Reimbursement, Beneficence, and Advance Directives

Spielberg, Theodore E.

doi:10.1001/jama.1991.03470240046022

Cited by 1 publication

(1 citation statement)

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“…If it were true, it would logically behoove third-party payers to pay physicians to encourage their patients to execute advance medical directives. As it is, physicians complain that lack of payment for time spent counseling patients about these matters acts as a serious barrier impeding such conversations ( Spielberg, 1991 ).…”

Section: T Oo M Uch and T Oo Littlementioning

confidence: 99%

Economic Influences on End-of-Life Care: Empirical Evidence and Ethical Speculation

Kapp

2001

Death Studies

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Although very little actual evidence on the issue is available, much ethical speculation has been voiced about the probable impact of the current cost containment-oriented economic climate in the United States on decisions that are being made and implemented in the context of end-of-life medical care. This article, after noting that numerous factors besides money drive the behavior of various actors in the health care system, turns to the economic influences on care for dying patients. These influences, both real and imagined, may be manifested in the amount of de facto health care rationing by age that occurs, the prevalent fears of older persons regarding both overtreatment and undertreament, the financial expectations as well as disappointments emanating from the practice of advance medical planning, and the paucity of options from which many impoverished individuals must choose at the end of their lives. It is too early to judge specifically the impact of managed care on end-of-life decisions, but positive opportunities as well as perils may materialize.

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Section: T Oo M Uch and T Oo Littlementioning

confidence: 99%

Economic Influences on End-of-Life Care: Empirical Evidence and Ethical Speculation

Kapp

2001

Death Studies

View full text Add to dashboard Cite

show abstract

Reimbursement, Beneficence, and Advance Directives

Cited by 1 publication

References 2 publications

Economic Influences on End-of-Life Care: Empirical Evidence and Ethical Speculation

Economic Influences on End-of-Life Care: Empirical Evidence and Ethical Speculation

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