title: The elderly and high technology medicine: a case for individualized, autonomous allocation.
abstract: The issues involved in decision making about the aggressiveness of future medical care for older persons are explored. They are related to population trends, the heterogeneity of older persons and a variety of factors involved in individual preferences. Case studies are presented to illustrate these points, as well as a review of pertinent literature. The argument is offered that, considering these many factors, a system of flexible, individualized care by informed patient preference, is more rational than the rationing of technological services by age.
authors.affiliation: Geriatric Medicine Unit, Monroe Community Hospital, Rochester, NY 14620.
authors.forename: P D
authors.initials: PD
authors.lastname: Mott
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004992:Ethics, Medical; D005260:Female; D006299:Health Services for the Aged; D006801:Humans; D008297:Male; D010358:Patient Participation; D018579:Patient Selection; D011788:Quality of Life; D040841:Resource Allocation; D012945:Social Values; D013672:Technology; D028761:Withholding Treatment