scholarly journals Resource Allocation in Health Care

10.5772/20739 ◽  
2011 ◽  
Author(s):  
Giovanni Putoto ◽  
Renzo Pegoraro
Author(s):  
Asha Devereaux ◽  
Holly Yang ◽  
Gilbert Seda ◽  
Viji Sankar ◽  
Ryan C. Maves ◽  
...  

ABSTRACT Successful management of an event where health-care needs exceed regional health-care capacity requires coordinated strategies for scarce resource allocation. Publications for rapid development, training, and coordination of regional hospital triage teams to manage the allocation of scarce resources during coronavirus disease 2019 (COVID-19) are lacking. Over a period of 3 weeks, over 100 clinicians, ethicists, leaders, and public health authorities convened virtually to achieve consensus on how best to save the most lives possible and share resources. This is referred to as population-based crisis management. The rapid regionalization of 22 acute care hospitals across 4500 square miles in the midst of a pandemic with a shifting regulatory landscape was challenging, but overcome by mutual trust, transparency, and confidence in the public health authority. Because many cities are facing COVID-19 surges, we share a process for successful rapid formation of health-care care coalitions, Crisis Standard of Care, and training of Triage Teams. Incorporation of continuous process improvement and methods for communication is essential for successful implementation. Use of our regional health-care coalition communications, incident command system, and the crisis care committee helped mitigate crisis care in the San Diego and Imperial County region as COVID-19 cases surged and scarce resource collaborative decisions were required.


2010 ◽  
Vol 59 (6) ◽  
Author(s):  
D. Sacchini ◽  
P. Refolo ◽  
R. Minacori ◽  
N. Comoretto ◽  
M.L. Di Pietro ◽  
...  

Il contributo ripercorre il dibattito sul tema dell’etica e allocazione delle risorse in ambito sanitario negli ultimi sessant’anni di pubblicazioni della Rivista “Medicina e Morale”. Al richiamo di alcune fonti documentative che certificano l’inserimento di questa tematica fra gli oggetti di indagine della disciplina bioetica, segue una breve rassegna dei contenuti di tutti gli scritti della Rivista sulla materia, una discussione degli elementi che li contraddistinguono e l’indicazione delle prospettive di pubblicazione auspicabili. ---------- The article deals with the debate on ethics and resource allocation in health care over the past sixty years of the Journal “Medicina e Morale” publications. The reference to some documental sources certifying the inclusion of this issue among the objects of investigation of bioethics discipline is followed by a brief overview of the contents of all text of the Journal on the subject, a discussion of the elements that mark them and the indication of the prospects of publication that are desirable.


Medical Law ◽  
2019 ◽  
pp. 37-120
Author(s):  
Emily Jackson

All books in this flagship series contain carefully selected substantial extracts from key cases, legislation, and academic debate, providing able students with a stand-alone resource. This chapter examines the provision of health care services. It first considers the way in which NHS services are commissioned. Secondly, it covers the issue of resource allocation or rationing. It examines different rationing strategies, and considers the role of the National Institute of Health and Care Excellence, and the use of judicial review to challenge funding decisions. Finally, it examines public health law, and role of the state in encouraging healthy behaviour and addressing health inequalities.


2002 ◽  
Vol 8 (5) ◽  
pp. 249-254 ◽  
Author(s):  
K van Gool ◽  
M R Haas ◽  
R Viney

Current funding mechanisms can impede the efficient use and integration of telemedicine services. Telemedicine has developed in Australia against a background of complex funding arrangements and interwoven health-care responsibilities. These impediments are not unique to telemedicine but are accentuated by its ability to cover different locations, clinical areas and purposes. There is also a link between economic evaluation and funding mechanisms for telemedicine. While economic evaluations provide important information for the efficient allocation of resources, the funding environment in which telemedicine is established is also crucial in ensuring that services are efficient. Given these complexities, should telemedicine be funded? We conclude that this will depend on: the objectives and priorities of the health system; the efficiency of telemedicine relative to that of other forms of health-care delivery; and the funding environment. In terms of resource allocation processes, the optimum scenario is likely to be where the decision to invest in telemedicine services is made taking local needs into account, but where considerations such as market structure and network compatibility are examined on a broader scale and balanced against the principles of efficiency and equity.


2015 ◽  
Vol 6 (2) ◽  
pp. 23-25 ◽  
Author(s):  
Zoheb Rafique

The purpose of this paper is to discuss the accountability for reasonableness and its four conditions. This explains the priority setting and resource allocation for scarce resources. In this article it is discussed that how the scarce resources in a developing country like Pakistan be allocated in health care. This is explained with the help of case scenario.


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