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rdf:type |
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lifeskim:mentions |
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pubmed:issue |
5
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pubmed:dateCreated |
1994-2-24
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pubmed:abstractText |
Clozapine (Clozaril) is a new, powerful, costly anti-psychotic medicine, with a possible serious side effect (agranulocytosis) that entails weekly blood monitoring. In a three hundred bed state mental hospital that is allotted thirty clozapine slots (high costs effectively rationing this drug), a woman with schizophrenia responds minimally to this medication. Her attending physician wishes to withdraw the medicine and give it to another patient with schizophrenia on the ward who might have a better response. The woman's family threatens to make a public outcry. Both the attending physician and the family ask the HEC for a consult.
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pubmed:grant |
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pubmed:keyword |
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pubmed:language |
eng
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pubmed:journal |
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pubmed:citationSubset |
E
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pubmed:chemical |
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0956-2737
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pubmed:author |
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pubmed:issnType |
Print
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pubmed:volume |
5
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
302-18; discussion 319-21
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:10130976-Adult,
pubmed-meshheading:10130976-Clozapine,
pubmed-meshheading:10130976-Decision Making, Organizational,
pubmed-meshheading:10130976-Dissent and Disputes,
pubmed-meshheading:10130976-Drug Costs,
pubmed-meshheading:10130976-Ethical Review,
pubmed-meshheading:10130976-Ethics Committees,
pubmed-meshheading:10130976-Ethics Committees, Clinical,
pubmed-meshheading:10130976-Ethics Consultation,
pubmed-meshheading:10130976-Female,
pubmed-meshheading:10130976-Group Processes,
pubmed-meshheading:10130976-Health Care Rationing,
pubmed-meshheading:10130976-Hospitals, Psychiatric,
pubmed-meshheading:10130976-Hospitals, State,
pubmed-meshheading:10130976-Humans,
pubmed-meshheading:10130976-Informed Consent,
pubmed-meshheading:10130976-Patient Selection,
pubmed-meshheading:10130976-Resource Allocation,
pubmed-meshheading:10130976-Risk Assessment,
pubmed-meshheading:10130976-Schizophrenia,
pubmed-meshheading:10130976-United States,
pubmed-meshheading:10130976-Withholding Treatment
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pubmed:year |
1993
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pubmed:articleTitle |
Clozapine rationing in a state mental hospital: reviewing a HEC's case consultation.
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pubmed:affiliation |
Center for Ethics in Health Care, Oregon Health Sciences University.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Case Reports
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