Article ; Online: Ethical Issues in Medical Rehabilitation: The Dilemma of Who to Admit.
American journal of physical medicine & rehabilitation
2022 Volume 101, Issue 12, Page(s) 1168–1174
Abstract: Abstract: Ethical allocation of scare medical resources is a ubiquitous challenge in many, if not all, medical specialties. The field of physical medicine and rehabilitation is no exception and presents its own unique dilemmas. We report on a small ... ...
| Abstract | Abstract: Ethical allocation of scare medical resources is a ubiquitous challenge in many, if not all, medical specialties. The field of physical medicine and rehabilitation is no exception and presents its own unique dilemmas. We report on a small inpatient rehabilitation unit at a large university medical center with a large catchment area representing a vast range of socioeconomic classes. The decision of whom to admit is a constant challenge. We review the existing literature regarding ethical considerations in rehabilitation department admission criteria and attempt to analyze criteria used to admit patients to a general physical medicine and rehabilitation ward. Finally, we discuss our medical center approach to the ethical dilemma of admission priority. A systemic search was conducted in six sources (PubMed, Google Scholar, ScienceDirect, Cochrane Library, LILACS, Embase). Searches were limited to English language articles with no date restriction, reflecting all available data. A reviewer applied the inclusion criteria to identify relevant articles.This review highlights a number of important ethical issues in evaluation and selection criteria that may assist clinicians in improving selection procedures and standardizing access to inpatient rehabilitation. Further high-quality empirical studies and reviews of ethical admission practice with regard to rehabilitation acceptance are required. |
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| MeSH term(s) | Humans ; Hospitalization ; Inpatients ; Physical and Rehabilitation Medicine ; Patient Selection | |||||
| Language | English | |||||
| Publishing date | 2022-01-21 | |||||
| Publishing country | United States | |||||
| Document type | Review ; Journal Article | |||||
| ZDB-ID | 219390-5 | |||||
| ISSN | 1537-7385 ; 0002-9491 ; 0894-9115 | |||||
| ISSN (online) | 1537-7385 | |||||
| ISSN | 0002-9491 ; 0894-9115 | |||||
| DOI | 10.1097/PHM.0000000000001971 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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