Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Stanak M, Hawlik K. Perinatal Care at the threshold of viability Part II: Decision-making at the threshold of viability and ethical challenges at Neonatal Intensive Care Units (NICUs) Vienna: Ludwig Boltzmann Institut fuer Health Technology Assessment (LBIHTA). Project Report. 2017 Authors' objectives The aim of this project was to provide decision support for resource planning of NICUs in Austria. We collected evidence on decision-making practices (guidelines, good practice models, and communication strategies) and ethical challenges at the limit of viability. Authors' conclusions Decision-making at the limit of viability is, to a large extent, context dependant. Different countries issue different guidelines that operate at the backdrop of different contexts. Cognitive biases, however, influence decision-making processes, especially in the grey zone where shared decision-making with parents is involved. The role of ethics support also varies with context, but its role in supporting NICU professionals in decision-making as well as in the challenges encountered when facing these ethical dilemmas is inevitable. Indexing Status Subject indexing assigned by CRD MeSH Child; Decision Making; Female; Humans; Infant, Newborn; Morals; Perinatal Care; Pregnancy; ntensive Care Units, Neonatal Language Published English Country of organisation Austria English summary An English language summary is available. Address for correspondence Ludwig Boltzmann Institute fuer Health Technology Assessment (LBI-HTA), Garnisongasse 7 rechte Stiege Mezzanin (Top 20), 1090 Vienna, Austria. Tel: +43 1 236 8119 - 0 Fax: +43 1 236 8119 - 99 AccessionNumber 32018000201 Date abstract record published 16/04/2018 |