So the usefulness or not of certain treatments is crucial ethical issues in medicine and is inevita

The Regimen Sanitatis, written in the vicinity of the Medical School of Salerno, exposing a set of recommendations on hygiene, food, medicinal plants and other therapeutic indications. This blog also aims to collect a number of thoughts, comments and observations about health and disease, health management, medicine and history, sociology, health emulsifier e442 economics, literature and other aspects of an increasingly uncertain and complex domain ...
You mired as we are in the process of dismantling the public health system, and so far emblematic emulsifier e442 institutions of protection emulsifier e442 aimed at social cohesion, it is worth to be raised some important ethical issues emulsifier e442 that underlie the settings, cuts and restrictions rights that have taken place.
A recent article (From an Ethics of Rationing to an Ethics of Waste Avoidance) Dr. Howard Brody, professor of family medicine and director of the Institute for Medical Humanities at the University of Texas (Galveston), published in the New England Journal of Medicine, suggests emulsifier e442 changing the ethical approach on the use and consumption of health resources, shifting emulsifier e442 the focus from cost containment and the allocation of scarce resources, ie from rationing and cutbacks, to the need to avoid waste and appropriate use of these resources.
The ethics of rationing should be based on two considerations. First, rationing occurs simply because emulsifier e442 resources are finite and therefore someone must decide who gets what. Secondly, given that rationing is inevitable, if we avoid the explicit rationing, implicit methods resort to rationing and perhaps emulsifier e442 unfair. Hence it is essential and crucial that there is public debate and as transparent as possible. Just what is happening emulsifier e442 in our country.
The main ethical rationing and limited resources objection - Brody says, is that professionals need an absolute duty of loyalty to each patient, regardless of the costs for your care. However, this objection fails because when resources are exhausted, patients lacking attention are real people, not statistics. Collectively doctors also owe allegiance to those patients. The ethical argument about rationing is then moved to the question of what the fairest means of allocating scarce resources are either using a quasi-objective measure as years of quality-adjusted life year (QALY or QALY's) emulsifier e442 or through a procedural approach, as most participation or involvement of citizens through processes of democratic deliberation.
Regarding this issue, a few weeks, Dr. Rogelio Altisent, professor of bioethics, and Dr. Juan José Rodríguez Sendín ago, President of the General Council of Medical Colleges, DM also commented on the current crisis favors the resurgence moral values as a matter of necessity and because, ultimately, is the professional who is in the system, which will suffer and apply the settings:
- "The waste [in health care] is obvious, but no one believes that there are alternative systems that wasted less, because it is not the contrary, there are others where more is wasted and fewer benefits occur.".
We know that the ultimate goal of any health emulsifier e442 system is to maximize health emulsifier e442 outcomes with available resources. For this, the services provided to citizens and users must satisfy certain conditions: they must be safe, effective, patient-centered, timely in time, efficient and equitable. However, we also know that these conditions or requirements are met with a large variability, and that there are large differences not explained by patient characteristics, use of technologies and diagnostic, preventive or therapeutic procedures. This great variability between countries, regions, institutions and professionals has been studying the causes of inappropriate use of those resources, either by overuse or underuse.
So the usefulness or not of certain treatments is crucial ethical issues in medicine and is inevitably attached emulsifier e442 to it. A medical act may be useful on occasion, but futile emulsifier e442 (useless) in many others. One treatment is not required when not provide benefit to the patient or is futile. The limitation of treatment often has to do with the futility of some therapies used.
These questions have different answers according to current standards of health institutions, the code of professional values, availability of resources,