Resource Allocation, Health Policy, and Rationing Craniofacial Care
Strauss, Ronald P.
Cleft Palate-Craniofacial Journal. 1995 Nov; 32(6): 515-519.
The United States allocates health care without an overt system of rationing. This article analyzes the forces that guide resource allocation to craniofacial care. Various possible allocation systems are reviewed for how decision makers might evaluate proposed programs for legislative funding. Using a case-based exercise, readers are asked to weigh the potential costs and benefits of six health and social programs. These programs are also systematically examined for factors that are likely to affect resource allocation decisions. Eleven factors that affect decision-making are utilized in the analysis, ranging from the cost per client to emotional or human interest content of the proposed programs. Decisions about preventive programs are compared with those involving therapeutic programs. The allocation of resources to craniofacial programs, including those for children with rare major craniofacial conditions, is considered in the context of social justice and broad contemporary ethical and health care delivery issues.
Aged; Aids; Attitudes; Allocation of Resources; Children; Community Services; Cosmetic Surgery; Costs and Benefits; Decision Making; Diagnosis; Education; Government; Government Financing; Health; Health Care; Health Care Delivery; Health Services; Hospitals; Indigents; Insurance; Intensive Care Units; Illness; Justice; Medicine; Newborns; Nursing Homes; Physicians; Politics; Pregnant Women; Preventive Medicine; Primary Health Care; Public Health; Public Policy; Resource Allocation; Rights; Scarcity; Selection for Treatment; Social worth; Surgery; Women's Health; Women's Health Services;
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