[Resource allocation and justice in distribution of services in medical management of elderly patients].
This paper presents the most important arguments in medical allocation based on an analysis of the relevant literature. The main arguments of rationing scarce medical resources are scrutinized. Especially the use of age limit considerations are critically reviewed. The discussion takes place against a backdrop of aggravating pressure on old people as cost factors. As a basis for further discussion, the authors give a brief history of theories of justice in philosophy. Finally minimum requirements for a constructive and responsible discussion are stated.
Driesch
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Klinik und Poliklinik für Psychosomatik, und Psychotherapie, Universitätsklinikum Münster, Domagkstr. 22 48129 Münster, Germany.
Heuft
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D000368:Aged; D002908:Chronic Disease / Q000191:economics* / Q000534:rehabilitation; D003361:Cost Allocation / Q000639:trends; D005544:Forecasting; D005858:Germany; D015276:Health Care Rationing / Q000191:economics*; D006299:Health Services for the Aged / Q000191:economics*; D006801:Humans; D009313:National Health Programs / Q000191:economics*; D011157:Population Dynamics; D012935:Social Justice