英国では、医者が死が近いと判断したら、チューブを抜いてよいらしいが、
英では、”さっさと老人に死んでもらう”制度をすでに採用 参照
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UK doctors given bonuses for placing patients on ‘death lists’ - report
Published time: October 20, 2013 17:30
Edited time: October 20, 2013 19:31
General practitioners in England have been receiving ￡50 bonuses for placing patients on controversial ‘death lists’ in order to reduce the number of occupied hospital beds. The move is yet another tactic aimed at cutting NHS costs, UK media reported.
Each death which occurs outside an NHS hospital has been calculated to save the health system some ￡1,000 ($1,600) in England. On average, deaths which occur inside NHS hospitals cost the service around ￡3,065 (just under $5000), while those elsewhere cost ￡2,107 (around $3,400).
Doctors have been given bonuses for drawing up ‘end-of-life advanced care plans’ for patients they predict will die within a year.
The payments in question apparently have the intention of keeping NHS costs as low as possible.
デリメ
Revealed: How GPs are paid ￡50 bonus to put elderly on 'death lists'
GPs paid to draw up 'end-of-life advanced care plans'
Documents seen by Mail on Sunday say 'key objective' is 'reducing healthcare costs'
Every death outside of hospital saves the NHS almost ￡1,000
By JONATHAN PETRE and STEPHEN ADAMS
PUBLISHED: 22:23 GMT, 19 October 2013 | UPDATED: 22:23 GMT, 19 October 2013
GPs have been paid bonuses to put elderly patients on controversial ‘death lists’ in an attempt to save the NHS money by cutting the number of people who die in hospital.
They have been given ￡50 a time to draw up ‘end-of-life advanced care plans’ for patients they predict will pass away within a year.
The payments are designed to encourage doctors to start talking about death with elderly and seriously ill patients and to keep a record of where, ideally, they would like to die.
Those behind the ‘yellow folder’ scheme – so named as that is where the care plan forms are kept – insist its main aim is to give patients a better death.
But critics say it was designed to save money and could result in people being denied treatment or help. According to documents seen by The Mail on Sunday, a ‘key objective’ of the project, trialled in eastern England, has been ‘to shift the place of death’ away from hospitals so ‘reducing . . . healthcare costs’.
Every death that takes place outside of hospital saves the NHS almost ￡1,000, official calculations show. Average hospital deaths in England costs the NHS ￡3,065 but those elsewhere cost only ￡2,107.
Our latest report comes three months after The Mail on Sunday revealed ambulance crews can refuse to take extremely ill people to hospital if they have stated on their care plan they want to die at home.
Dr Gillian Craig, a retired geriatrician, questioned why GPs were being offered an extra payment for having a difficult conversation.
‘Why should a GP be paid for this conversation, as opposed to any other?’ she said. ‘I feel doctors are paid very well and there should be no extra payments. Anything else is open to abuse and misuse.’
She also feared that patients signing up to die in their own home may unwittingly be ‘closing the door on potentially life-saving hospital treatment’. She explained: ‘A doctor may not realise that, while the person appears to be dying, they actually have a reversible condition.’
一年以内に死ぬと見込まれる老人や重病患者と、死にたい場所などについての会話を記録している家庭医に対しては、ボーナスが支払われる、と。家で死にたいという患者が多いだろうから、結果的に、国民健康保険を負担の軽減になる、というわけでしょうね。
参考
麻生発言 ”保障費削減するため、年よりはとっとと死んでくれ”？
