Regular Hæmodialysis

Kerr, David

doi:10.1177/003591576706011p201

Cited by 3 publications

(2 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Age is perhaps the best documented of the socio-medical criteria said to affect treatment decisions (Kilner 1990, Hendee 1986, Meissner 1986, Uddo 1986), including priority for cardiac surgery (Naylor et al 1992). North American writers suggest that the age criterion has operated more openly in Britain, with rationing by selective referral and queuing, than in the majority of other developed countries (Haber 1986, Lasagna 1970, Calabresi and Bobbit 1978, Kerr 1967, Veatch 1985. UTH has no official policy excluding older patients, but a number of clinical staff interviewed suggested that they were the prime sufferers under resource constraints.…”

Section: Agementioning

confidence: 99%

‘But if you look at the coronary anatomy …’: risk and rationing in cardiac surgery

Hughes

Griffiths

1996

Sociology Health & Illness

View full text Add to dashboard Cite

Recently there has been wide public debate in Britain about the denial of cardiac surgery to smokers and other patients possessing negative risk factors. While some senior medical practitioners have insisted that such decisions are based on objective clinical grounds linked to prognosis and effective use of resources, other commentators argue that doctors are policing lifestyle and making judgements about deservingness. One way of shedding light on this controversy is to examine how medical practitioners themselves talk about cases when consequential decisions must be made. This paper presents tape-recorded data from cardiac catheterisation conferences in which cardiologists present cases to a cardiac surgeon, who must decide whether to accept them for surgery. For much of the time, decisions are linked to the technical feasibility of surgery and the details of coronary anatomy. However, in many conferences age, lifestyle, and wider social structural factors figure centrally in discussions and appear to influence outcomes. The analysis explores some of the tensions that occur as doctors move between 'technical' and 'social' discourse frames to make sense of patient histories. Far from remaining exclusively within a neutral medicotechnical discourse, doctors construct arguments and counterarguments that closely resemble the standpoints in the wider public debate on rationing and deservingness.

show abstract

Section: Agementioning

confidence: 99%

‘But if you look at the coronary anatomy …’: risk and rationing in cardiac surgery

Hughes

Griffiths

1996

Sociology Health & Illness

View full text Add to dashboard Cite

show abstract

“…3 Hopkins, C. C., Dismukes, W. E., Glick, T. H., and Warren, R. J., Journal of the American Medical Association, 1969, 210, 694. 4 Miller, D. L., and Galbraith, N. S., British Medical Journal, 1965, 2, 504. s Miller, D. L., Reid, D., and Diamond, J. R., Public Health (London), 1970, 84, 265.…”

mentioning

confidence: 99%