Avtor/Urednik		Komadina, Dominik
Naslov		Etika odločanja v zdravstvu pri omejenih virih
Prevedeni naslov		Ethics of decision-making at limited resources of health services
Tip		članek
Vir		Zdrav Vars
Vol. in št.		Letnik 38, št. 11-12
Leto izdaje		1999
Obseg		str. 341-4
Jezik		slo
Abstrakt		All the countries in the world are aware of ever greater importance of health and ever increasing costs of disease. Therefore the problems of health and disease are treated not only from the point of view of humanity and ethics but also from the economic point of view. Considering the limited resources for health care and fight against disease on the side and ever more increasing health needs on the other, there is an emerging need for an optimal use of the existing sources and ethcal decision-making. In everyday practice of health care activities, a lot of decision are made individually. These are so called "small decisions" related to drug prescription, referrals to specialistic examinations or tp hospital, decing about sick-leave etc., which from the economic point of view present cca 50% of the health care costs in total. The majority of these decision are under discretion of physicians who decide about them freely, without administrative control and clear ethical guidelines. Certain questions connected with this do arise and chould be reconstructed.
Izvleček		Vse več držav na svetu se zaveda, da zdravje postaja vse pomembnejše in bolezen vse dražja. Zato zdravje in bolezen obravnavajo ne le s humanih in etičnih stališč, marveč tudi z ekonomskih vidikov. Glede na dejstvo, da so viri za varovanje zdravja in boj proti bolezni omejeni, zdravstvene potrebe pa postajajo vedno večje, se postavlja potreba za optimalno uporabo obstoječih virov in etično odločanje. V sistemu zdravstvene dejavnosti se v vsakdanji praksi veliko odločitev sprejema individualno. Pri tem gre za tisoče "dorbnih odločitev", ki se nanašajo na predpisovanje zdravil, napotitve na specialne preglede ali v bolnišnico, določanje bolniškega staleža ipd., ki v ekonomskem smislu predstavljajo okoli 50 odstotkov skupne zdravstvene porabe. Večina teh odločitev so diskrecijska pravica zdravnikov, ki odločajo svobodno brez administrativne kontrole in jasnih etičnih smernic. Pri tem se pojavljajo določena vprašanja, ki jih je treba preveriti.
Deskriptorji		HEALTH CARE COSTS HEALTH POLICY ETHICS, MEDICAL DECISION MAKING PRESCRIPTIONS, DRUG HEALTH EXPENDITURES SICK LEAVE