title: Ethical considerations in the de-adoption of ineffective or harmful aspects of healthcare.
abstract: De-adoption refers to the discontinuance of a medical practice or health service found to be ineffective or harmful following a previous period of adoption. As growing healthcare budgets threaten to cripple the societies that fund them, facilitating de-adoption may be integral to sustainable healthcare systems that provide high-quality care. This article explores ethical issues pertinent to de-adoption including the underpinnings of beneficence, non-maleficence, justice, and autonomy.
authors: Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada. Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada. O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada. daniel.niven@ahs.ca.
authors: Daniel J
authors: DJ
authors: Niven
authors: Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada. Research Priorities & Implementation, Alberta Health Services, Calgary, Alberta, Canada.
authors: Jeanna Parsons
authors: JP
authors: Leigh
authors: Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada. Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada. O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada. Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
authors: Henry T
authors: HT
authors: Stelfox
mesh_terms: D026686:Beneficence; D003695:Delivery of Health Care; D004991:Ethics, Institutional; D015276:Health Care Rationing / Q000941:ethics*; D006801:Humans; D011787:Quality of Health Care; D012935:Social Justice