Medical Practice Guidelines and the Efficient Allocation of Resources

1995 ◽  
pp. 183-203 ◽  
Author(s):  
John A. Rizzo ◽  
Jody L. Sindelar
BMJ ◽  
1993 ◽  
Vol 307 (6899) ◽  
pp. 313-317 ◽  
Author(s):  
A Farmer

1989 ◽  
Vol 2 (2) ◽  
pp. 6-11
Author(s):  
John M. Horne

This paper reviews the existing allocation of healthcare resources to and within rural Manitoba. The geographic distribution of hospital, medical and long-term care resources is described and discussed in relation to widely held perceptions of continuing problems in access to publicly insured care among residents of rural communities. Opportunities for more effective and efficient allocation of resources are identified, including various arrangements for sharing both facilities and personnel between communities.


2018 ◽  
Vol 14 (32) ◽  
pp. 84
Author(s):  
Arlinda Ymeraj

The paper “Government as a key duty bearer in transition reforms from socialism to capitalism – the case of Albania”, addresses the way in which the government should exercise its power to ensure that citizens have equal access to social welfare services, enjoying their rights. Albania, like other Central and Eastern European countries experienced the past socialist system, which failed. The failure of the socialist system was the failure of the state: in political, economic and social terms. As far as economic policies are concerned, all data demonstrate the collapse of socialism, because the system was based on inefficiency, which eroded growth. Regardless of the principles of communist regimes adopted in former communist countries’ Constitutions, the past system brought neither equity nor justice, and therefore instead of “social cohesion”, the contradictions among social groups and categories, deepened. After the failure of socialism, Albania embarked on the new path aimed at establishing democratic regimes through the protection of human rights and at raising the standard of living. Albania has been proactive in ratifying international conventions relating to human rights in general and to vulnerable groups. Very recently, on June 2014, the European Council granted Albania candidate status, as a recognition for the reform steps undertaken in harmonizing its domestic organic laws and legislation with international standards. As part of these twin obligations from UN intergovernmental and EU processes, Albanian governments after the 90s have been progressively taking measures vis-à-vis efficient allocation of resources and effective distribution of social welfare. Nevertheless, Albanian citizens live in a dire reality. Therefore, after 25 years of transition, one of the main goals of reforms, “Efficient allocation of resources to boost growth and effective distribution of social welfare to enhance equity”, seems not to have been achieved. Undoubtedly, this influences the controversial opinions about the government’s control vis-à-vis government’s mode of functioning, advancing arguments that examine whether it is a question of abuse or that of concentration of power.


PEDIATRICS ◽  
1994 ◽  
Vol 94 (3) ◽  
pp. 317-317
Author(s):  
J. F. L.

The government has signed a contract to pay $850,000 for development of "practice guidelines" and "protocols" to tell doctors how to treat an ear infection, a $20 problem. If the Clinton administration has its way, there will be protocols for the treatment of virtually every ailment. Yet there is no evidence that protocols save money or improve quality. Nurses, for instance, outperform protocols in deciding how to treat abdominal pain. So why aren't doctors raising a cry of alarm? Many have been browbeaten into submission, or have discovered that it's easier to play the game than to buck the system. But also, a different type of person is entering medical practice these days. Although the evidence is largely anecdotal, Dr. Orient says that the best students are avoiding medical schools and the schools are lowering their standards. (In 1990, 16% of medical graduates flunked the national boards, compared with 9% in 1984.)


2002 ◽  
Vol 8 (5) ◽  
pp. 249-254 ◽  
Author(s):  
K van Gool ◽  
M R Haas ◽  
R Viney

Current funding mechanisms can impede the efficient use and integration of telemedicine services. Telemedicine has developed in Australia against a background of complex funding arrangements and interwoven health-care responsibilities. These impediments are not unique to telemedicine but are accentuated by its ability to cover different locations, clinical areas and purposes. There is also a link between economic evaluation and funding mechanisms for telemedicine. While economic evaluations provide important information for the efficient allocation of resources, the funding environment in which telemedicine is established is also crucial in ensuring that services are efficient. Given these complexities, should telemedicine be funded? We conclude that this will depend on: the objectives and priorities of the health system; the efficiency of telemedicine relative to that of other forms of health-care delivery; and the funding environment. In terms of resource allocation processes, the optimum scenario is likely to be where the decision to invest in telemedicine services is made taking local needs into account, but where considerations such as market structure and network compatibility are examined on a broader scale and balanced against the principles of efficiency and equity.


2008 ◽  
Vol 40 (02) ◽  
pp. 359-376 ◽  
Author(s):  
C. Charalambous ◽  
J. C. Gittins

Pharmaceutical companies have to face huge risks and enormous costs of production before they can produce a drug. Efficient allocation of resources is essential to help in maximizing profits. Yu and Gittins (2007) described a model and associated software for determining efficient allocations for a preclinical research project. This is the starting point for this paper. We provide explicit optimal policies for the selection of successive candidate drugs for two restricted versions of the Yu and Gittins (2007) model. To some extent these policies are likely to be applicable to the unrestricted model.


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