This book is a sequel to 'Tragic Choices in Health Care: the case of Child B', and continues the examination of ethical questions and conflicts of interest arising from priority setting and treatment decisions. Discussing five cases where funding of a treatment was refused or questioned, it assesses whether lessons ...
The changes in the NHS mean that clinicians will have to accept the need for explicit rationing rather than shirking the issue with reference to clinical decision making. The current system of implicit rationing will be replaced by one which bases resource allocation on explicit criteria. However there are problems ...
This report is based on a seminar held in Southampton in October 1991 which explored an alternative approach to health rationing from that of the Oregon experiment. A specially designed simulation exercise examined the dilemmas facing purchasers in the new NHS. Organised over 24 hours, the simulation centred on three ...
These papers were first presented at a seminar on the management of chronic illness, in a series supported by the King's Fund as a contribution to the study of priorities in medical care and the performance of management in relation to medical services. This publication comprises the papers which were ...
This conference was held at the King's Fund College of Hospital Management and the main themes were: methods of appraising hospital and health services; costing hospital and health care; manning hospital and health services; integrating components of hospital and health services.
Resources can be allocated to health care in a variety of ways. Ten major approaches are described in this document. All of these fall within a number of ethical and economic constraints, and yet health authorities differ in the extent to which they place emphasis on important factors. No perfect ...