{"response":{"docs":[{"system_create_dtsi":"2021-11-04T21:57:57Z","system_modified_dtsi":"2021-11-20T15:31:45Z","has_model_ssim":["PublishedWork"],"id":"000019505","accessControl_ssim":["1d1a663d-62aa-4a09-b5ee-ac38d34a8ba2"],"hasRelatedMediaFragment_ssim":["tt44pq627"],"hasRelatedImage_ssim":["tt44pq627"],"depositor_ssim":["batchuser@example.com"],"depositor_tesim":["batchuser@example.com"],"title_tesim":["Tragic choices in health care : the case of Child B"],"date_uploaded_dtsi":"2021-11-04T21:57:57Z","date_modified_dtsi":"2021-11-11T04:39:35Z","isPartOf_ssim":["admin_set/default"],"biblionumber_tesim":["19505"],"abstract_tesim":["This book tells the story of Jaymee Bowen (Child B) whose case has come to epitomise the dilemmas involved in making tragic choices in health care. It shows that the story was complex and not simply an example of health care rationing. While media reports at the time emphasised the difficulty facing the NHS in deciding whether to fund high cost treatment of unproved effectiveness, for many involved, the central issue was less to do with availability of finance than what care was appropriate for a child with Jaymee's medical history. Clinical opinions were divided, and the health authority was faced with the challenge of managing this dissent and of coping with a father unwilling to accept the advice of doctors responsible for his daughter's care. The case was also played out in the public eye. Ethical dilemmas concerning autonomy of individuals, community interests and the concern of clinicians to do more good than harm underpinned all these issues. Fundamental questions about the rights of children and their ability to give consent for treatment were also raised. On the basis of an analysis of these issues from the perspective of those most closely involved, the book draws out the implications for patients, doctors, managers and others, and makes a series of recommendations on how cases of this kind might be handled in the future."],"date_published_tesim":["1998"],"date_published_ssi":"1998","isbn_tesim":["1857172035"],"pagination_tesim":["100"],"place_of_publication_tesim":["London"],"rights_statement_tesim":["http://rightsstatements.org/vocab/InC/1.0/"],"license_tesim":["http://creativecommons.org/licenses/by-nc-nd/4.0/"],"creator_tesim":["Pickard, Susan","King's Fund","Ham, Chris"],"date_tesim":["1998"],"date_ssi":"1998","publisher_tesim":["King's Fund"],"resource_type_tesim":["Monograph"],"subject_tesim":["Health rationing","Ethics","Decision making"],"note_tesim":["Pagination: xviii, 100p."],"former_identifier_tesim":["19505"],"thumbnail_path_ss":"/downloads/tt44pq627?file=thumbnail","suppressed_bsi":false,"actionable_workflow_roles_ssim":["admin_set/default-default-managing","admin_set/default-default-approving","admin_set/default-default-depositing"],"workflow_state_name_ssim":["deposited"],"member_ids_ssim":["ht24wn523","5999n6242","47429d11v","cc08hj65z","qn59q738s","12579w43c","qn59q7367","pk02cd81q","pn89d9973","1z40kx040","q524js035","v118rh74t","7p88ck49d","df65vc36k","g732dd34x","x920g108k","vx021j08p","8c97kt57z","6682x692b","r494vp131","cr56n4409","tt44pq627","2f75rc20x","9s1619057","vd66w323j","q524js04f","h702q930g","m326m487n","ns064889t","m900nx98g","8623j208p","hd76s289p","9z903313c","1r66j4580","8s45qd23c","5138jh79p","mw22v8456","x920g110m","5x21tj608","v405sd58p","g158bm34f","vt150n14k","v692t9285","vd66w324t","mg74qp88r","1j92gb21k","dv13zx28r","41687m634","sq87bx93b","08612r72f","bg257j584","s7526g239","zw12z8335","mp48sg67r","6q182p57g","h128nh963","zc77st22c","n870zt97t","1v53k1170","8s45qd223","cn69m7267","qr46r4046","cr56n442v","jm214s14x","1z40kx058","mc87pt288","5712m9663","3r074x75x","9w032623d","hq37vr42m","jd473088d","9w0326224","ms35tc556","pg15bj22h","37720g773","f1881p895","cv43p100k","r781wk33r","qn59q737h","db78tg07w","mw22v847r","df65vc37v","k35697489","7p88ck51f","3b591c65t","9z9033123","fb494c26w","cr56n441k","cz30pw67t","mg74qp87g","n870zt983","pc289n139","jh343w36q","6969z401m","rb68xf995","ff365809g","fn107223s","fj236515v","df65vc359","5138jh78d","3197xq09j","2801pk31q","7p88ck505","3x816q75c","6682x693m","7m01bp82z","pk02cd80f","2514np684","7s75dg341","9019s563x","mw22v846g","vh53wz86p","v118rh753","6969z400b","g732dd356","gx41mn105","b5644v630","5712m965t","x920g109v","rv042x36b","47429d124","2227ms99w","cj82kb54w","5t34sn71j","2r36v142r"],"file_set_ids_ssim":["ht24wn523","5999n6242","47429d11v","cc08hj65z","qn59q738s","12579w43c","qn59q7367","pk02cd81q","pn89d9973","1z40kx040","q524js035","v118rh74t","7p88ck49d","df65vc36k","g732dd34x","x920g108k","vx021j08p","8c97kt57z","6682x692b","r494vp131","cr56n4409","tt44pq627","2f75rc20x","9s1619057","vd66w323j","q524js04f","h702q930g","m326m487n","ns064889t","m900nx98g","8623j208p","hd76s289p","9z903313c","1r66j4580","8s45qd23c","5138jh79p","mw22v8456","x920g110m","5x21tj608","v405sd58p","g158bm34f","vt150n14k","v692t9285","vd66w324t","mg74qp88r","1j92gb21k","dv13zx28r","41687m634","sq87bx93b","08612r72f","bg257j584","s7526g239","zw12z8335","mp48sg67r","6q182p57g","h128nh963","zc77st22c","n870zt97t","1v53k1170","8s45qd223","cn69m7267","qr46r4046","cr56n442v","jm214s14x","1z40kx058","mc87pt288","5712m9663","3r074x75x","9w032623d","hq37vr42m","jd473088d","9w0326224","ms35tc556","pg15bj22h","37720g773","f1881p895","cv43p100k","r781wk33r","qn59q737h","db78tg07w","mw22v847r","df65vc37v","k35697489","7p88ck51f","3b591c65t","9z9033123","fb494c26w","cr56n441k","cz30pw67t","mg74qp87g","n870zt983","pc289n139","jh343w36q","6969z401m","rb68xf995","ff365809g","fn107223s","fj236515v","df65vc359","5138jh78d","3197xq09j","2801pk31q","7p88ck505","3x816q75c","6682x693m","7m01bp82z","pk02cd80f","2514np684","7s75dg341","9019s563x","mw22v846g","vh53wz86p","v118rh753","6969z400b","g732dd356","gx41mn105","b5644v630","5712m965t","x920g109v","rv042x36b","47429d124","2227ms99w","cj82kb54w","5t34sn71j","2r36v142r"],"visibility_ssi":"open","admin_set_tesim":["Default Admin Set"],"human_readable_type_tesim":["Published Work"],"read_access_group_ssim":["public"],"edit_access_group_ssim":["admin"],"edit_access_person_ssim":["batchuser@example.com"],"nesting_collection__pathnames_ssim":["000019505"],"nesting_collection__deepest_nested_depth_isi":1,"_version_":1717481846542958592,"timestamp":"2021-11-26T09:18:45.942Z","score":1.0},{"system_create_dtsi":"2021-11-04T20:08:02Z","system_modified_dtsi":"2021-11-20T01:30:40Z","has_model_ssim":["PublishedWork"],"id":"000007461","accessControl_ssim":["3b4e92ec-e8ad-429e-af83-37b82b3dca5d"],"hasRelatedMediaFragment_ssim":["qz20sv96t"],"hasRelatedImage_ssim":["qz20sv96t"],"depositor_ssim":["batchuser@example.com"],"depositor_tesim":["batchuser@example.com"],"title_tesim":["Purchasing dilemmas : special report"],"date_uploaded_dtsi":"2021-11-04T20:08:02Z","date_modified_dtsi":"2021-11-11T00:58:44Z","isPartOf_ssim":["admin_set/default"],"biblionumber_tesim":["7461"],"abstract_tesim":["This report is based on a seminar held in Southampton in October 1991 which explored an alternative approach to health rationing from that of the Oregon experiment. A specially designed simulation exercise examined the dilemmas facing purchasers in the new NHS. Organised over 24 hours, the simulation centred on three case studies: options for tackling coronary heart disease; the treatment of stroke in elderly patients; the balance of spending between different services and care groups. The aim of the simulation was to explore at an early stage in the development of the purchasing role the challenges facing health authorities in setting priorities. The intended outcome was not a set of actual decisions on the cases discussed, but rather to establish some criteria to guide decision making, to test out the information needs of the health authority and to identify lessons that could be incorporated as the Authority moved from simulation to taking decisions `for real'."],"date_published_tesim":["1992"],"date_published_ssi":"1992","isbn_tesim":["1873883307"],"pagination_tesim":["80"],"place_of_publication_tesim":["London"],"rights_statement_tesim":["http://rightsstatements.org/vocab/InC/1.0/"],"license_tesim":["http://creativecommons.org/licenses/by-nc-nd/4.0/"],"creator_tesim":["Cochrane, Murray","Richards, John","Southampton and South West Hampshire Health Authority","Ham, Chris","King's Fund College (King Edward's Hospital Fund for London)","Heginbotham, Chris"],"date_tesim":["1992"],"date_ssi":"1992","publisher_tesim":["King's Fund College"],"resource_type_tesim":["Monograph"],"subject_tesim":["Decision making","Resource allocation","Purchasing","Priority setting","Health rationing","Simulation exercises"],"note_tesim":["Pagination: 80p."],"former_identifier_tesim":["7461"],"thumbnail_path_ss":"/downloads/qz20sv96t?file=thumbnail","suppressed_bsi":false,"actionable_workflow_roles_ssim":["admin_set/default-default-managing","admin_set/default-default-approving","admin_set/default-default-depositing"],"workflow_state_name_ssim":["deposited"],"member_ids_ssim":["765373436","zk51vk068","v118rg900","vt150m443","dn39x387d","1z40kw052","r494vn186","vh53wz003","h128nh122","k3569658b","4j03d1971","qz20sv96t","1r66j367r","zs25xb935","jm214r27s","rb68xf111","d791sj66b","mp48sf81c","6q182n68s","rv042w39z","76537342x","js956j05g","8p58pg335","ng451k568","tt44pp842","9s161829m","w9505264v","3j333441h","41687k824","bv73c284j","gh93h1778","b8515q56m","2f75rb42r","6108vd48b","pr76f561r","2801pj40g","pz50gz46z","x346d665h","n870zt142","41687k83d","bc386m66c","wh246v571","w9505263k","m613n1019","wh246v56r","td96k479b","6w924f377","2z10ws31b","g158bk49v","9019s467t","707959547","ff3657454","3x816q01k","8910jx035","f4752j83j","gb19f832p","kh04dr71r","0p096934b","cn69m6414","8p58pg32w","bc386m67n","2j62s725b","gh93h178j","ht24wm713","kp78gj617","z890rw52c","mk61rj97r","vm40xt73n","ht24wm72c","js956j06r","cf95jd86q","h415pc89q","dz010s17d","ft848s955","bg257h62h","b8515q55b","4f16c500w","cf95jd85f","9880vt174","z603r071j","cj82k960t","sf2687376","n009w437v","m900nw988","2f75rb41g"],"file_set_ids_ssim":["765373436","zk51vk068","v118rg900","vt150m443","dn39x387d","1z40kw052","r494vn186","vh53wz003","h128nh122","k3569658b","4j03d1971","qz20sv96t","1r66j367r","zs25xb935","jm214r27s","rb68xf111","d791sj66b","mp48sf81c","6q182n68s","rv042w39z","76537342x","js956j05g","8p58pg335","ng451k568","tt44pp842","9s161829m","w9505264v","3j333441h","41687k824","bv73c284j","gh93h1778","b8515q56m","2f75rb42r","6108vd48b","pr76f561r","2801pj40g","pz50gz46z","x346d665h","n870zt142","41687k83d","bc386m66c","wh246v571","w9505263k","m613n1019","wh246v56r","td96k479b","6w924f377","2z10ws31b","g158bk49v","9019s467t","707959547","ff3657454","3x816q01k","8910jx035","f4752j83j","gb19f832p","kh04dr71r","0p096934b","cn69m6414","8p58pg32w","bc386m67n","2j62s725b","gh93h178j","ht24wm713","kp78gj617","z890rw52c","mk61rj97r","vm40xt73n","ht24wm72c","js956j06r","cf95jd86q","h415pc89q","dz010s17d","ft848s955","bg257h62h","b8515q55b","4f16c500w","cf95jd85f","9880vt174","z603r071j","cj82k960t","sf2687376","n009w437v","m900nw988","2f75rb41g"],"visibility_ssi":"open","admin_set_tesim":["Default Admin Set"],"human_readable_type_tesim":["Published Work"],"read_access_group_ssim":["public"],"edit_access_group_ssim":["admin"],"edit_access_person_ssim":["batchuser@example.com"],"nesting_collection__pathnames_ssim":["000007461"],"nesting_collection__deepest_nested_depth_isi":1,"_version_":1717464727080140800,"timestamp":"2021-11-26T04:46:39.550Z","score":1.0}],"facets":[{"name":"creator_sim","items":[{"value":"Ham, Chris","hits":2,"label":"Ham, Chris"},{"value":"Cochrane, Murray","hits":1,"label":"Cochrane, Murray"},{"value":"Heginbotham, Chris","hits":1,"label":"Heginbotham, Chris"},{"value":"King's Fund","hits":1,"label":"King's Fund"},{"value":"King's Fund College (King Edward's Hospital Fund for London)","hits":1,"label":"King's Fund College (King Edward's Hospital Fund for London)"},{"value":"Pickard, Susan","hits":1,"label":"Pickard, Susan"}],"label":"Author"},{"name":"subject_sim","items":[{"value":"Decision making","hits":2,"label":"Decision making"},{"value":"Health rationing","hits":2,"label":"Health rationing"},{"value":"Ethics","hits":1,"label":"Ethics"},{"value":"Priority setting","hits":1,"label":"Priority setting"},{"value":"Purchasing","hits":1,"label":"Purchasing"},{"value":"Resource allocation","hits":1,"label":"Resource allocation"}],"label":"Subject"},{"name":"resource_type_sim","items":[{"value":"Monograph","hits":2,"label":"Monograph"}],"label":"Resource type"},{"name":"date_range_sim","items":[{"value":"1992","hits":1,"label":"1992"},{"value":"1998","hits":1,"label":"1998"}],"label":"Date Range"},{"name":"file_format_sim","items":[],"label":"File format"},{"name":"member_of_collections_ssim","items":[],"label":"Collection"},{"name":"generic_type_sim","items":[{"value":"Work","hits":2,"label":"Work"}],"label":"Generic Type Sim"}],"pages":{"current_page":1,"next_page":null,"prev_page":null,"total_pages":1,"limit_value":10,"offset_value":0,"total_count":2,"first_page?":true,"last_page?":true}}}