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Thinking about cost – undermining trust: Commentary on … Awareness of the cost of psychotropic medication among doctors

  • Femi Oyebode (a1)
Summary

This commentary argues that decisions about the distribution of resources in a healthcare system paid out of taxation such as the NHS is best dealt with at arm's length from the doctor-patient encounter within the clinic. Thus, the role of the National Institute of Health and Clinical Excellent (NICE) that is to take a population perspective is appropriate, whereas any attempt by individual doctors to be influenced by costs and to base their judgements on the relative costs of interventions is likely to undermine the trust that exists within the doctor-patient relationship.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Femi Oyebode (femi.oyebode@bsmhft.nhs.uk)
Footnotes
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See original paper, pp. 364-366 and commentary, pp. 369-370, this issue.

Declaration of interest

None.

Footnotes
References
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1 Rawls, JA. Theory of Justice. Oxford University Press, 1971.
2 Singh, DK, Khawaja, S, Pala, I, Khaja, J, Krishmanu, R, Walker, H, et al. Awareness of the cost of psychotropic medication among doctors: a service evaluation. Psychiatrist 2010; 34: 364366.
3 Beauchamp, TL, Childress, JF. Principles of Biomedical Ethics (4th edn). Oxford University Press, 1994.
4 Harris, J. QALYfying the value of life. J Med Ethics 1987; 13: 117–23.
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BJPsych Bulletin
  • ISSN: 1758-3209
  • EISSN: 1758-3217
  • URL: /core/journals/bjpsych-bulletin
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Thinking about cost – undermining trust: Commentary on … Awareness of the cost of psychotropic medication among doctors

  • Femi Oyebode (a1)
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