منابع مشابه
On the resuscitation of clinical freedom
BACKGROUND This paper is a response to the suggestion by Sacristán et al that clinicians can increase their clinical freedom by undertaking individualised economic analyses that demonstrate that interventions, which at a population level do not reach conventional thresholds of cost-effectiveness, do so in particular patients. DISCUSSION In this reply, I question the presumption that "clinical...
متن کاملHealth economics: the end of clinical freedom?
A British professor of economics enters the debate within the medical profession over whether it is the doctor's duty to take costs into account when deciding what course of action to recommend for a patient. He surveys differing views on the subject, and concludes with an analysis of Raymond Hoffenberg's thesis in his book Clinical Freedom (London: Nuffield Provincial Hospitals Trust; 1987), a...
متن کاملHealth economics: the start of clinical freedom
BACKGROUND Since Professor Hampton announced the death of clinical freedom in 1983, the increasing influence of Evidence-based Medicine and Health Technology Assessment has contributed to augment the feeling that clinicians have a secondary role in the therapeutic decision-making process. DISCUSSION This article constitutes a reflection on how clinicians may use the results of economic evalua...
متن کاملPreserving intellectual freedom in clinical medicine.
medical practice; rather in significant part it is engaged in special interest advocacy, pursuing and preserving social power. The concept of excellence is a component of the ideological justification of that role’ [ 3 , p. 11]. Holman identified a decline in intellectual freedom as a major source of the ‘excellence deception’, which perpetuates prevailing practices, deflects criticism and insu...
متن کاملCommentary: the need for clinical freedom.
better investigated than almost any treatment for any cardiovascular problem this treatment has not yet become part of routine clinical practice – because many doctors prefer to move on to the new and unproved, which they hope will have dramatic effects, rather than to assimilate the relatively small benefits that are available from tested treatments. The end of clinical freedom means that clin...
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ژورنال
عنوان ژورنال: Journal of Medical Ethics
سال: 1982
ISSN: 0306-6800
DOI: 10.1136/jme.8.3.150