© 2004 BMJ Publishing Group Ltd & Institute of Medical Ethics
SYMPOSIUM ON EVIDENCE BASED MEDICINE
Ethics, EBM, and hospital management
1 Board of Directors, University Hospital, Goettingen, Germany
2 Department of Medical Ethics and History of Medicine, Georg-August-University, Goettingen, Germany
Correspondence to:
Correspondence to:
N Biller-Andorno
Department of Medical Ethics and History of Medicine, Georg-August-University Goettingen, Germany; nbiller{at}gwdg.de
Matters of hospital management do not figure prominently on the medical ethics agenda. However, management decisions that have to be taken in the area of hospital care are in fact riddled with ethical questions and do have significant impact on patients, staff members, and the community being served. In this decision making process evidence based medicine (EBM) plays an increasingly important role as a tool for rationalising as well as rationing health care resources. In this article, ethical issues of hospital management and the role of EBM will be explored, with particular reference to disease management programs, diagnosis related groups, and clinical pathways as recent developments in the German health care system.
Keywords: health care ethics; evidence based medicine; hospital management; resource allocation; justice
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