title: [Quo vadis, modern intensive care medicine? Outdated considerations regarding risks and side effects].
abstract: Modern intensive care medicine is faced with large challenges which are not solely caused by medical-technical progress, but above all by the demographic and value-related changes of society and its citizens. Thereby, three central problem areas are of particular interest: the fragile effectiveness of a patient's right to self-determination at the end of life, the uncertainties regarding the demarcation of futility, and the question of the influence of economic considerations (rationing) in view of the different levels for the allocation of duties and execution of duties. This article contains the revised version of the lecture from June 18, 2015 on the occasion of the 47th annual joint conference of DGIIN (Deutschen Gesellschaft für Internistische Intensivmedizin und Notfallmedizin) and ÖGIAIN (Österreichischen Gesellschaft für Internistische und Allgemeine Intensivmedizin und Notfallmedizin) on the general subject: "quality and humanity".
authors.affiliation: Zentrum für Medizinrecht/Abteilung für strafrechtliches Medizin- und Biorecht, Georg-August-Universität Göttingen, Platz der Göttinger Sieben 6, 37073, Göttingen, Deutschland. lduttge@gwdg.de.
authors.forename: G
authors.initials: G
authors.lastname: Duttge
mesh_terms: D016223:Advance Directives / Q000639:trends; D001317:Austria; D020811:Biomedical Technology / Q000639:trends; D003422:Critical Care / Q000639:trends*; D005544:Forecasting; D005858:Germany; D015276:Health Care Rationing / Q000639:trends; D006801:Humans; D018447:Medical Futility; D011787:Quality of Health Care / Q000639:trends; D012306:Risk; D012955:Societies, Medical
keywords: Advance directives; Healthcare rationing; Medical futility; Organisational management; Personal autonomy
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