The Care of the Terminally Ill: Morality and Economics
- 15 December 1983
- journal article
- Published by Massachusetts Medical Society in New England Journal of Medicine
- Vol. 309 (24) , 1490-1494
- https://doi.org/10.1056/nejm198312153092405
Abstract
Are current expenditures on dying patients disproportionate, unreasonable, or unjust? Although a review of empirical data reveals that care for the terminally ill is very costly, it is not appropriate to conclude that such expenditures represent a morally troubling misallocation of societal resources. Moreover, though efforts to reduce the costs of caring for the dying are not unreasonable, they must be undertaken with great caution. At present, such efforts should concentrate on three basic goals: development of better criteria for admission to intensive- and critical-care units; promotion of patient and family autonomy with regard to decisions to stop or refuse certain kinds of treatment; and promotion of alternative forms of institutional care, such as hospice care.Keywords
This publication has 8 references indexed in Scilit:
- Prognosis, Survival, and the Expenditure of Hospital Resources for Patients in an Intensive-Care UnitNew England Journal of Medicine, 1981
- Home and Hospital Cost of Terminal IllnessMedical Care, 1980
- Frequency and Clinical Description of High-Cost Patients in 17 Acute-Care HospitalsNew England Journal of Medicine, 1979
- The Cost and Quality of DyingThe Nurse Practitioner, 1979
- Optimum Care for Hopelessly Ill PatientsNew England Journal of Medicine, 1976
- The therapeutic intervention scoring systemCritical Care Medicine, 1975
- Therapeutic intervention scoring systemCritical Care Medicine, 1974
- The inverse relationship between cost and survivalJournal of Surgical Research, 1973