Drug Shortages: 10 Ethics Rules for Hospitals
When precious medications run low, how should clinicians decide who should get the benefit?
That's the thorny question clinicians at Duke University Medical Center are attempting to answer with an ethically defensible drug rationing plan which aims to help healthcare providers make fair and equitable choices.
"This plan obeys a simple, straightforward set of rules for fairness and allocation that was vetted by a large number of people—physicians, nurses, social workers, ethicists as well as community members and patient representatives," says Philip Rosoff, MD, Duke's director of clinical ethics and the principal investigator of the Duke project.
In an attempt to avoid providers making decisions that favor VIPs such as "a donor, the brother-in-law of the chief medical officer or the mayor," versus the VUP, the person with no insurance, Rosoff says, the policy stipulates explicitly that "there are no special people. Does that mean we wouldn't come under pressure? We could. But it's written into the policy of the hospital, so the downside is that violating that could mean one helluva lawsuit."
- How Top-Ranked MA Plans Earn Their Stars
- Readmissions: No Quick Fix to Costly Hospital Challenge
- How Hospitals Can Become 'Upstreamists'
- 4 Ways to Lower the Cost to Collect from Self-Pay Patients
- WellPoint Dominates Nearly Half of Markets, AMA Says
- CMS Offers Some ACOs $114M for 'Upfront' Costs
- 4 Tips for Managing Employed Physicians
- House Calls Key to Pioneer ACO Success
- Ebola: Second TX Nurse Diagnosed After Improper Protective Gear Application
- How Telehealth Pays Off for Providers, Patients