How Can Hospitals Ration Drugs? Drug Rationing in a Teaching Hospital: A Method to Assign Priorities
Martin, E. Dean
Burgess, Naomi G.
Somogyi, Andrew A.
Misan, Gary M.H.
BMJ (British Medical Journal). 1994 Apr 2; 308(6933): 901-908.
When drug budgets are unable to accommodate all new drug requests, a dilemma arises when additional funds become available -- which drugs should receive priority? The drug committee at Royal Adelaide Hospital devised a scheme, which they describe here, to rank drug requests to obtain the greatest benefit for the most patients for each dollar spent. We asked a health economist, a clinical pharmacologist, and a moral philosopher to give their perspectives on this form of rationing, and we then gave the authors an opportunity to respond.
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