Show simple item record

The Ethics of Health Care Reform: Impact on Emergency Medicine

dc.contributor.authorMarco, Catherine A.en_US
dc.contributor.authorMoskop, John C.en_US
dc.contributor.authorSchears, Raquel M.en_US
dc.contributor.authorStankus, Jennifer L’hommedieuen_US
dc.contributor.authorBookman, Kelly J.en_US
dc.contributor.authorPadela, Aasim I.en_US
dc.contributor.authorBaine, Jenniferen_US
dc.contributor.authorBryant, Ericen_US
dc.date.accessioned2012-05-21T15:49:59Z
dc.date.available2013-06-11T19:15:53Zen_US
dc.date.issued2012-04en_US
dc.identifier.citationMarco, Catherine A.; Moskop, John C.; Schears, Raquel M.; Stankus, Jennifer L’hommedieu ; Bookman, Kelly J.; Padela, Aasim I.; Baine, Jennifer; Bryant, Eric (2012). "The Ethics of Health Care Reform: Impact on Emergency Medicine." Academic Emergency Medicine 19(4). <http://hdl.handle.net/2027.42/91230>en_US
dc.identifier.issn1069-6563en_US
dc.identifier.issn1553-2712en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/91230
dc.description.abstractThe recent enactment of the Patient Protection and Affordable Care Act (ACA) of 2010, and the ongoing debate over reform of the U.S. health care system, raise numerous important ethical issues. This article reviews basic provisions of the ACA; examines underlying moral and policy issues in the U.S. health care reform debate; and addresses health care reform’s likely effects on access to care, emergency department (ED) crowding, and end‐of‐life care. The article concludes with several suggested actions that emergency physicians (EPs) should take to contribute to the success of health care reform in America.en_US
dc.publisherWiley Periodicals, Inc.en_US
dc.publisherBlackwell Publishing Ltden_US
dc.titleThe Ethics of Health Care Reform: Impact on Emergency Medicineen_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelMedicine (General)en_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumFrom the Department of Emergency Medicine, University of Toledo (CAM), Toledo, OH; the Department of Internal Medicine, Wake Forest University School of Medicine (JCM), Winston‐Salem, NC; the Department of Emergency Medicine, Mayo Clinic (RMS), Rochester, MN; the Department of Emergency Medicine, University of New Mexico (JLS), Albuquerque, NM; the University of Colorado Denver School of Medicine (KJB), Denver, CO; the Departments of Internal & Emergency Medicine, University of Michigan (AIP), Ann Arbor, MI; the Department of Emergency Medicine, Stanford School of Medicine (JB), Stanford, CA; and Exempla Saint Joseph Hospital, Colorado Permanente Medical Group (EB), Denver, CO.en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/91230/1/j.1553-2712.2012.01313.x.pdf
dc.identifier.doi10.1111/j.1553-2712.2012.01313.xen_US
dc.identifier.sourceAcademic Emergency Medicineen_US
dc.identifier.citedreferenceAmerican College of Emergency Physicians. Medical Screening of Emergency Department Patients. Available at: http://www.acep.org/content.aspx?id=29572. Accessed Jan 18, 2012.en_US
dc.identifier.citedreferenceAfilalo J, Marinovich A, Afilalo M, et al. Nonurgent emergency department patient characteristics and barriers to primary care. Acad Emerg Med. 2004; 11: 1302 – 10.en_US
dc.identifier.citedreferenceLowe RA, Bindman AB, Ulrich SK, et al. Refusing care to emergency department of patients: evaluation of published triage guidelines. Ann Emerg Med. 1994; 23: 286 – 93.en_US
dc.identifier.citedreferenceBirnbaum A, Gallagher J, Utkewicz M, Gennis P, Carter W. Failure to validate a predictive model for refusal of care to emergency‐department patients. Emerg Med. 1994; 1: 213 – 7.en_US
dc.identifier.citedreferenceDerlet RW, Kinser D, Ray L, Hamilton B, McKenzie J. Prospective identification and triage of nonemergency patients out of an emergency department: a 5‐year study. Ann Emerg Med. 1995; 25: 215 – 23.en_US
dc.identifier.citedreferenceWashington DL, Stevens CD, Shekelle PG, Baker DW, Fink A, Brook RH. Safely directing patients to appropriate levels of care: guideline‐driven triage in the emergency service. Ann Emerg Med. 2000; 36: 15 – 22.en_US
dc.identifier.citedreferenceWashington DL, Stevens CD, Shekelle PG, Henneman PL, Brook RH. Next‐day care for emergency department users with nonacute conditions. A randomized, controlled trial. Ann Intern Med. 2002; 137: 707 – 14.en_US
dc.identifier.citedreferenceObama BH. Remarks by the President on health care reform. March 3, 2010. Available at: http://www.whitehouse.gov/the‐press‐office/remarks‐president‐health‐care‐reform. Accessed Jan 18, 2012.en_US
dc.identifier.citedreferenceCenter for Advance Palliative Care. Expenditures for end of life care. Available at: http://www.cpsonline.info/capcmanual/content/elements/expendituresforeolcare.html. Accessed Jan 13, 2012.en_US
dc.identifier.citedreferenceQuest T, Marco CA, Derse AR. Hospice and palliative medicine and emergency medicine: new subspecialty, new opportunities. Ann Emerg Med. 2009; 54: 94 – 102.en_US
dc.identifier.citedreferenceLamba S, Mosenthal AC. Hospice and palliative medicine: a novel subspecialty of emergency medicine. J Emerg Med. 2010 May 22. [Epub ahead of print]en_US
dc.identifier.citedreferenceNational Center for Health Statistics. Data Brief: Emergency Department Visitors and Visits: Who Used the Emergency Room in 2007? Available at: http://www.cdc.gov/nchs/data/databriefs/db38.pdf. Accessed Jan 18, 2012.en_US
dc.identifier.citedreferenceAmerican College of Emergency Physicians. Policy Statement. Ethical issues at the end of life. Available at: http://www.acep.org/content.aspx?id=29440. Accessed Jan 18, 2012.en_US
dc.identifier.citedreferenceWenger NS, Phillips RS, Teno JM, et al. Physician understanding of patient resuscitation preferences: insights and clinical implications. J Am Geriatr Soc. 2000; 48: S44 – 51.en_US
dc.identifier.citedreferenceLayde PM, Beam CA, Broste SK, et al. Surrogates’ predictions of seriously ill patients’ resuscitation preferences. Arch Fam Med. 1995; 4: 518 – 23.en_US
dc.identifier.citedreferenceBeach MC, Morrison RS. The effect of do‐not‐resuscitate orders on physician decision‐making. J Am Geriatr Soc. 2002; 50: 2057 – 61.en_US
dc.identifier.citedreferenceTaylor DM, Ugoni AM, Cameron PA, McNeil JJ. Advance directives and emergency department patients: ownership rates and perceptions of use. Intern Med J. 2003; 33: 586 – 92.en_US
dc.identifier.citedreferenceSilviera M, DiPiero A, Gerrity M, Feudtner C. Patients’ knowledge of options at the end‐of‐life: ignorance in the face of death. JAMA. 2000; 284: 2483 – 8.en_US
dc.identifier.citedreferenceTulsky JA. Beyond advance directives: importance of communication skills at the end‐of‐life. JAMA. 2005; 294: 359 – 65.en_US
dc.identifier.citedreferencePear R. U.S. alters rule on paying for end‐of‐life planning. NY Times. 2011 (January 5):A15.en_US
dc.identifier.citedreferenceFischer SM, Min SJ, Kutner JS. Advance directive discussions do not lead to death. J Am Geriatr Soc. 2010; 58: 400 – 1.en_US
dc.identifier.citedreferenceSilveira MJ, Kim SY, Langa KM. Advance directives and outcomes of surrogate decision making before death. N Engl J Med. 2010; 362: 1211 – 8.en_US
dc.identifier.citedreferenceCorn BW. Ending end‐of‐life phobia‐‐a prescription for enlightened health care reform. N Engl J Med. 2009; 361: e63.en_US
dc.identifier.citedreferenceUS Government Printing Office. Public Law 111–148/152—Mar. 23, 2010. Available at: http://origin.www.gpo.gov/fdsys/pkg/PLAW‐111publ148/pdf/PLAW111publ148.pdf. Accessed Jan 18, 2012.en_US
dc.identifier.citedreferenceCongressional Budget Office. Letter to Nancy Pelosi. Cost estimate for the amendment in the nature of a substitute for H.R. 4872 incorporating a proposed manager’s amendment made public on March 20, 2010. Available at: http://www.cbo.gov/ftpdocs/113xx/doc11379/AmendReconProp.pdf. Accessed Jan 18, 2012.en_US
dc.identifier.citedreferenceTeutsch SM, Fielding JE. Comparative effectiveness‐‐looking under the lamppost. JAMA. 2011; 305: 2225 – 6.en_US
dc.identifier.citedreferenceBerwick DM. Launching accountable care organizations‐‐the proposed rule for the Medicare Shared Savings Program. N Engl J Med. 2011; 364: e32.en_US
dc.identifier.citedreferenceAaron HJ. The Independent Payment Advisory Board‐‐Congress’s “good deed.” N Engl J Med. 2011; 364: 2377 – 9.en_US
dc.identifier.citedreferenceConnors EE, Gostin LO. Health care reform‐‐a historic moment in US social policy. JAMA. 2010; 303: 2521 – 2.en_US
dc.identifier.citedreferenceWhite C. The health care reform legislation: an overview. Economists’ Voice. 2010; 7: e1.en_US
dc.identifier.citedreferenceOberlander J. Beyond repeal‐‐the future of health care reform. N Engl J Med. 2010; 363: 2277 – 9.en_US
dc.identifier.citedreferenceFuchs V. Health reform: getting the essentials right. Health Aff. 2009; 28: w180 – 3.en_US
dc.identifier.citedreferenceCortese D, Korsmo JO. Health care reform: why we cannot afford to fail. Health Aff. 2009; 28: w173 – 6.en_US
dc.identifier.citedreferenceLaine C, Davidoff F. Patient‐centered medicine: a professional evolution. JAMA. 1996; 275: 152 – 6.en_US
dc.identifier.citedreferenceKeirns CC, Goold SD. Patient‐centered care and preference‐sensitive decision making. JAMA. 2009; 302: 1805 – 6.en_US
dc.identifier.citedreferenceRobinson JC, Ginsburg P. Consumer‐driven health care: promise and performance. Health Aff. 2009; 28: w272 – 81.en_US
dc.identifier.citedreferenceShortell SM. Bending the cost curve: a critical component of health care reform. JAMA. 2009; 302: 1223 – 4.en_US
dc.identifier.citedreferenceChernew ME, Baicker K, Hsu J. The specter of financial Armageddon‐‐health care and federal debt in the United States. N Engl J Med. 2010; 362: 1166 – 8.en_US
dc.identifier.citedreferenceMenzel PT. Justice and fairness: mandating universal participation. In: Crowley M, editor. Connecting American Values with Health Reform. New York, NY: The Hastings Center, 2009, pp 4 – 6.en_US
dc.identifier.citedreferenceSass HM. Introduction: the principle of solidarity in health care policy. J Med Philos. 1992; 17: 367 – 70.en_US
dc.identifier.citedreferenceBodenheimer TS, Grumbach K. Health care in four nations. In: Understanding Health Policy, 3rd ed. New York, NY: McGraw‐Hill, 2002, pp 160 – 75.en_US
dc.identifier.citedreferenceSage WW. Solidarity: unfashionable, but still American. In: Crowley M, editor. Connecting American Values with Health Reform. New York, NY: The Hastings Center, 2009, pp 10 – 12.en_US
dc.identifier.citedreferenceHessler K, Buchanan A. Specifying the content of the human right to health care. In: Rhodes R, Battin MP, Silvers A, editors. Medicine and Social Justice. New York, NY: Oxford University Press, 2002, pp 84 – 96.en_US
dc.identifier.citedreferenceDaniels N. Just Health: Meeting Health Needs Fairly. New York, NY: Cambridge University Press, 2007, pp 1 – 18.en_US
dc.identifier.citedreferenceAaron HJ. Systemic reform of health care delivery and payment. Economists’ Voice. 2010; 7: e5.en_US
dc.identifier.citedreferenceHacker JS. Poor substitutes‐‐why cooperatives and triggers can’t achieve the goals of a public option. N Engl J Med. 2009; 361: 1617 – 9.en_US
dc.identifier.citedreferenceFuchs VR. Government payment for health care‐‐causes and consequences. N Engl J Med. 2010; 363: 2181 – 3.en_US
dc.identifier.citedreferenceKelly WP, Wendt SW, Vogel BB. Guiding principles for payment system reform: commentary on “Achieving cost control, care coordination, and quality improvement through incremental payment system reform.” J Ambul Care Manage. 2010; 33: 29 – 34.en_US
dc.identifier.citedreferenceConrad DA. Lessons to apply to national comprehensive healthcare reform. Am J Manag Care. 2009; 15 ( 10 Suppl ): S306 – 21.en_US
dc.identifier.citedreferenceAmerican College of Emergency Physicians. Medical/Legal Ethics. Available at: http://www.acep.org/Content.aspx?id=32136. Accessed Jan 13, 2012.en_US
dc.identifier.citedreferenceFuchs VR. The doctor’s dilemma‐‐what is “appropriate” care? N Engl J Med. 2011; 365: 585 – 7.en_US
dc.identifier.citedreferenceBrody H. Medicine’s ethical responsibility for health care reform‐‐the top five list. N Engl J Med. 2010; 362: 283 – 5.en_US
dc.identifier.citedreferenceNiska R, Bhuiya F, Xu J. National Hospital Ambulatory Medical Care Survey: 2007 emergency department summary. National Health Statistics Reports; No. 26. Hyattsville, MD: National Center for Health Statistics, 2010.en_US
dc.identifier.citedreferenceHsia RY, Kellermann AL, Shen Y. Factors associated with closures of emergency departments in the United States. JAMA. 2011; 305: 1978 – 85.en_US
dc.identifier.citedreferenceDeNavas‐Walt C, Proctor BD, Smith JC. U.S. Census Bureau, Current Population Reports, P60–238, Income, Poverty, and Health Insurance Coverage in the United States: 2009, U.S. Government Printing Office, Washington, DC, 2010.en_US
dc.identifier.citedreferenceWeissman JS, Bigby JA. Massachusetts health care reform‐‐near‐universal coverage at what cost? N Engl J Med. 2009; 361: 2012 – 5.en_US
dc.identifier.citedreferenceAmerican College of Emergency Physicians. Massachusetts Health Care: ED Utilization Increasing. Available at: http://www.acep.org/WorkArea/DownloadAsset.aspx?id=48578. Accessed Jan 18, 2012.en_US
dc.identifier.citedreferenceSmulowitz PB, Lipton R, Wharam JF, et al. Emergency department utilization after the implementation of Massachusetts health reform. Ann Emerg Med. 2011; 58: 225 – 34.en_US
dc.identifier.citedreferenceLong SK, Stockley K. Emergency Department Visits in Massachusetts: Who Uses Emergency Care and Why? Washington, DC: Urban Institute, 2009.en_US
dc.identifier.citedreferenceMoskop JC. Virtual mentor. Nonurgent care in the emergency department‐‐bane or boon? AMA J Ethics. 2010; 12: 476 – 82.en_US
dc.identifier.citedreferenceKalidindi S, Mahajan P, Thomas R, Sethuraman U. Parental perception of urgency of illness. Pediatr Emerg Care. 2010; 26: 549 – 53.en_US
dc.identifier.citedreferenceBerry A, Brousseau D, Brotanek JM, Tomany‐Korman S, Flores G. Why do parents bring children to the emergency department for nonurgent conditions? A qualitative study. Ambul Pediatr. 2008; 8: 360 – 7.en_US
dc.owningcollnameInterdisciplinary and Peer-Reviewed


Files in this item

Show simple item record

Remediation of Harmful Language

The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.

Accessibility

If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.