Clozapine rationing in a state mental hospital: Reviewing a HEC's case consultation - (some demographics have been altered in order to protect confidentiality)

Patricia Backlar, Bentson McFarland

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)302-318
Number of pages17
JournalHEC Forum
Volume5
Issue number5
DOIs
StatePublished - Sep 1993
Externally publishedYes

Fingerprint

mental hospital
State Hospitals
rationing
Clozapine
Confidentiality
Psychiatric Hospitals
schizophrenia
Referral and Consultation
physician
Demography
medicine
Schizophrenia
Medicine
Agranulocytosis
medication
Family Physicians
monitoring
drug
costs
Physicians

Keywords

  • clozapine
  • ethics committee
  • rationing
  • schizophrenia
  • state mental hospital

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Pathology and Forensic Medicine

Cite this

Clozapine rationing in a state mental hospital : Reviewing a HEC's case consultation - (some demographics have been altered in order to protect confidentiality). / Backlar, Patricia; McFarland, Bentson.

In: HEC Forum, Vol. 5, No. 5, 09.1993, p. 302-318.

Research output: Contribution to journalArticle

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