Please use this identifier to cite or link to this item: http://hdl.handle.net/11328/1929
Title: The dilemma of managing scarce health care resources: Evidence of the conflict between economic or ethical principles in microallocation decisions
Authors: Pinho, Micaela
Keywords: Microallocation
Efficiency
Ethical judgments
Issue Date: 2014
Citation: Pinho, M. (2014). The dilemma of managing scarce health care resources: Evidence of the conflict between economic or ethical principles in microallocation decisions. The International Journal of Management Science and Information Technology, 14, 1-11. Disponível no Repositório UPT, http://hdl.handle.net/11328/1929
Abstract: Health economists proposed maximizing additional health gains as a criterion to set priorities and to maximize social welfare in the microallocation of healthcare resources. This requires that social values from health improvements are neutral in relation to personal characteristics of people, which seems to be often contradicted by empirical evidence. This paper addresses the social and ethical values that can potentially conflict with economic ones in decisions taken at the micro level of healthcare rationing. Using quantitative and qualitative data collected from a random sample of 200 college students we explore their (i) orientations and motivations when faced with hypothetical scenarios involving prioritization of patients that are distinguished only by their personal characteristics and (ii) views concerning its involvement in decision making over which patients to treat. Findings suggest: (i) the coexistence of fairness and economic orientations among respondents even though utilitarianism received the greatest support; (ii) that although respondents wish to be consulted in matters of microallocation decisions, they do not want to assume the role of deciding between patients.
URI: http://hdl.handle.net/11328/1929
ISSN: 1923-0281
Appears in Collections:REMIT – Artigos em Revistas Internacionais / Papers in International Journals

Files in This Item:
File Description SizeFormat 
Artigo Publicado - 29-11-2014.pdf840.43 kBAdobe PDFView/Open


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.