Article Abstract:
J. Jarrett Clinton, head of the Agency for Health Care Policy and Research, says that hospitals play an important role in adoption of clinical guidelines and control of medical costs. Guidelines published by the agency include research on management of postoperative and trauma-related pain, urinary incontinence, and pressure ulcers. Among ongoing projects, the agency studies the treatment of cataracts and depression plus research on health insurance coverage in the United States. Budgetary limits prevent funding of many desirable research proposals.
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Article Abstract:
A panel of Dutch medical ethicists visited US hospitals and discussed issues of access to medical care and euthanasia. Dutch medicine places greater emphasis on continuing medical care than the US system. In addition, euthanasia is permitted under certain conditions. For example, it can must be carried out with the consent of both the patient and the family physician. In addition, the patient must be 'competent' and economic factors must never play a part in the decision. Additional discussion of Dutch euthanasia protocol is presented.
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Article Abstract:
The results of a survey addressing ethical issues in medical care, primarily those concerning medical resource allocation, are presented. The Wirthlin Group survey of 1,017 consumers and 200 healthcare professionals was commissioned in early 1992 by St Joseph's Hospital and Medical Center in Phoenix, AZ. The results of the survey highlight differences of opinion between care providers, medical administrators and the general public over how resources should be allocated.
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