The decision that a particular intervention is not clinically indicated may conceal two quite different ethical assumptions.
The first assumption is that the intervention is not of overall benefit to this patient.
The second is that limited ressources should not be used for this patient.
These issues are discussed with reference to cardiac surgery in elderly patienys with reference to the main theories of allocation: QALYs, needs theories, the sanctify of life theory, the lottery theory, and market forces.
Mots-clés Pascal : Appareil circulatoire pathologie, Cardiopathie, Vieillard, Homme, Chirurgie, Allocation ressource, Ethique
Mots-clés Pascal anglais : Cardiovascular disease, Heart disease, Elderly, Human, Surgery, Resource allocation, Ethics
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 93-0310646
Code Inist : 002B30A09. Création : 199406.