New treatments: Costs, benefits and decision-making procedures

dc.contributor.authorBenatar, S R
dc.contributor.authorFleischer, T E
dc.date.accessioned2016-01-05T07:23:56Z
dc.date.available2016-01-05T07:23:56Z
dc.date.issued2003
dc.date.updated2015-12-21T12:17:09Z
dc.description.abstractOne hallmark of modern medicine is the ever-rising cost of providing life-saving or life-extending treatments. Advances in medical care and the ability to improve the duration and quality of life, combined with the expectations of both doctors and patients that all new modalities of treatment developed will be implemented in everyday practice, are the major reasons for modern medicine’s becoming so expensive. In these circumstances resource allocation decisions need to be made and appropriate priority-setting processes developed. This challenge faces all societies but most agonisingly middle income countries like South Africa where the expectations of physicians and patients are geared to the best that can be achieved in any country — even the wealthiest. Expensive, new or established standard treatments that may benefit patients may be considered in at least two categories. The first is when each individual patient will be a direct beneficiary. This applies, for example, when a pacemaker or orthopaedic prosthesis is installed, when an organ such as a kidney, heart or liver is transplanted, or when chronic renal dialysis is initiated. While such treatments have some mortality and a measure of sub-optimal results, good outcomes are the ruleen_ZA
dc.identifier.apacitationBenatar, S. R., & Fleischer, T. E. (2003). New treatments: Costs, benefits and decision-making procedures. <i>South African Medical Journal</i>, http://hdl.handle.net/11427/16211en_ZA
dc.identifier.chicagocitationBenatar, S R, and T E Fleischer "New treatments: Costs, benefits and decision-making procedures." <i>South African Medical Journal</i> (2003) http://hdl.handle.net/11427/16211en_ZA
dc.identifier.citationBenatar, S. R., & Fleischer, T. E. (2003). New treatments: costs, benefits and decision-making procedures: editorial. South African Medical Journal, 93(6), p-433.en_ZA
dc.identifier.issn0256-9574en_ZA
dc.identifier.ris TY - Journal Article AU - Benatar, S R AU - Fleischer, T E AB - One hallmark of modern medicine is the ever-rising cost of providing life-saving or life-extending treatments. Advances in medical care and the ability to improve the duration and quality of life, combined with the expectations of both doctors and patients that all new modalities of treatment developed will be implemented in everyday practice, are the major reasons for modern medicine’s becoming so expensive. In these circumstances resource allocation decisions need to be made and appropriate priority-setting processes developed. This challenge faces all societies but most agonisingly middle income countries like South Africa where the expectations of physicians and patients are geared to the best that can be achieved in any country — even the wealthiest. Expensive, new or established standard treatments that may benefit patients may be considered in at least two categories. The first is when each individual patient will be a direct beneficiary. This applies, for example, when a pacemaker or orthopaedic prosthesis is installed, when an organ such as a kidney, heart or liver is transplanted, or when chronic renal dialysis is initiated. While such treatments have some mortality and a measure of sub-optimal results, good outcomes are the rule DA - 2003 DB - OpenUCT DP - University of Cape Town J1 - South African Medical Journal LK - https://open.uct.ac.za PB - University of Cape Town PY - 2003 SM - 0256-9574 T1 - New treatments: Costs, benefits and decision-making procedures TI - New treatments: Costs, benefits and decision-making procedures UR - http://hdl.handle.net/11427/16211 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/16211
dc.identifier.vancouvercitationBenatar SR, Fleischer TE. New treatments: Costs, benefits and decision-making procedures. South African Medical Journal. 2003; http://hdl.handle.net/11427/16211.en_ZA
dc.languageengen_ZA
dc.publisherHealth and Medical Publishing Groupen_ZA
dc.publisher.departmentCentre for Bioethicsen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsCreative Commons Attribution - Noncommercial 3.0 Unported Works License (CC BY-NC 3.0)*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/3.0/en_ZA
dc.sourceSouth African Medical Journalen_ZA
dc.source.urihttp://www.samj.org.za/
dc.titleNew treatments: Costs, benefits and decision-making proceduresen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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