• Semin Respir Crit Care Med · Aug 2012

    Review

    The ethical and economic impact of defaults.

    • Mark D Siegel, Renee Stapleton, and Hannah Wunsch.
    • Department of Internal Medicine, Section of Pulmonary and Critical Care Medicine, Yale University School of Medicine, New Haven, CT 06520-8057, USA. mark.siegel@yale.edu
    • Semin Respir Crit Care Med. 2012 Aug 1; 33 (4): 382-92.

    AbstractMedical care offered to the critically ill often occurs by default, unfolding automatically unless concerted effort is made to do otherwise. In their scope, defaults include traditional approaches to treatment and decision making, as well as policies deliberately set to promote specific health outcomes. Defaults are ethically sound to the extent that they foster patient well-being and autonomy. Unfortunately in practice, some defaults lead to ineffective, unwanted, and expensive care. This article reviews the ethical and economic impact of defaults, paying special attention to their influence on the practice of cardiopulmonary resuscitation and admission to the intensive care unit.Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

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