Social, Ethical, and Health Policy Issues in the Care of Children with Major Craniofacial Conditions

Chapter

Abstract

Craniofacial surgery and neonatal intensive care have made it possible for children with serious craniofacial conditions to live and often to experience effective habilitation. These therapeutic interventions also raise important social, policy, and ethical issues. This chapter reviews the dilemmas which relate to the gatekeeper role for physicians, the impact of prenatal diagnosis, and the allocation of scarce fiscal and health resources to craniofacial care. The high degree of cost, the intense investment of medical resources, and the uncertain outcomes in the care of children with major craniofacial conditions must be considered in the distribution of resources within a health system. The rationing of health resources may be a future determinant of how care for major craniofacial conditions is delivered.

Keywords

Prenatal Diagnosis Neonatal Intensive Care Unit Cleft Palate Fetal Alcohol Syndrome Make Treatment Decision 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgement

Vanessa White is acknowledged for her assistance in the preparation of this manuscript.

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Authors and Affiliations

  1. 1.Departments of Dental Ecology and of Social MedicineThe University of North Carolina at Chapel Hill, Schools of Dentistry and MedicineChapel HillUSA
  2. 2.The UNC Craniofacial CenterChapel HillUSA

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