Health Care Rationing and Professional Autonomy: The Case of Cardiac Care in Ontario

Health Care Rationing and Professional Autonomy: The Case of Cardiac Care in Ontario

The purpose of this paper is to explore how rationing decisions are made by government and hospital policy makers and practitioners, at the micro, meso and macro levels of analysis, through examining the rationing of cardiac care in a Canadian hospital, and discussing how the interaction between policy makers and practitioners at each of these levels affects the process and outcomes. Data were ...

Professional errors and patient safety in intensive cardiac care unit:

Abstract Introduction: Use of progressive technology, clinical skills and caring methods appropriate to critical situations of patient in intensive Cardiac Care Unit is probably related to professional errors and disorder in patient safety. There is a little data about this subject. Objective: The aim of this study was to explore professional errors and patient safety in Cardiac Care Unit. Meth...

Limited autonomy and partnership: professional relationships in health care.

Principles of autonomy and self-determination have been upheld as vital to modern-day medical and ethical practice. However, the complexities of current health care and changes in the expectation of some patients and their families justify a review of such concepts. Their limitations and relativities may suggest that other descriptions of partnership and negotiated goal-setting, while based on ...

Rationing health care in Canada.

Canada has been able to develop a fairly successful system of healthcare rationing by balancing the conflicting concerns of equal access and cost efficiency, federal funding and provincial control, and public sector management and private sector provision. Financial constraints limit the kinds of services included within the notion of equal access, however, forcing healthcare providers to make ...

Deciding how to decide: The case of health care rationing