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Recommendations for Conduct, Methodological Practices, and Reporting of Cost-effectiveness Analyses: Second Panel on Cost-Effectiveness in Health and Medicine.
IMPORTANCE Since publication of the report by the Panel on Cost-Effectiveness in Health and Medicine in 1996, researchers have advanced the methods of cost-effectiveness analysis, and policy makersExpand
Palliative options of last resort: a comparison of voluntarily stopping eating and drinking, terminal sedation, physician-assisted suicide, and voluntary active euthanasia.
Palliative care is generally agreed to be the standard of care for the dying, but there remain some patients for whom intolerable suffering persists. In the face of ethical and legal controversyExpand
The rule of double effect--a critique of its role in end-of-life decision making.
According to the ethical principle known as the “rule of double effect,” effects that would be morally wrong if caused intentionally are permissible if foreseen but unintended. This principle isExpand
Rationing in the intensive care unit*
Background:Critical care services represent a large and growing proportion of health care expenditures. Limiting the magnitude of these costs while maintaining a just allocation of these servicesExpand
Broad Consent for Research With Biological Samples: Workshop Conclusions
Different types of consent are used to obtain human biospecimens for future research. This variation has resulted in confusion regarding what research is permitted, inadvertent constraints on futureExpand
Guidance on priority setting in health care (GPS-Health): the inclusion of equity criteria not captured by cost-effectiveness analysis
This Guidance for Priority Setting in Health Care (GPS-Health), initiated by the World Health Organization, offers a comprehensive map of equity criteria that are relevant to health care priorityExpand
From Chance to Choice: Genetics and Justice
1. Introduction 2. Eugenics and its shadow 3. Genes, justice, and human nature 4. Positive and negative genetic interventions 5. Reproductive freedom and the prevention of harm 6. Why not the best?Expand
Last-Resort Options for Palliative Sedation
Despite substantial advances in the delivery of palliative care and hospice (1, 2), some dying patients still experience severe suffering that is refractory to state-of-the-art palliative care (3,Expand
When competent patients make irrational choices.
In recent years, physicians and patients have tended to move toward shared decision making. Although it sounds reasonable on the surface that patients and physicians should collaborate in makingExpand