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A review of alternative approaches to healthcare resource allocation
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Petrou, Stavros and Wolstenholme, Jane (2000) A review of alternative approaches to healthcare resource allocation. PharmacoEconomics, 18 (1). pp. 33-43. doi:10.2165/00019053-200018010-00004 ISSN 1170-7690.
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Official URL: http://dx.doi.org/10.2165/00019053-200018010-00004
Abstract
The resources available for healthcare are limited compared with demand, if not need, and all healthcare systems, regardless of their financing and organisation, employ mechanisms to ration or prioritise finite healthcare resources. This paper reviews alternative approaches that can be used to allocate healthcare resources. It discusses the problems encountered when allocating healthcare resources according to free market principles. It then proceeds to discuss the advantages and disadvantages of alternative resource allocation approaches that can be applied to public health systems. These include: (i) approaches based on the concept of meeting the needs of the population to maximising its capacity to benefit from interventions; (ii) economic approaches that identify the most efficient allocation of resources with the view of maximising health benefits or other measures of social welfare; (iii) approaches that seek to ration healthcare by age; and (iv) approaches that resolve resource allocation disputes through debate and bargaining. At present, there appears to be no consensus about the relative importance of the potentially conflicting principles that can be used to guide resource allocation decisions. It is concluded that whatever shape tomorrow’s health service takes, the requirement to make equitable and efficient use of finite healthcare resources will remain.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | PharmacoEconomics | ||||
| Publisher: | Adis International Ltd. | ||||
| ISSN: | 1170-7690 | ||||
| Official Date: | 2000 | ||||
| Dates: |
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| Volume: | 18 | ||||
| Number: | 1 | ||||
| Page Range: | pp. 33-43 | ||||
| DOI: | 10.2165/00019053-200018010-00004 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access |
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