TY - JOUR T1 - Ethics, EBM, and hospital management JF - Journal of Medical Ethics JO - J Med Ethics SP - 136 LP - 140 DO - 10.1136/jme.2003.007161 VL - 30 IS - 2 AU - N Biller-Andorno AU - C Lenk AU - J Leititis Y1 - 2004/04/01 UR - http://jme.bmj.com/content/30/2/136.abstract N2 - 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. ER -