Ethical Issues in Palliative Care: The Case of Dialysis and Organ Transplantation

Evans RG . Health care reform: “The issue from hell”. Policy Options 1993; July/August: 35–41.

Boyle P , Callahan D. Technology assessment: the missing human dimension. Hastings Center Report 1992; 22(3): 38–39.

Rachlis M , Kushner N. Second Opinion: What's Wrong With Canada's Health Care System and How To Fix It. Toronto: Collins, 1989.

Rettig R. The politics of organ transplantation: a parable of our time. J Health Politics Policy Law 1989; 14(1): 191–227.

Fox R , Swazey J. Leaving the field. Hastings Center Report 1992; 22(5): 9–15.

Fox R , Swazey J. Spare parts: organ replacement in American society. New York: Oxford University Press, 1992.

Murray J. Human organ transplantation: background and consequences. Science 1992; 256: 1411–1416.

Fradet G , Keown P. Solid organ transplantation. BC Med Assoc J 1993; 35(11): 800–801.

Evans RW , Manninen D , Maier A , Garrison L , Hart L. The quality of life of kidney and heart transplant recipients. Transplantation Proc 1985; 17(1): 1579–1582.

Evans RW , Manninen D , Dugan M , Livak C , McLynne D , Raab J , Roder B. The kidney transplant health insurance study: final report. Seattle: Battele Research Center, 1990.

Hicks F , Larson J , Ferrans C. Quality of life after liver transplant. Res Nursing Health 1992; 15:111–119.

Molzahn A. Quality of life after organ transplantation. J Advanced Nursing 1991; 16: 1042–1047.

Kutner N. Issues in the application of high cost medical technology: the case of organ transplantation. J Health Soc Behav 1987; 28: 23–36.

Alexander S. They decide who lives, who dies: medical miracle puts a burden on a small committee. Life 1962; November 9: p.102.

Jonsen A. The new medicine and the old ethics. Cambridge, Massachusetts: Harvard University Press, 1990.

Jonsen A. The birth of bioethics. Hastings Center Report 1993; 23(6) (special supplement): S1–S4.

Beecher H. Ethics and clinical research. N Engl J Med 1966; 274(24): 1354–1360.

Landsberg D , Shackelton C , Keown P , Cameron E , Manson D. Renal transplantation. BC Med Assoc J 1993; 35(11): 801–804.

Gudas V , Ricci D , Fradet G. Heart transplantation. BC Med Assoc J 1993; 35(11): 805–806.

Mendez R , Aswad S , Dessouki J , Cicciarelli J , Mendez R. Costs and financing of kidney transplantation in the United States. Transplantation Proc 1992; 24(5): 2127–2128.

Pichimayr R , Kohlhaw K , Frei U. Organ transplantation: what are the limits? Transplantation Proc 1992; 24(6): 2402–2406.

Stiller C. Health care funding and transplantation in Canada. Transplantation Proc 1990; 22(3): 980–981.

Kilner J. Selecting patients when resources are limited: a study of US medical directors of kidney dialysis and transplantation facilities. Am J Public Health 1988; 78(2): 144–147.

Kilner J. Who lives? Who dies? Ethical criteria in patient selection. New Havai: Yale University Press, 1990.

Kluge E. Age and organ transplantation. Can Med Assoc J 1993; 149(7): 1003.

Seib D , MacLeod M , Stiller C. A step beyond: new limits in selection criteria. Transplantation/Implantation Today 1990; 7: 47–51.

Canadian Organ Replacement Register. 1992 Annual Report. Don Mills, Ontario: Canadian Institute for Health Information, 1994.

Balk R. Should transplantation be part of a health care system? Can Med Assoc J 1990; 36: 1129–1132.

Bailey L. Organ transplantation: a paradigm of medical progress. Hastings Center Report 1990; 20(1): 24–28.

Kjellstrand C , Dossetor J (eds). Ethical problems in dialysis and transplantation. Boston: Kluwer Academic Publishers, 1992.

Metcalfe P. Is heart transplantation a wise use of scarce health care dollars? Can Med Assoc J 1993; 149(12): 1829–1830.

Teo B. Is the adaptation of more efficient strategies of organ procurement the answer to persistent organ shortage in transplantation? Bioethics 1992; 6(2): 113–129.

Ferreira P. Moral issues in genetic counseling. The Bioethics Bulletin 1994; 6(1): 1–4.

Evans RW , Manninen D , Dong F , McLynne D. Is retransplantation cost-effective? Transplantation Proc 1993; 25(1): 1694 1696.

Associated Press. Struggle ends for seven-organ transplant patient. Vancouver: Vancouver Sun, 12 November 1993.

Colvin E , Hammes B. If I only knew: a patient education program on advance directives. Am Nephrology Nurses Assoc J 1991; 18(6): 557–560.

Colvin E , Myhre M , Welch J , Hammes B. Moving beyond the patient self-determination act: educating patients to be autonomous. Am Nephrology Nurses Assoc J 1993; 20(5): 564–569.

Roy D , Williams J , Dickens B. Bioethics in Canada Scarborough: Prentice-Hall Canada Inc., 1994; p. 394.

Schneiderman L , Jacker N , Jonsen A. Medical futility: its meanings and ethical implications. Ann Int Med 1990; 112(12): 949–954.

Degner I , Beaton J. Life-death decisions in health care New York: Hemisphere Publishing Corporation, 1987.

Wennberg J. Outcomes research, cost containment and the fear of health care rationing. N Engl J Med 1990; 323: 1202–1204.

Baggs J. Collaborative interdisciplinary bioethical decision making in intensive care units. Nursing Outlook 1993; 41(3): 108–112.

Baggs J , Ryan S , Phelps C , Richeson J , Johnson J. The association between interdisciplinary collaboration and patient outcomes in a medical intensive care unit. Heart Lung 1992; 21(1): 18–24.

Mariano C. The case for interdisciplinary collaboration. Nursing Outlook 1989; 37(8): 285–288.

Pellegrino E , Thomasma D. For the patient's good: the restoration of beneficence in health care. London: Oxford Press Ltd., 1988.

Deber R. Translating technology assessment into policy: conceptual choices and tough issues. Internat J Technol Assess Health Care 1992; 8(1): 131–137.

Goodman C. It's time to rethink health care technology assessment. Internat J Technol Assess Health Care 1992; 8(2): 335–358.

Hadorn D. Outcomes management and resource allocation: How should quality of life be measured? Health Policy Research Unit Discussion Paper Series. Vancouver: University of British Columbia (HPRU 93:7D), 1993.

Laupacis A , Feeny D , Detsky A , Tugwell P. How attractive does a new technology have to be to warrant adoption and utilization? Tentative guidelines for using clinical and economic evaluations. Can Med Assoc J 1992; 146(4): 473–481.

Reiser S. Consumer competence and the reform of American health care. JAMA 1992; 267(11): 1511–1515.

Reiser S. Out of chaos: A rational approach to assessing technology. Hospitals 1992; 66(15): 22–23.

Center for Health Economics and Policy Analysis. Summary Report. Health care and the public: roles, expectations and contributions. Fourth Annual Health Policy Conference. Hamilton, Ontario: McMaster University, 1991.

Charles C , DeMaio S. Lay participation in health care decision making: a conceptual framework. Center for Health Economics and Policy Analysis Working Paper #92–16. Hamilton, Ontario: McMaster University, 1992.

Nova Scotia Government. Nova Scotia's Blueprint for Health Care Reform. Halifax, Nova Scotia, 1994.

British Columbia Ministry of Health. Closer to home: The report of the British Columbia Royal Commission on Health Care and Costs. Victoria, British Columbia, 1991.

British Columbia Ministry of Health. New directions for a healthy British Columbia. Victoria, British Columbia, 1993.

Hurley J , Lomas J , Bhatia V. Is the wolf finally at the door? Provincial reform to manage health-care resources. CHEPA Working Paper #93–12. Hamilton, Ontario: McMaster University, 1993.

Naisbitt J , Aburdene P. Megatrends 2000: Ten new directions for the 1990s. New York: Avon Books, 1990.