Managing end-of-life care in Malaysia: The economic considerations from the ethical and Islamic perspectives

Since the turn of the 20th century, the increase in the degree of medical prevalence particularly at the end of life, has redefined the dimensions between life and death. Medical treatment and equipment are now able to prolong the life expectancy of patients suffering from life-limiting illnesses e...

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Main Authors: Alias, Fadhlina, Jahn Kassim, Puteri Nemie, Mohamad Hussain, Mazlena
Format: Article
Language:English
English
English
Published: International Institute of Islamic Civilisation and Malay World (ISTAC), 2019
Subjects:
Online Access:http://irep.iium.edu.my/73050/
http://irep.iium.edu.my/73050/7/73050%20Managing%20End-of-Life%20Care%20in%20Malaysia.pdf
http://irep.iium.edu.my/73050/13/73050%20Managing%20End-of-Life%20Care%20in%20Malaysia_scopus%20%281%29.pdf
http://irep.iium.edu.my/73050/14/73050_MANAGING%20END-OF-LIFE%20CARE%20IN%20MALAYSIA_wos.pdf
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author Alias, Fadhlina
Jahn Kassim, Puteri Nemie
Mohamad Hussain, Mazlena
author_facet Alias, Fadhlina
Jahn Kassim, Puteri Nemie
Mohamad Hussain, Mazlena
author_sort Alias, Fadhlina
building IIUM Repository
collection Online Access
description Since the turn of the 20th century, the increase in the degree of medical prevalence particularly at the end of life, has redefined the dimensions between life and death. Medical treatment and equipment are now able to prolong the life expectancy of patients suffering from life-limiting illnesses even in the absence of any brain activity. This has impacted upon the delivery of end-of-life care, which focuses on providing a comfortable environment for patients who are suffering from incurable diseases and for whom death is imminent. The emergence of sophisticated medical devices and interventions has raised ethical issues relating to end-of-life decisions especially in withholding or withdrawing life sustaining treatments. In such a situation, economic considerations constitute an important factor in the provision of end-of-life care due to the costly and limited resources which are required for providing such life-sustaining treatment. Healthcare providers need to grapple with issues justifying resource allocation amongst patients, which are in turn contingent upon deliberations on medical futility. This paper seeks to discuss the economic considerations involved in the management of end-of-life care from the ethical and Islamic standpoints and ultimately, to provide recommendations for the promotion of a comprehensive national policy that is suitable and viable for the Malaysian healthcare environment.
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publisher International Institute of Islamic Civilisation and Malay World (ISTAC),
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spelling iium-730502020-04-03T03:48:28Z http://irep.iium.edu.my/73050/ Managing end-of-life care in Malaysia: The economic considerations from the ethical and Islamic perspectives Alias, Fadhlina Jahn Kassim, Puteri Nemie Mohamad Hussain, Mazlena KPG Malaysia Since the turn of the 20th century, the increase in the degree of medical prevalence particularly at the end of life, has redefined the dimensions between life and death. Medical treatment and equipment are now able to prolong the life expectancy of patients suffering from life-limiting illnesses even in the absence of any brain activity. This has impacted upon the delivery of end-of-life care, which focuses on providing a comfortable environment for patients who are suffering from incurable diseases and for whom death is imminent. The emergence of sophisticated medical devices and interventions has raised ethical issues relating to end-of-life decisions especially in withholding or withdrawing life sustaining treatments. In such a situation, economic considerations constitute an important factor in the provision of end-of-life care due to the costly and limited resources which are required for providing such life-sustaining treatment. Healthcare providers need to grapple with issues justifying resource allocation amongst patients, which are in turn contingent upon deliberations on medical futility. This paper seeks to discuss the economic considerations involved in the management of end-of-life care from the ethical and Islamic standpoints and ultimately, to provide recommendations for the promotion of a comprehensive national policy that is suitable and viable for the Malaysian healthcare environment. International Institute of Islamic Civilisation and Malay World (ISTAC), 2019-07-01 Article PeerReviewed application/pdf en http://irep.iium.edu.my/73050/7/73050%20Managing%20End-of-Life%20Care%20in%20Malaysia.pdf application/pdf en http://irep.iium.edu.my/73050/13/73050%20Managing%20End-of-Life%20Care%20in%20Malaysia_scopus%20%281%29.pdf application/pdf en http://irep.iium.edu.my/73050/14/73050_MANAGING%20END-OF-LIFE%20CARE%20IN%20MALAYSIA_wos.pdf Alias, Fadhlina and Jahn Kassim, Puteri Nemie and Mohamad Hussain, Mazlena (2019) Managing end-of-life care in Malaysia: The economic considerations from the ethical and Islamic perspectives. Al-Shajarah: Journal of The International Institute of Islamic Thought and Civilization (ISTAC), 24 (1). pp. 131-157. ISSN 1394-6870 https://journals.iium.edu.my/shajarah/index.php/shaj/article/view/856
spellingShingle KPG Malaysia
Alias, Fadhlina
Jahn Kassim, Puteri Nemie
Mohamad Hussain, Mazlena
Managing end-of-life care in Malaysia: The economic considerations from the ethical and Islamic perspectives
title Managing end-of-life care in Malaysia: The economic considerations from the ethical and Islamic perspectives
title_full Managing end-of-life care in Malaysia: The economic considerations from the ethical and Islamic perspectives
title_fullStr Managing end-of-life care in Malaysia: The economic considerations from the ethical and Islamic perspectives
title_full_unstemmed Managing end-of-life care in Malaysia: The economic considerations from the ethical and Islamic perspectives
title_short Managing end-of-life care in Malaysia: The economic considerations from the ethical and Islamic perspectives
title_sort managing end-of-life care in malaysia: the economic considerations from the ethical and islamic perspectives
topic KPG Malaysia
url http://irep.iium.edu.my/73050/
http://irep.iium.edu.my/73050/
http://irep.iium.edu.my/73050/7/73050%20Managing%20End-of-Life%20Care%20in%20Malaysia.pdf
http://irep.iium.edu.my/73050/13/73050%20Managing%20End-of-Life%20Care%20in%20Malaysia_scopus%20%281%29.pdf
http://irep.iium.edu.my/73050/14/73050_MANAGING%20END-OF-LIFE%20CARE%20IN%20MALAYSIA_wos.pdf