Evidence map›Paper›PMID 12356959›Full record

ReviewJournal of medical ethics2002

Rationing of expensive medical care in a transition country--nihil novum?

E Krízová, J Simek

Abstract readReview
In one paragraph

Review in Journal of medical ethics, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Antiretroviral therapy (ART) rationing and access mechanisms and their impact on youth ART utilization in Malawi.Malawi medical journal : the journal of Medical Association of Malawi · 2011
    Article
  2. Short-term physical and emotional health outcomes of public sector ART in the Free State province of South Africa.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2007
    Article
  3. Rationing in health systems: A critical review.Medical journal of the Islamic Republic of Iran
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

E KrízováThird Faculty of Medicine, Institute of Medical Ethics, Charles University, Prague, Czech Republic. EVA.KRIZOVA@LF3.CUNI.CZ
J Simek

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This article focuses on rationing of expensive medical care in the Czech Republic. It distinguishes between political and clinical decision levels and reviews the debate in the Western literature on explicit and implicit rules. The contemporary situation of the Czech health care system is considered from this perspective. Rationing reoccurred in the mid 90s after the shift in health care financing from fee-for-service to prospective budgets. The lack of explicit rules is obvious. Implicit forms of rationing, done by physicians at the clinical level prevail, implying uncontrolled power of the medical profession and lacking transparency for ethical considerations of equity to access. It seems to be acceptable for physicians to play the role of allocators, probably because of their experience with rationing during the socialist period. Traditional rationing stereotypes from the previous regime seem to persist despite the health care system transformation during the 90s.

Indexed as

Ethics, MedicalHealth Care RationingCzech RepublicHealth Care ReformHealth PolicyHumansPhysiciansPhysician's RolePoliticsHealth Care and Public Health

Identifiers

PMID12356959
PMCPMC1733655

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.