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- W2322520586 abstract "Background: The concept of medical futility dates back to the Hippocratic corpus in the Classical Period (300–400 BC) “Whenever the illness is too strong for the available remedies, the physician surely must not expect that it can be overcome by medicine…” Although over the years the concept has evolved, futility still remains elusive and controversial. Efforts are aimed at allowing physicians to use their clinical judgment to determine whether a particular treatment would be futile. This study seeks to explore how Israeli doctors in a leading tertiary medical center define medical futility and why some continue to provide such care? Methods: A 55 item questionnaire was self-completed by internal medicine residents and attending physicians on medical futility: whether they would provide a potentially futile treatment, what factors they consider when judging the effectiveness of a certain treatment and how often is this issue encountered in everyday practice. Results: Of the 95 responding physicians, the majority of the respondents (72%) deals with futility on a daily basis. 52% stated that the patients' quality of life is the central part of the concept and 55% believe that rendering such care is not a violation of their code-of-ethics. Nearly half of the respondents (48%) felt that guidelines are appropriate and required. 45% of the respondents believed that financing consideration is not a part of the futility conversation. Surprisingly, 61% denied providing futile care due to defensive medicine. Interestingly, 54% of physicians admitted providing futile care which they would refuse as patients under similar circumstances. Conclusion: Medical futility is not yet a firmly established concept among Israeli doctors. Futile care is provided but for reasons other than defensive medicine or cost saving-reasons that reflect the unique characteristic of Israel's healthcare system. Death is inevitable and not necessarily a medical failure. Causing or allowing a bad death is a medical failure." @default.
- W2322520586 created "2016-06-24" @default.
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- W2322520586 date "2013-10-01" @default.
- W2322520586 modified "2023-09-23" @default.
- W2322520586 title "Medical futility in Israel health care system 2013" @default.
- W2322520586 doi "https://doi.org/10.1016/j.ejim.2013.08.589" @default.
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