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DRGs and the Ethical Reallocation of Resources
Author(s) -
Veatch Robert M.
Publication year - 1986
Publication title -
hastings center report
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.515
H-Index - 63
eISSN - 1552-146X
pISSN - 0093-0334
DOI - 10.2307/3563275
Subject(s) - beneficence , autonomy , appeal , economic justice , respect for persons , reimbursement , paternalism , utilitarianism , health care , business , law and economics , psychology , medicine , public relations , law , political science , sociology
To allocate resources ethically under DRGs, we need an expanded medical ethics. Appealing to traditional patient‐centered principles such as individual beneficence and autonomy will not be sufficient. We also need to take into account the social principles of full beneficence and justice. If marginal benefits must be eliminated, clinicians should not participate in deciding who should get less care but should remain committed to their patients' interests.