Does implicit healthcare rationing impose an unfair legal burden on doctors? A study of Portuguese jurisprudence

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dc.contributor.authorCosta, Eva Dias
dc.contributor.authorPinho, Micaela
dc.date.accessioned2020-06-16T14:47:59Z
dc.date.available2020-06-16T14:47:59Z
dc.date.issued2020-06-15
dc.description.abstractHealthcare rationing is inevitable, never more so than during the COVID-19 pandemic. In Portugal, rationing is largely implicit and relies too much on bedside decisions, made in stressful circumstances, involving ethical dilemmas and being prone to error. This study uses a qualitative approach by exploring the public records of Portuguese courts for malpractice suits between the years of 2008 and 2019 to ascertain whether the damage suffered by patients in these cases could in any part be attributed to a lack of resources. During this research, we found that a large number of lawsuits against doctors and hospitals might have in fact been the unfortunate result of the constraints of implicit prioritization. We concluded that lawyers and judges must be made aware of the impact of implicit rationing decisions on healthcare professionals, who are judged against a professional standard and an inverse onus rule that places on them a heavy burden of proof.pt_PT
dc.identifier.citationCosta, E. D. & Pinho, M. (2020). Does implicit healthcare rationing impose an unfair legal burden on doctors? A study of Portuguese jurisprudence. Medical Law International, 1-27. Disponível no Repositório UPT, http://hdl.handle.net/11328/3114pt_PT
dc.identifier.doihttps://doi.org/10.1177/0968533220927441.pt_PT
dc.identifier.urihttp://hdl.handle.net/11328/3114
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSagept_PT
dc.rightsopen accesspt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectAllocative decision in healthcarept_PT
dc.subjectImplicit priority settingpt_PT
dc.subjectMedical malpracticept_PT
dc.subjectExplicit priority settingpt_PT
dc.subjectBedside rationingpt_PT
dc.titleDoes implicit healthcare rationing impose an unfair legal burden on doctors? A study of Portuguese jurisprudencept_PT
dc.typejournal articlept_PT
degois.publication.firstPage1pt_PT
degois.publication.lastPage27pt_PT
degois.publication.titleMedical Law Internationalpt_PT
dspace.entity.typePublicationen
person.affiliation.nameIJP - Instituto Jurídico Portucalense
person.affiliation.nameREMIT – Research on Economics, Management and Information Technologies
person.familyNameCosta
person.familyNamePinho
person.givenNameEva Dias
person.givenNameMicaela
person.identifier.ciencia-id8417-D31E-2376
person.identifier.ciencia-idAF14-3E2F-3400
person.identifier.orcid0000-0003-0262-977X
person.identifier.orcid0000-0003-2021-9141
person.identifier.ridF-5478-2013
person.identifier.ridL-1789-2018
person.identifier.scopus-author-id57214897944
person.identifier.scopus-author-id23990998900
relation.isAuthorOfPublicationa088c8c2-0150-4d04-806d-a3f5796121ed
relation.isAuthorOfPublicationb73425ae-9c53-43ec-9bef-8d0ebebecc6b
relation.isAuthorOfPublication.latestForDiscoverya088c8c2-0150-4d04-806d-a3f5796121ed

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