title: [The efficacy dilemma].
abstract: Effectivity and efficiency of medical treatment have conflicting aims which result in a conflict of interests between a patient, interested in maximal effectively and the society, interested in maximal efficiency. The physician cannot solve this conflict because he is primarily obliged to the interests of the individual patient. If rationing is unavoidable in modern health care services, there must be an open discussion in order to reach a broad consensus within the society.
authors.affiliation: Klinik für Abdominal- und Transplantationschirurgie, Medizinische Hochschule Hannover.
authors.forename: R
authors.initials: R
authors.lastname: Raab
authors.forename: R
authors.initials: R
authors.lastname: Pichlmayr
mesh_terms: D000008:Abdominal Neoplasms / Q000191:economics / Q000401:mortality / Q000601:surgery; D016265:Conflict of Interest; D003362:Cost-Benefit Analysis; D004992:Ethics, Medical; D005858:Germany; D006801:Humans; D010043:Outcome and Process Assessment, Health Care; D010166:Palliative Care / Q000191:economics; D011788:Quality of Life; D016896:Treatment Outcome
vernacular_title: Das Effizienz-Dilemma.