Health Care Rationing

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  Subject Areas on Research

  • "Two steps forward, one back" 
  • 'Rationing' health care. Not all definitions are created equal. 
  • A UNOS perspective on donor liver allocation. United Network for Organ Sharing. 
  • A gift of life: ethical and practical problems with conditional and directed donation. 
  • A randomized study would answer the question. 
  • A reevaluation of the costs of heart failure and its implications for allocation of health resources in the United States. 
  • Agency is messy: get used to it. 
  • Allocating HIV-prevention resources: balancing efficiency and equity. 
  • Allocating Resources Across the Life Span During COVID-19-Integrating Neonates and Children Into Crisis Standards of Care Protocols. 
  • Allocation of transplantable organs: do people want to punish patients for causing their illness? 
  • Analysis of semen parameters in male referrals: impact of reference limits, stratification by fertility categories, predictors of change, and comparison of normal semen parameters in subfertile couples. 
  • Are preferences for equity over efficiency in health care allocation "all or nothing"? 
  • COVID-19 vaccine prioritization of incarcerated people relative to other vulnerable groups: An analysis of state plans. 
  • Can a moral reasoning exercise improve response quality to surveys of healthcare priorities? 
  • Characteristics of adult primary care patients as predictors of future health services charges. 
  • Confessions of a bedside rationer: commentary on Hurst and Danis. 
  • Contractarianism and the "trolley" problem. 
  • Coping with critical drug shortages: an ethical approach for allocating scarce resources in hospitals. 
  • Cost-Effectiveness Analysis 2.0. 
  • Cost-effective integration of mental health professions. 
  • Cost-effectiveness analysis and budget constraints. 
  • Cost-effectiveness analysis in a setting of budget constraints--is it equitable? 
  • Costs of interventional cardiac procedures. 
  • Decreased graft loss following implementation of the kidney allocation score (KAS). 
  • Delivery strategies to optimize resource utilization and performance status for patients with advanced life-limiting illness: results from the "palliative care trial" [ISRCTN 81117481]. 
  • Development and Performance of a Clinical Decision Support Tool to Inform Resource Utilization for Elective Operations. 
  • Disparities in liver transplantation before and after introduction of the MELD score. 
  • Distributing scarce livers: the moral reasoning of the general public. 
  • Does bedside rationing violate patients' best interests? An exploration of "moral hazard". 
  • Does bedside rationing violate patients' best interests? An exploration of "moral hazard". 
  • Does comparative effectiveness research promote rationing of cancer care? 
  • Dose response: intelligent rationing by physicians is the first step to a health-care system that society can afford. 
  • Economic burden of heart failure in the elderly. 
  • Economic evaluation of access to musculoskeletal care: the case of waiting for total knee arthroplasty. 
  • Elective surgery cancellations due to the COVID-19 pandemic: global predictive modelling to inform surgical recovery plans. 
  • Equal Opportunity and Genetic Intervention 
  • Equalizing MELD Scores Over Broad Geographies Is Not the Most Efficacious Way to Allocate a Scarce Resource in a Value-based Environment. 
  • Equitably Allocating Resources during Crises: Racial Differences in Mortality Prediction Models. 
  • Estimating the Cost of Neurosurgical Procedures in a Low-Income Setting: An Observational Economic Analysis. 
  • Ethical considerations for allocation of scarce resources and alterations in surgical care during a pandemic. 
  • Exploring the role of order effects in person trade-off elicitations. 
  • Functional status after lung transplantation in older adults in the post-allocation score era. 
  • Geographic favoritism in liver transplantation--unfortunate or unfair? 
  • Geographic favoritism in liver transplantation. 
  • Healthcare Rationing Cutoffs and Sorites Indeterminacy. 
  • How stable are people's preferences for giving priority to severely ill patients? 
  • Identifying Palliative Care Champions to Promote High-Quality Care to Those with Serious Illness. 
  • Impact of coverage-dependent marginal costs on optimal HPV vaccination strategies. 
  • Impact of the lung allocation score on survival beyond 1 year. 
  • Improved survival in simultaneous lung-liver recipients and candidates in the modern era of lung allocation. 
  • Improving value measurement in cost-effectiveness analysis. 
  • Incorporating societal concerns for fairness in numerical valuations of health programmes. 
  • Individual utilities are inconsistent with rationing choices: A partial explanation of why Oregon's cost-effectiveness list failed. 
  • Kidney transplant candidates' views of the transplant allocation system. 
  • Left main stenosis. 
  • Lessons from the Swedish health care system. 
  • Lessons learned from hospital Ebola preparation. 
  • Life-sustaining therapy. A model for appropriate use. 
  • Making cardiac surgery feasible in African countries: Experience from Namibia, Uganda, and Zambia. 
  • Managed care: rationing without justice, but not unjustly. 
  • National decline in donor heart utilization with regional variability: 1995-2010. 
  • Optimization of operating room allocation using linear programming techniques. 
  • Organ Allocation and Distribution: Lessons to Be Learned and Principles to Lead Us Forward. 
  • Organ allocation for transplantation in the USA and Korea: the changing roles of equity and utility. 
  • Organ procurement: expenditures and financial incentives. 
  • Perceived transparency and fairness of the organ allocation system and willingness to donate organs: a national study. 
  • Physician and Patient and Caregiver Health Attitudes and Their Effect on Medicare Resource Allocation for Patients With Advanced Cancer. 
  • Physicians' beliefs and U.S. health care reform--a national survey. 
  • Physicians' duties in an era of cost containment: advocacy or betrayal? 
  • Physicians, thou shalt ration: the necessary role of bedside rationing in controlling healthcare costs. 
  • Preference for equity as a framing effect. 
  • Preparing for an influenza pandemic: are some people more equal than others? 
  • Prescriptions for justice: using social accounts to legitimate the exercise of professional control. 
  • Preserving stroke care during the COVID-19 pandemic: Potential issues and solutions. 
  • Priorities for comparative effectiveness reviews in cardiovascular disease. 
  • Private and public choices in end-of-life care. 
  • Privatization and just healthcare. 
  • Projection of Eye Disease Burden in Singapore. 
  • Prolonged mechanical ventilation is even more expensive. 
  • Proposed 'grant-and-access' program with price caps could stimulate development of drugs for very rare diseases. 
  • Public perceptions of the importance of prognosis in allocating transplantable livers to children. 
  • Public preferences for efficiency and racial equity in kidney transplant allocation decisions. 
  • Public preferences for prevention versus cure: what if an ounce of prevention is worth only an ounce of cure? 
  • Public response to cost-quality tradeoffs in clinical decisions. 
  • Racial, Socioeconomic, and Gender Disparities in the Presentation, Treatment, and Outcomes of Adult Chiari I Malformations. 
  • Rationing HIV medications: what do patients and the public think about allocation policies? 
  • Rationing by any other name. 
  • Rationing by any other name. 
  • Rationing failure. The ethical lessons of the retransplantation of scarce vital organs. 
  • Re "Solutions must be the answer". 
  • Recognizing bedside rationing: clear cases and tough calls. 
  • Reexpressing Parenthood 
  • Rehabilitation after hip fracture--equal opportunity for all? 
  • Research priorities for the nursing of children and their families: a Delphi study 
  • Resource allocation and resident outcomes in nursing homes: comparisons between the best and worst. 
  • Resource use and costs of branch and central retinal vein occlusion in the elderly. 
  • Responding to the immunoglobulin shortage: a case study. 
  • Response to the 'Consensus Statement of the Working Group on Roman Catholic Approaches to Determining Appropriate Critical Care'. 
  • Scoring System to Triage Patients for Spine Surgery in the Setting of Limited Resources: Application to the Coronavirus Disease 2019 (COVID-19) Pandemic and Beyond. 
  • Should Pediatric Patients Be Prioritized When Rationing Life-Saving Treatments During COVID-19 Pandemic. 
  • Should age be a basis for rationing health care? 
  • Should doctors ever lie on behalf of patients? 
  • Should palliative care be a necessity or a luxury during an overwhelming health catastrophe? 
  • Social responsibility, personal responsibility, and prognosis in public judgments about transplant allocation. 
  • Solid-organ transplantation in older adults: current status and future research. 
  • Spatially balanced provision of health equipment: a cross-sectional study oriented to the identification of challenges to access promotion. 
  • Spiritual values in the setting of health care priorities. 
  • Strategies for incorporating resource allocation and economic considerations: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). 
  • Surveillance issues in inflammatory bowel disease: ulcerative colitis. 
  • Survival Benefit of Lung Transplantation in the Modern Era of Lung Allocation. 
  • Systems-level barriers to treatment in a cervical cancer prevention program in Kenya: Several observational studies. 
  • The Emergency Severity Index (version 3) 5-level triage system scores predict ED resource consumption. 
  • The Oregon formula: a better method of allocating health care resources. 
  • The Right to a Decent Minimum of Health Care 
  • The author replies. 
  • The challenge of measuring community values in ways appropriate for setting health care priorities. 
  • The costs of denying scarcity. 
  • The efficacy and equity of retransplantation: an experimental survey of public attitudes. 
  • The ethics of care: social workers in an influenza pandemic. 
  • The future direction of the adult heart allocation system in the United States. 
  • The impact of bariatric surgery on the Veterans Administration healthcare system: a cost analysis. 
  • The importance of age in allocating health care resources: does intervention-type matter? 
  • The initial experience and response of vascular surgeons in Michigan during the COVID-19 pandemic. 
  • The natural life of policy indices: geographical problem areas in the U.S. and U.K. 
  • The providing resources to enhance African American patients' readiness to make decisions about kidney disease (PREPARED) study: protocol of a randomized controlled trial. 
  • The public's preference for bedside rationing. 
  • The role of community values in setting healthcare priorities. Ethically and financially viable, or merely a "modest proposal?". 
  • The unbearable rightness of bedside rationing. Physician duties in a climate of cost containment. 
  • Toward a broader view of values in cost-effectiveness analysis of health. 
  • Transplantation traffic--geography as destiny for transplant candidates. 
  • Treating QALYs with a heavy dose of social values: is the cure worth the cost? 
  • US national survey of physician practices for the secondary and tertiary prevention of ischemic stroke. Design, service availability, and common practices. 
  • Understanding how orthopaedic surgery practices generate value for healthcare systems. 
  • Unpredictable drug shortages: an ethical framework for short-term rationing in hospitals. 
  • Use of econometric models to estimate expenditure shares. 
  • Value measurement in cost-utility analysis: explaining the discrepancy between rating scale and person trade-off elicitations. 
  • What's it worth? Public willingness to pay to avoid mental illnesses compared with general medical illnesses. 
  • Which factors should be included in triage? An online survey of the attitudes of the UK general public to pandemic triage dilemmas. 
  • Who Should Ration? 
  • Why It's Not Time for Health Care Rationing. 
  • Why not real economics? 
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  Keywords of People

  • Anderson, Ruth A., Professor Emerita in the School of Nursing, School of Nursing
  • Olson, Steven Arthur, Goldner Jones Distinguished Professor of Orthopaedic Surgery, Orthopaedic Surgery
  • Reed, Shelby Derene, Professor in Population Health Sciences, Duke Science & Society
  • Zafar, Syed Yousuf, Adjunct Professor in the Department of Medicine, Duke Science & Society