Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 1.057
Filtrar
2.
Rev. bioét. derecho ; (47): 93-107, nov. 2019.
Artigo em Espanhol | IBECS | ID: ibc-184868

RESUMO

Este artículo tiene como propósito reflexionar sobre la situación de estigma y discriminación que afecta a personas con VIH/SIDA. Esto constituye una vulneración a los derechos fundamentales de estas personas y una barrera en el avance hacia la eliminación de la enfermedad. Ya que estudios realizados en diferentes países dan cuenta que las personas en esta condición se sienten discriminadas por la sociedad, y por los profesionales de la salud. Este es uno de los aspectos que ha dificultado el acceso al tratamiento, su adhesión, y educación para el cambio de conducta en los grupos de riesgo


Aquest article té com a propòsit reflexionar sobre la situació d'estigma i discriminació que afecta a persones amb VIH/SIDA. Això constitueix una vulneració dels drets fonamentals d'aquestes persones i una barrera en l'avanç cap a l'eliminació de la malaltia. Estudis realitzats en diferents països exposen que les persones en aquesta condició se senten discriminades per la societat i pels professionals de la salut. Aquest és un dels aspectes que ha dificultat l'accés al tractament, l'adhesió al mateix, i educació per al canvi de conducta en el grups de risc


This article aims to reflect on the situation of stigma and discrimination affecting people with HIV/AIDS. This constitutes a violation of the fundamental rights of these people and a barrier to progress towards the elimination of the disease. Studies carried out in different countries show that people in this condition feel discriminated against by society and by health professionals. This is one of the aspects that has hindered access to treatment, adherence, and behaviour change education in at-risk groups


Assuntos
Humanos , Ageismo/ética , Sexismo , Discriminação Social , Estigma Social , Grupos de Risco , Relações Profissional-Paciente/ética , Acesso aos Serviços de Saúde/legislação & jurisprudência , Pessoal de Saúde/ética , Síndrome de Imunodeficiência Adquirida/epidemiologia , Soroprevalência de HIV , Acesso aos Serviços de Saúde/ética , Direitos Humanos
4.
Perspect Biol Med ; 62(3): 489-502, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31495793

RESUMO

While mainstream, establishment medical journals have published opinion pieces condemning conscientious refusals in medical care, American law has consistently and repeatedly supported a right to such refusals. Law has not relied on a particular philosophical basis for health care. Indeed, legal precedents reject any monolithic model, whether based on consumerism or on professional obligations. Law focuses on the coexistence of diverse understandings, motivations, and delivery models. Scholarly approaches tend to ignore the fact that, fundamentally, conscientious objection involves a minority telling the majority that the objector(s) cannot ethically participate according to the majority's preferred model or set of rules. Religious liberty is protected in the US by applying strict scrutiny. Any governmental burden on religious liberty must further a compelling governmental interest and be implemented using the least restrictive means reasonably available. After years of scholarly controversy, strict scrutiny continues to be the law. The moral basis for the legal right of conscientious objection has been affirmed and expanded by Hobby Lobby in 2014, outlined in an Attorney General Memorandum in 2017, and codified in a Final Conscience Rule by the Department of Health and Human Services in May 2019.


Assuntos
Recusa Consciente em Tratar-se/ética , Liberdade , Relações Médico-Paciente/ética , Aborto Induzido , Recusa Consciente em Tratar-se/legislação & jurisprudência , Acesso aos Serviços de Saúde/ética , Acesso aos Serviços de Saúde/legislação & jurisprudência , Humanos , Obrigações Morais , Estados Unidos
5.
Acta Med Port ; 32(6): 415-418, 2019 Jun 28.
Artigo em Português | MEDLINE | ID: mdl-31292020

RESUMO

In the Portuguese National Health Service, little attention has been paid to oral health care. The almost nonexistence of a dentistry network raises concern about accessibility to services, and justifies the need to call on a predominantly private provision of services. The coexistence between the public and private settings is not always easy, especially when services need to interact and actively collaborate in order to find answers to the patient's problems. Dental implant procedures and the need to perform a previous maxillofacial computerized tomography to study the bone bed where osseointegrated dental implants are placed are a common situation. The current governmental regulation, blinded to the clinical context, may limit the accessibility to the tests. Based on this scenario, we discuss the possible options from an ethical point of view, framing the patient's and the physician's perspective and the relation between both. We conclude that the medical decision can't be disregarded from the clinical evaluation, in the intimacy of the medical consultation. This is an ethical duty that overrules the administrative and bureaucratic constraints. A good management of this apparent dichotomy may enhance better health and greater empowerment for the patient.


Assuntos
Tomada de Decisão Clínica/ética , Implantação Dentária Endo-Óssea Endodôntica/ética , Acesso aos Serviços de Saúde/ética , Cuidados Pré-Operatórios/ética , Tomografia Computadorizada por Raios X/ética , Medicina de Família e Comunidade/ética , Acesso aos Serviços de Saúde/legislação & jurisprudência , Humanos , Papel do Médico , Portugal , Prescrições , Radiografia Dentária Digital/ética , Direito à Saúde/legislação & jurisprudência , Medicina Estatal
6.
Rev Epidemiol Sante Publique ; 67(4): 247-252, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31235191

RESUMO

BACKGROUND: In France, complex cases of occupational disease (OD) are submitted to regional committees who are in charge of accepting, or rejecting, the claim. Their mean annual acceptance rate varies from one region to another, which may reflect differences in the cases, or discrepancies between committees. The objective of this study was to assess the comparability of the decisions of the committees on the basis of standardized cases. METHODS: Three experienced occupational physicians specialized in OD were asked to develop 28 clinical cases representative of claims for compensation usually seen in these committees. The cases, in the form of short vignettes, were submitted to the 18 French regional committees, asking if they would recognise each case as an OD. RESULTS: All committees participated. The acceptance rate (recognition of the case as an OD) varied, ranging from 18% to 70%. All the committees took the same decision for only 7 out of the 28 cases, but half accepted and half refused for 3 cases. For 10 cases, one quarter of the committees gave a decision different than the other 75%. The highest discordance rates were observed for the cases concerning musculoskeletal disorders and asbestos related diseases. CONCLUSION: The committees take very different decisions in terms of recognition of OD, especially for the most frequently compensated OD in France, i.e. musculoskeletal disorders and asbestos related diseases. This is a major source of injustice for the employees who seek compensation and there is a need to develop methods to harmonize decisions between committees.


Assuntos
Disparidades em Assistência à Saúde , Doenças Profissionais/diagnóstico , Doenças Profissionais/epidemiologia , Idoso , Ética Médica , Feminino , França/epidemiologia , Geografia , Acesso aos Serviços de Saúde/economia , Acesso aos Serviços de Saúde/ética , Acesso aos Serviços de Saúde/normas , Disparidades em Assistência à Saúde/economia , Disparidades em Assistência à Saúde/ética , Disparidades em Assistência à Saúde/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/economia , Doenças Profissionais/terapia , Serviços de Saúde do Trabalhador/economia , Serviços de Saúde do Trabalhador/ética , Serviços de Saúde do Trabalhador/organização & administração , Serviços de Saúde do Trabalhador/normas , Fatores Socioeconômicos , Indenização aos Trabalhadores
7.
Kennedy Inst Ethics J ; 29(1): 1-31, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31080175

RESUMO

Physicians' advocacy obligations are best understood as going beyond advocacy on behalf of individual patients, which I call the "individualistic view," to include advocacy for intelligent research-based allocation schemes that promote good outcomes and cost-effective care for all patients, which I call the "systemic view." This systemic view includes moving beyond self-interest to promote less-wasteful and more cost-conscious allocation decisions and the setting of priorities at all levels to expand health care access. It includes physician involvement in discussions with patients in the context of clinical care, involvement in the formulation and administration of benefit structures and other allocation policies, and, finally, involvement in promoting public dialogue about health care priorities. This involvement is based on a concept of a deliberative process that can result in "just enough" decisions within systems for the preservation and promotion of health care and other societal goods.


Assuntos
Alocação de Recursos para a Atenção à Saúde/ética , Acesso aos Serviços de Saúde/ética , Defesa do Paciente/ética , Papel do Médico , Alocação de Recursos/ética , Justiça Social/ética , Alocação de Custos/ética , Tomada de Decisões , Custos de Cuidados de Saúde/ética , Alocação de Recursos para a Atenção à Saúde/economia , Prioridades em Saúde/economia , Prioridades em Saúde/ética , Promoção da Saúde/economia , Promoção da Saúde/ética , Acesso aos Serviços de Saúde/economia , Humanos , Consentimento Livre e Esclarecido/ética , Benefícios do Seguro/economia , Benefícios do Seguro/ética , Reembolso de Seguro de Saúde/ética , Defesa do Paciente/economia , Alocação de Recursos/economia
8.
Am J Bioeth ; 19(4): 51-57, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30994422

RESUMO

Because the United States has failed to provide a pathway to citizenship for its long-term undocumented population, clinical ethicists have more than 20 years of addressing issues that arise in caring for this population. I illustrate that these challenges fall into two sets of issues. First-generation issues involve finding ethical ways to treat and discharge patients who are uninsured and ineligible for safety-net resources. More recently, ethicists have been invited to help address second-generation issues that involve facilitating the presentation for care of undocumented patients. In the current environment of widespread fear of deportation in the immigrant community, ethicists are working with health care providers to address patient concerns that prevent them from seeking care. I illustrate that in both generations of issues, values implicit within health care, namely, caring, efficiency, and promotion of public health, guide the strategies that are acceptable and recommended.


Assuntos
Acesso aos Serviços de Saúde/ética , Disparidades em Assistência à Saúde/ética , Discriminação Social/ética , Imigrantes Indocumentados/estatística & dados numéricos , Emigração e Imigração/estatística & dados numéricos , Necessidades e Demandas de Serviços de Saúde/ética , Humanos , Cobertura do Seguro/ética , Fatores Socioeconômicos , Estados Unidos
9.
Narrat Inq Bioeth ; 9(1): 53-62, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31031291

RESUMO

Marshallese migrating to the United States face numerous challenges in accessing health care and managing illness and chronic disease. This study explores health care providers' perceptions of and experiences with ethical dilemmas as they care for Marshallese patients. Utilizing a qualitative research design, we interviewed 21 providers to explore the ethical dilemmas they encountered while treating Marshallese patients. We used the framework of bioethical principlism to categorize and describe the ethical dilemmas reported by those providers. When explicitly asked whether they experienced such situations, approximately half (10/21) affirmed that they had, and analysis of the qualitative data indicated that all interviewees described an ethical dilemma at least once during their interviews. We characterized providers' ethical dilemmas in terms of conflicts that arise when prioritizing different ethical principles in the care of this complex patient population, including the principles of respect for autonomy, nonmaleficence, beneficence, and justice.


Assuntos
Pessoal de Saúde/ética , Migrantes , Adulto , Idoso , Arkansas/epidemiologia , Atitude do Pessoal de Saúde , Atitude Frente a Saúde , Beneficência , Ética Médica , Feminino , Acesso aos Serviços de Saúde/ética , Disparidades em Assistência à Saúde/ética , Disparidades em Assistência à Saúde/etnologia , Humanos , Masculino , Micronésia/etnologia , Pessoa de Meia-Idade , Autonomia Pessoal , Justiça Social , Adulto Jovem
10.
BMC Res Notes ; 12(1): 217, 2019 Apr 08.
Artigo em Inglês | MEDLINE | ID: mdl-30961674

RESUMO

OBJECTIVE: In Indonesia, palliative care has not been uniformly implemented at all levels of healthcare facilities. Healthcare personnel play an important role in providing that care. This study aimed to explore the current conditions and expectations regarding palliative care from the perspective of healthcare personnel. RESULTS: A qualitative study was conducted with 12 physicians and five nurses from December 2017 to June 2018. In-depth interviews of these professionals were conducted. The responses were subjected to inductive thematic analysis, generating five themes and 24 subthemes. The themes were (1) family and environment, including barriers and contributions to palliative care; (2) numbers and competence of healthcare providers; (3) accessibility of palliative care; (4) case management of patient's and family's problems by healthcare personnel; and (5) barriers or enabling factors from the healthcare system. Patients, family members, and healthcare personnel contribute to case management. Attention must be paid to improving access and the healthcare system for thorough implementation of palliative care.


Assuntos
Atitude do Pessoal de Saúde , Enfermeiras e Enfermeiros/psicologia , Cuidados Paliativos/psicologia , Relações Médico-Paciente/ética , Médicos/psicologia , Assistência Terminal/organização & administração , Adulto , Competência Clínica , Feminino , Acesso aos Serviços de Saúde/ética , Acesso aos Serviços de Saúde/estatística & dados numéricos , Humanos , Indonésia , Masculino , Pessoa de Meia-Idade , Cuidados Paliativos/ética , Pesquisa Qualitativa , Doente Terminal/psicologia
11.
Curr Opin Otolaryngol Head Neck Surg ; 27(3): 212-218, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30950835

RESUMO

PURPOSE OF REVIEW: The Indian healthcare industry, one of the largest in the world, caters for 1.3 billion people. The modern middle class addresses its needs by visiting private hospitals, which provide comprehensive services but at a high cost. The low socioeconomic individuals visit government hospitals where all basic services are available, but there is a struggle to provide advanced healthcare. In order to rectify this dichotomous approach, new initiatives are being implemented to provide uniform healthcare across the society. RECENT FINDINGS: Technological advancements have been rapid and modern methods have reached the shores of India at the same pace as in the western world. In otolaryngology, advanced services especially for restoration of hearing loss and multimodality treatments for head and neck cancers have been two areas where practical and ethical dilemmas have existed to provide the most optimal treatment at subsidized costs. This article explores these two areas as examples to understand the specific problems encountered in delivering advanced ENT care in a low-resource setting in a large populous country. SUMMARY: Introduction of government health insurance schemes have helped the poor to make use of advanced healthcare. The highlight of this scheme has been the inclusion of expensive interventions like cochlear and auditory brainstem implantation, whereby cost of the device, surgery and habilitation have all been delivered cost free for eligible children.


Assuntos
Assistência à Saúde/ética , Assistência à Saúde/organização & administração , Acesso aos Serviços de Saúde/ética , Necessidades e Demandas de Serviços de Saúde/ética , Otolaringologia/ética , Otolaringologia/organização & administração , Alocação de Recursos/ética , Alocação de Recursos/organização & administração , Países em Desenvolvimento , Humanos , Índia
12.
Medwave ; 19(2): e7585, 2019 Mar 08.
Artigo em Espanhol | MEDLINE | ID: mdl-30897073

RESUMO

Ophthalmology is a high-cost specialty in terms of medical, surgical and technological innovation and treatment. It is worrisome that in some countries patients are affected in their visual health, and therefore in their quality of life because they do not have the necessary resources for timely access to medications, medical appointments or surgical procedures. We searched in four electronic databases (ScienceDirect, MEDLINE/PubMed, ClinicalKey and SciELO), as well as in books on bioethics and Colombian laws, for articles related to bioethical issues and access to medicines in the exercise of ophthalmology. We reflect on the problem of access to ophthalmological drugs, with particular interest on how to apply the principles of bioethics on the clinical practice of patients with ophthalmological conditions. Ethical considerations are approached from the principles of Beauchamp and Childress, especially regarding the principle of justice, in order to provide health professionals in this field with arguments for medical and ethical decisions that benefit the healthcare and access to medicines for patients with ophthalmological conditions.


Assuntos
Temas Bioéticos , Oftalmopatias/tratamento farmacológico , Acesso aos Serviços de Saúde/ética , Oftalmologia/ética , Preparações Farmacêuticas/provisão & distribução , Temas Bioéticos/legislação & jurisprudência , Colômbia , Formulários Farmacêuticos como Assunto , Acesso aos Serviços de Saúde/legislação & jurisprudência , Humanos , Programas Nacionais de Saúde/ética , Programas Nacionais de Saúde/legislação & jurisprudência , Oftalmologia/legislação & jurisprudência , Direitos do Paciente/ética , Direitos do Paciente/legislação & jurisprudência , Autonomia Pessoal , Qualidade de Vida , Justiça Social
14.
Bioethics ; 33(2): 278-286, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30536795

RESUMO

In healthcare priority settings, early access to treatment before reimbursement decisions gives rise to problems of whether negative decisions for cost-effectiveness reasons should result in withdrawing treatment, already accessed by patients. Among professionals there seems to be a strong attitude to distinguish between withdrawing and withholding treatment, viewing the former as ethically worse. In this article the distinction between withdrawing and withholding treatment for reasons of cost effectiveness is explored by analysing the doing/allowing distinction, different theories of justice, consequentialist and virtue perspectives. The authors do not find any strong reasons for an intrinsic difference, but do find some reasons for a consequentialist difference, given present attitudes. However, overall, such a difference does not, all things considered, provide a convincing reason against withdrawal, given the greater consequentialist gain of using cost-effective treatment. As a result, patients should be properly informed when given early access to treatment, that such treatment can be later withdrawn following a negative reimbursement decision.


Assuntos
Análise Custo-Benefício/ética , Tomada de Decisões/ética , Prioridades em Saúde/ética , Acesso aos Serviços de Saúde/ética , Motivação , Recusa do Médico a Tratar/ética , Suspensão de Tratamento/ética , Atitude do Pessoal de Saúde , Revelação , Ética Médica , Custos de Cuidados de Saúde , Prioridades em Saúde/economia , Acesso aos Serviços de Saúde/economia , Humanos , Suspensão de Tratamento/economia
15.
Bioethics ; 33(2): 261-266, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30480809

RESUMO

There is a growing body of literature which suggests that decisions about healthcare priority setting should take into account the extent to which patients are worse off. However, such decisions are often based on how badly off patients are with respect to the condition targeted by the treatment whose priority is under consideration (condition-specific severity). In this paper I argue that giving priority to the worse off in terms of condition-specific severity does not reflect the morally relevant sense of being worse off. I conclude that an account of giving priority to the worse off relevant for healthcare priority setting should take into account how badly off patients are when all of their conditions are considered (holistic severity).


Assuntos
Comorbidade , Tomada de Decisões/ética , Alocação de Recursos para a Atenção à Saúde/ética , Prioridades em Saúde/ética , Acesso aos Serviços de Saúde/ética , Nível de Saúde , Disparidades em Assistência à Saúde/ética , Temas Bioéticos , Humanos , Índice de Gravidade de Doença
16.
Bioethics ; 33(2): 294-301, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30474145

RESUMO

Many European countries uphold a 'high risk of a serious condition' requirement for limiting the scope of preimplantation genetic diagnosis (PGD). This 'front door' rule should be loosened to account for forms of PGD with a divergent proportionality. This applies to both 'added PGD' (aPGD), as an add-on to in vitro fertilization (IVF), and 'combination PGD' (cPGD), for a secondary disorder in addition to the one for which the applicants have an accepted PGD indication. Thus loosening up at the front has implications at the back of PGD treatment, where a further PGD rule says that 'affected embryos' (in the sense of embryos with the targeted mutation or abnormality) should not be transferred to the womb. This 'back door' rule should be loosened to allow for transferring 'last chance' affected embryos in aPGD and cPGD cases, provided this does not entail a high risk that the child will have a seriously diminished quality of life.


Assuntos
Temas Bioéticos , Doenças Genéticas Inatas/diagnóstico , Testes Genéticos/ética , Acesso aos Serviços de Saúde/ética , Diagnóstico Pré-Implantação/ética , Comorbidade , Diagnóstico Precoce , Implantação do Embrião , Embriologia/ética , Ética Médica , Europa (Continente) , Feminino , Fertilização In Vitro , Doenças Fetais/genética , Doenças Fetais/terapia , Feto , Doenças Genéticas Inatas/embriologia , Doenças Genéticas Inatas/terapia , Humanos , Gravidez , Qualidade de Vida , Medição de Risco
18.
BMC Nephrol ; 19(1): 342, 2018 12 03.
Artigo em Inglês | MEDLINE | ID: mdl-30509208

RESUMO

BACKGROUND: Like most of the sub-Saharan countries, Tanzania faces significant increase in the number of patients diagnosed with an end-stage renal disease (ESRD) among which only a few manage to receive chronic haemodialysis services (CHD). Yet little is known about the non-medical facilitators and barriers towards accessing these services and the associated ethical challenges. METHODS: A phenomenological study design which employed a qualitative approach was used. The study was conducted at the dialysis unit harboured within Muhimbili National Hospital. Data were collected from purposively sampled health care providers and ESRD patients by using in-depth interviews. Text data obtained were analysed based on inductive and deductive content analysis methods to formulate major themes. RESULTS: Fourteen key informants were interviewed including nephrologists, renal nurses, social workers, nutritionists and ESRD patients. Three major themes were formulated: a) non-medical facilitators towards accessing CHD services which enshrines two sub-themes (membership to health insurance scheme and family support), (b) non-medical barriers towards accessing CHD services which enshrines four sub-themes (affordability of treatment costs, geographical accessibility, availability of CHD resources and acceptability of treatment procedures) and lastly (c) ethical challenges associated with accessing CHD services which also enshrines three sub-themes (dual role of health care providers, patients autonomy in decision making, and treatment disparity). CONCLUSION: Non-medical facilitators to access CHD benefits few patients whereas non-medical barriers leave many ESRD patients untreated or partially treated. On the other hand, ethical challenges like treatment inequality are quickly gaining momentum. There is a need for guideline highlighting importance, position, and limitation of non-medical factors in the delivery of CHD services in Tanzania and other developing countries.


Assuntos
Pessoal de Saúde/ética , Acesso aos Serviços de Saúde/ética , Falência Renal Crônica/terapia , Aceitação pelo Paciente de Cuidados de Saúde , Pesquisa Qualitativa , Diálise Renal/ética , Adulto , Países em Desenvolvimento , Feminino , Pessoal de Saúde/tendências , Acesso aos Serviços de Saúde/tendências , Humanos , Falência Renal Crônica/epidemiologia , Masculino , Pessoa de Meia-Idade , Participação do Paciente/tendências , Diálise Renal/tendências , Tanzânia/epidemiologia , Adulto Jovem
19.
Hastings Cent Rep ; 48 Suppl 4: S77-S80, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30584845

RESUMO

For nearly five years, bioethicists and neurologists debated whether Jahi McMath, an African American teenager, was alive or dead. While Jahi's condition provides a compelling study for analyzing brain death, circumscribing her life status to a question of brain death fails to acknowledge and respond to a chronic, if uncomfortable, bioethics problem in American health care-namely, racial bias and unequal treatment, both real and perceived. Bioethicists should examine the underlying, arguably broader social implications of what Jahi's medical treatment and experience represented. On any given day, disparities in the quality of health care and health outcomes for people of color in comparison to whites are evidenced in American hospitals and clinics. These disparities are not entirely explained by differences in patient education, insurance status, employment, income, expressed preference for treatments, and severity of disease. Instead, research indicates that, even for African Americans able to gain access to health care services and navigate institutional nuances, disparities persist across a broad range of services, including diagnostic screening and general medical care, mental health diagnosis and treatment, pain management, HIV-related care, and treatments for cancer, heart disease, diabetes, and kidney disease.


Assuntos
Morte Encefálica , Morte , Erros de Diagnóstico , Cuidados para Prolongar a Vida , Administração dos Cuidados ao Paciente , Afro-Americanos , Morte Encefálica/diagnóstico , Morte Encefálica/fisiopatologia , Erros de Diagnóstico/ética , Erros de Diagnóstico/psicologia , Acesso aos Serviços de Saúde/ética , Acesso aos Serviços de Saúde/normas , Disparidades em Assistência à Saúde/etnologia , Humanos , Cuidados para Prolongar a Vida/ética , Cuidados para Prolongar a Vida/métodos , Cuidados para Prolongar a Vida/psicologia , Administração dos Cuidados ao Paciente/ética , Administração dos Cuidados ao Paciente/normas , Racismo , Fatores Socioeconômicos
20.
AMA J Ethics ; 20(12): E1152-1159, 2018 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-30585578

RESUMO

Disparities in access to infertility care and insurance coverage of infertility treatment represent marked injustices in US health care. The World Health Organization defines infertility as a disease. Infertility has multiple associated billing codes in use, as determined by the International Statistical Classification of Diseases and Related Health Problems. However, the often-prohibitive costs associated with infertility treatment, coupled with the lack of universal insurance coverage mandates, contribute to health care inequity, particularly along racial and socioeconomic lines.


Assuntos
Acesso aos Serviços de Saúde/economia , Disparidades em Assistência à Saúde/economia , Infertilidade/economia , Infertilidade/terapia , Cobertura do Seguro/economia , Autonomia Pessoal , Cobertura Universal do Seguro de Saúde/economia , Adulto , Feminino , Política de Saúde , Acesso aos Serviços de Saúde/ética , Disparidades em Assistência à Saúde/ética , Humanos , Cobertura do Seguro/ética , Masculino , Estados Unidos , Cobertura Universal do Seguro de Saúde/ética
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA