Intensivmedizin im Spannungsfeld zwischen Über- und Unterversorgung

Eine empirische Befragung von ÄrztInnen und Pflegenden

Intensive care between over and under treatment

A quantitaive survey of physicians and nurses in German intensive care

by Anita Dorothea Adolph
Doctoral thesis
Date of Examination:2022-07-20
Date of issue:2022-07-18
Advisor:Prof. Dr. Alfred Simon
Referee:Prof. Dr. Alfred Simon
Referee:Prof. Dr. Onnen Mörer
Persistent Address: http://dx.doi.org/10.53846/goediss-9367

 

 

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Abstract

English

A quantitative survey on the extent of perception of bedside rationing and Medical Futility in German intensive care. Findings from 2014 that examine the weighting between the different reasons for limitation of care and the perception of care as futile. The findings showed that the risk for receiving futile care is much higher than the risk to be restricted in medical care (rationing). The reasons for restricting care are predominantly patient-related such as the expected prolongation of suffering. The frequency of rationing percepted by nurses and physicians in intensive care is low. In contrary the perception of futile care is widely distributed among the respondents and seems to take place frequently. There is no evidence for patients been affected by rationing isolated by the factor of age. As drawn conclusion I see a high rationalisation potential in intensive care.
Keywords: Intensive Care; Medical Futility; Rationing
Schlagwörter: Intensivmedizin; Rationierung; Futility
 
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