The dilemma of managing scarce health care resources: Evidence of the conflict between economic or ethical principles in microallocation decisions

Detalhes bibliográficos
Autor(a) principal: Pinho, Micaela
Data de Publicação: 2014
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/11328/1929
Resumo: 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.
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spelling The dilemma of managing scarce health care resources: Evidence of the conflict between economic or ethical principles in microallocation decisionsMicroallocationEfficiencyEthical judgmentsHealth 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.2017-09-28T09:40:09Z2017-09-282014-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfPinho, 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/11328/1929http://hdl.handle.net/11328/1929Pinho, 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/11328/1929http://hdl.handle.net/11328/1929eng1923-0281http://www.naisit.org/journal/detail/id/1#http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessPinho, Micaelareponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-16T02:05:50Zoai:repositorio.upt.pt:11328/1929Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:39:24.667500Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv The dilemma of managing scarce health care resources: Evidence of the conflict between economic or ethical principles in microallocation decisions
title The dilemma of managing scarce health care resources: Evidence of the conflict between economic or ethical principles in microallocation decisions
spellingShingle The dilemma of managing scarce health care resources: Evidence of the conflict between economic or ethical principles in microallocation decisions
Pinho, Micaela
Microallocation
Efficiency
Ethical judgments
title_short The dilemma of managing scarce health care resources: Evidence of the conflict between economic or ethical principles in microallocation decisions
title_full The dilemma of managing scarce health care resources: Evidence of the conflict between economic or ethical principles in microallocation decisions
title_fullStr The dilemma of managing scarce health care resources: Evidence of the conflict between economic or ethical principles in microallocation decisions
title_full_unstemmed The dilemma of managing scarce health care resources: Evidence of the conflict between economic or ethical principles in microallocation decisions
title_sort The dilemma of managing scarce health care resources: Evidence of the conflict between economic or ethical principles in microallocation decisions
author Pinho, Micaela
author_facet Pinho, Micaela
author_role author
dc.contributor.author.fl_str_mv Pinho, Micaela
dc.subject.por.fl_str_mv Microallocation
Efficiency
Ethical judgments
topic Microallocation
Efficiency
Ethical judgments
description 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.
publishDate 2014
dc.date.none.fl_str_mv 2014-01-01T00:00:00Z
2017-09-28T09:40:09Z
2017-09-28
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv 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
http://hdl.handle.net/11328/1929
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
http://hdl.handle.net/11328/1929
identifier_str_mv 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
url http://hdl.handle.net/11328/1929
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1923-0281
http://www.naisit.org/journal/detail/id/1#
dc.rights.driver.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
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collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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