Ethical issues in dialysis therapy
Treatment of end-stage kidney disease is a major economic challenge and public 26 health concern internationally. Decision-making related to renal replacement 27 therapy poses several practical and ethical dilemmas of global relevance for 28 patients, clinicians and policy makers. They include promo...
| Main Authors: | , , , , , , , , , |
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| Format: | Journal article |
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Elsevier
2017
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| _version_ | 1797051142055657472 |
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| author | Jha, V Martin, D Bargman, J Davies, S Feehally, J Finkelstein, F Harris, D Misra, M Remuzzi, G Levin, A |
| author_facet | Jha, V Martin, D Bargman, J Davies, S Feehally, J Finkelstein, F Harris, D Misra, M Remuzzi, G Levin, A |
| author_sort | Jha, V |
| collection | OXFORD |
| description | Treatment of end-stage kidney disease is a major economic challenge and public 26 health concern internationally. Decision-making related to renal replacement 27 therapy poses several practical and ethical dilemmas of global relevance for 28 patients, clinicians and policy makers. They include promoting patients’ best 29 interests, increasing access to dialysis while maintaining procedural and 30 distributive justice, minimizing the influence of financial incentives and conflicts 31 of interests, ensuring quality of care in service delivery and access to non-dialytic 32 supportive care when needed, minimizing the financial burden on patients and 33 healthcare system, and protecting the interests of vulnerable groups during 34 crisis situations. These issues have received comparatively little attention, and 35 limited ethical analysis and guidance is available to decision-makers. This paper 36 provides an overview of the major ethical issues currently related to dialysis 37 provision across the world, identifying priorities for further investigation and 38 management, and presents preliminary recommendations to guide current 39 practice and policy. |
| first_indexed | 2024-03-06T18:15:41Z |
| format | Journal article |
| id | oxford-uuid:048976c9-0ff2-4abb-9cad-bf1ab1545f1b |
| institution | University of Oxford |
| last_indexed | 2024-03-06T18:15:41Z |
| publishDate | 2017 |
| publisher | Elsevier |
| record_format | dspace |
| spelling | oxford-uuid:048976c9-0ff2-4abb-9cad-bf1ab1545f1b2022-03-26T08:52:21ZEthical issues in dialysis therapyJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:048976c9-0ff2-4abb-9cad-bf1ab1545f1bSymplectic Elements at OxfordElsevier2017Jha, VMartin, DBargman, JDavies, SFeehally, JFinkelstein, FHarris, DMisra, MRemuzzi, GLevin, ATreatment of end-stage kidney disease is a major economic challenge and public 26 health concern internationally. Decision-making related to renal replacement 27 therapy poses several practical and ethical dilemmas of global relevance for 28 patients, clinicians and policy makers. They include promoting patients’ best 29 interests, increasing access to dialysis while maintaining procedural and 30 distributive justice, minimizing the influence of financial incentives and conflicts 31 of interests, ensuring quality of care in service delivery and access to non-dialytic 32 supportive care when needed, minimizing the financial burden on patients and 33 healthcare system, and protecting the interests of vulnerable groups during 34 crisis situations. These issues have received comparatively little attention, and 35 limited ethical analysis and guidance is available to decision-makers. This paper 36 provides an overview of the major ethical issues currently related to dialysis 37 provision across the world, identifying priorities for further investigation and 38 management, and presents preliminary recommendations to guide current 39 practice and policy. |
| spellingShingle | Jha, V Martin, D Bargman, J Davies, S Feehally, J Finkelstein, F Harris, D Misra, M Remuzzi, G Levin, A Ethical issues in dialysis therapy |
| title | Ethical issues in dialysis therapy |
| title_full | Ethical issues in dialysis therapy |
| title_fullStr | Ethical issues in dialysis therapy |
| title_full_unstemmed | Ethical issues in dialysis therapy |
| title_short | Ethical issues in dialysis therapy |
| title_sort | ethical issues in dialysis therapy |
| work_keys_str_mv | AT jhav ethicalissuesindialysistherapy AT martind ethicalissuesindialysistherapy AT bargmanj ethicalissuesindialysistherapy AT daviess ethicalissuesindialysistherapy AT feehallyj ethicalissuesindialysistherapy AT finkelsteinf ethicalissuesindialysistherapy AT harrisd ethicalissuesindialysistherapy AT misram ethicalissuesindialysistherapy AT remuzzig ethicalissuesindialysistherapy AT levina ethicalissuesindialysistherapy |