Allocation of resources in intensive care: a transatlantic perspective

M. Osborne, T. W. Evans

Research output: Contribution to journalArticlepeer-review

35 Scopus citations


The USA and the UK have differed substantially in approaches to health care and especially in intensive care provision. We have compared the health care systems, clinical justification for intensive care, selection of patients likely to benefit from such care, and the performance of the systems. The differences are lessening. Both countries are moving away from clinical autonomy as the driving force of medical decision-making. There is increasing recognition that not all patients will benefit from intensive care and that the doctor's obligation to the patient can be limited by constraints set by society.

Original languageEnglish (US)
Pages (from-to)778-780
Number of pages3
JournalThe Lancet
Issue number8900
StatePublished - Mar 26 1994

ASJC Scopus subject areas

  • Medicine(all)


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