Over Investigation: An Ethical Debate.

Autor: Dsouza NA; Department of Pediatrics, St. John's Medical College, Bangalore, Karnataka, India., Girish HC; Saudi German Hospital, Dubai, United Arab Emirates., Kore M; Shree Hospital, Nipani, Karnataka, India., Amdekar YK; Ex-Jaslok Hospital, Mumbai, Maharashtra, India., Kinikar AA; Department of Pediatrics, BJ Government Medical College, Pune, Maharashtra, India. Correspondence to: Aarti Avinash Kinikar, Professor and Head, Department of Pediatrics, BJ Governement College, Pune, Maharashtra, India. aarti.kinikar63@gmail.com.
Jazyk: angličtina
Zdroj: Indian pediatrics [Indian Pediatr] 2024 Aug 15; Vol. 61 (8), pp. 787-790.
Abstrakt: Over investigations contribute to escalating health costs driven by multiple factors including physician decisions, patient requests, information overload, technological advances, marketing, hospital management policies, insurance requirements and defensive practices. The reconciliation between knowledge and clinical wisdom while dealing with uncertainties in medicine is the primary way forward through this ethical maze. A case scenario illustrates what pediatricians need to reflect upon while facing decisions on rational investigations to maximize beneficence while being aware of economics of healthcare delivery.
Databáze: MEDLINE