Rationing health care: hard choices and unavoidable trade-offs

Maklu (2012)
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Abstract

'Medical need' is a factor in health care access decision-making, but merit-considerations are becoming important too. In the shortening of waiting time, priority arrangements are considered and/or introduced, based on non-medical criteria. Simultaneously, in terms of financing, health status has become important due to payment arrangements, limited insurance package options, etc. At the same time, health status disparities, due to socioeconomic inequalities, seem to be increasing. Under these circumstances, confronted with increased health spending, it is expected that rationing will become more eminent. Due to this, the emerging relevant questions are: Who will be responsible for rationing? * How does it function? * What are relevant and acceptable selection criteria? * To what extent is current rationing just? * What can be done to make it more just? *

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