Racionamento dos cuidados de saúde: problemática inerente

• Autor(a) principal: Pinho, Micaela Moreira
• Data de Publicação: 2008
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Cadernos de Saúde Pública
• Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3727
• topic: Recursos Financeiros em Saúde; Prioridades em Saúde; Sistemas de Saúde; Planejamento em Saúde

Limited resources in the health sector force a process of choice between alternative health care programs and services and patients or groups of patients who will receive care. In the absence of a price mechanism, the priority-setting process serves to allocate scarce resources among competing uses, and is thus a form of rationing. Traditionally, implicit approaches have dominated the health sector's decision-making, mostly by physicians. However, in the face of increasing budget constraints and rising patient expectations, more explicit and socially acceptable priority-setting practices are needed. Internationally, the development of explicit prioritization has proven difficult and controversial.