Centre for Policy on Ageing
 

 
Age-based rationing in the allocation of health care
Author(s)Ian Dey, Neil Fraser
Journal titleJournal of Aging and Health, vol 12, no 4, November 2000
Pagespp 511-537
KeywordsHealth services ; Grant allocation ; Ageism.
AnnotationThe debate about age-based rationing in health care has acquired increasing salience, particularly in the UK and the US. The authors identify four different levels (or types) of decision-making in health resource allocation - societal, strategic, programmatic and clinical - and assess how issues of rationing vary in relation to each level. They conclude that rationing is least defensible at the clinical level, where it is also most covert. The role of rationing at other levels is more defensible when based on grounds of cost-effectiveness rather than equity. The importance of fairness in health allocation is emphasised, suggesting that efficiency criteria need to be considered in that context. (KJ/RH).
Accession NumberCPA-001219218 A
ClassmarkL: QCG: B:TOB

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