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How to address resource allocation in health in a fair and just manner?

  • Tung LAM
  • Aug 15, 2018
  • 1 min read

The right to healthcare is limited and there are conflicts of access or right to healthcare e.g. when it happens that two persons both need a donated kidney. There are limits in available resources.


1. scarcity of resources can be radical (not enough for everyone) or comparative (not enough to treat everyone now)


2. financial constraints (no money v unfair distribution)


3. increase supply and demand

- improved technology in treating more diseases (supply)

- innovations by pharmaceutical companies who need to generate profits (supply)

- people expect longer life (demand)

- nature of the treatment changes over time (supply)


4. macro-allocation: happens between government departments / hospitals


5. micro-allocation: happens between individual patients


6. global allocation

- equity: insufficient resources for medicines / staff

- responses: individual (moral duty to the country)

government (aid to citizens, any strings attached)

supplier (drug companies, moral obligations)


7. national allocation: some regions are more favoured over others?

socio-economic status affects access to healthcare?


8. need based analysis: decided by a range of people including medical professionals, managers, economists, politicians, public opinions, lobby groups, media


9. cost:benefit of treatment which aims at

- avoiding suffering

- prolonging life

- improving access to private healthcare


In UK, National Institute for Clinical Excellence (NICE) has the power to decide what treatments they would and would not prescribe.

 
 
 

2 Comments


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Jun 18

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David Parker
David Parker
Feb 14

This article highlights a crucial issue in healthcare—ensuring fair and just resource distribution. Effective resource management is key to delivering better healthcare services while maintaining efficiency. Leveraging resource allocation tools can help healthcare providers track and distribute resources equitably, ensuring that patients receive the care they need while optimizing operational capacity.

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(CC) BY Tung Lam HK

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