. Crit Care Med. 2011;39(1):163–9.

    Article  PubMed  Google Scholar 

  43. Chawda MN, Hildebrand F, Pape HC, et al. Predicting outcome after multiple trauma: which scoring system? Injury. 2004;35(4):347–58.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to W. Andrew Kofke M.D., M.B.A., F.C.C.M. .

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Rie, M.A., Kofke, W.A. (2013). First Critique of the Fair and Equitable Health Care Act. In: Crippen, D. (eds) ICU Resource Allocation in the New Millennium. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3866-3_32

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  • DOI: https://doi.org/10.1007/978-1-4614-3866-3_32

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