Jump to ContentJump to Main Navigation
Health and Social Justice$
Users without a subscription are not able to see the full content.

Jennifer Prah Ruger

Print publication date: 2009

Print ISBN-13: 9780199559978

Published to Oxford Scholarship Online: February 2010

DOI: 10.1093/acprof:oso/9780199559978.001.0001

Show Summary Details
Page of

PRINTED FROM OXFORD SCHOLARSHIP ONLINE (www.oxfordscholarship.com). (c) Copyright Oxford University Press, 2020. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 29 May 2020

Allocating Resources: A Joint Scientific and Deliberative Approach

Allocating Resources: A Joint Scientific and Deliberative Approach

(p.172) 8 Allocating Resources: A Joint Scientific and Deliberative Approach
Health and Social Justice

Jennifer Prah Ruger (Contributor Webpage)

Oxford University Press

This chapter addresses the question of priority setting for competing needs when resources are scarce. It begins with the broader societal perspective, because fair decisions must balance spending on health with spending elsewhere. Next, it addresses competing claims within the health budget itself. The health capability paradigm involves reasoned consensus on allocating resources, based on scientific and deliberative processes. The paradigm emphasizes a collaborative and participatory approach to decision‐making that reinforces individual health agency, while at the same time evaluating outcomes in terms of their substantive merit. Medical appropriateness and clinical practice guidelines allow creation of evidence‐based, standardized health policy that provides optimal care and a universal benefits package of goods and services that support central health capabilities. The chapter also discusses efficiency concerns, resource allocation and age, setting limits, rationing, and how to address hard cases, such as medical futility and those invoked by the ‘bottomless pit’ objection or differing conceptions of ‘reasonable accommodation’. A framework for combining technical and ethical rationality for resource allocation is developed.

Keywords:   priority setting, societal perspective, health budget, reasoned consensus, resource allocation, evidence‐based health policy, efficiency, ‘bottomless pit’ objection, ‘reasonable accommodation’, medical futility, medical appropriateness, rationing

Oxford Scholarship Online requires a subscription or purchase to access the full text of books within the service. Public users can however freely search the site and view the abstracts and keywords for each book and chapter.

Please, subscribe or login to access full text content.

If you think you should have access to this title, please contact your librarian.

To troubleshoot, please check our FAQs , and if you can't find the answer there, please contact us .