Resource Constraints and the Quality of Care
Lancet. 1985 Oct 26; 2(8461): 936-939.
When resource constraints lead a clinician to settle for a standard of practice lower than the best that he or she can do, "a fundamental professional ethic is in danger." Maxwell recognizes the financial limits placed on Britain's National Health Service; however, he argues that complacency is unacceptable and that efforts need to be directed toward optimization of exisitng resources. Among his suggestions are testing current limits in the health budget, achieving greater flexibility within the health budget, and setting aside two or three percent of the budget each year for important new priorities. (KIE abstract)
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Perceptions of Cost Constraints, Resource Limitations, and Rationing in United States Intensive Care Units: Results of a National Survey Ward, Nicholas S.; Teno, Joan M.; Curtis, J. Randall; Rubenfeld, Gordon D.; Levy, Mitchell M. (2008-02)
Unknown author (United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Hospitals and Health Care, 1989)