scholarly journals When Demand Outstrips Supply: A Christian View of the Ethics of Healthcare Resource Allocation During the COVID-19 Pandemic

2020 ◽  
Vol 7 (1) ◽  
pp. 13-19
Author(s):  
James Haslam ◽  
Melody Redman

The coronavirus (COVID-19) pandemic presents the greatest challenge to global healthcare systems in living memory. This article deals with the ethics of rationing the supply of scarce healthcare resources, such as ventilators, during periods of high demand, such as the current pandemic. Existing ethical guidelines and commentaries are cited and critiqued from a Christian ethics viewpoint.

Healthcare ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 325
Author(s):  
Pedram Sendi ◽  
Amiram Gafni ◽  
Stephen Birch ◽  
Stephen D. Walter

Cost-effectiveness analysis is widely adopted as a means to inform policy and decision makers in setting priorities for healthcare resource allocation. In resource-constrained settings, decision makers are confronted with healthcare resource reallocation decisions, e.g., moving funds from one or more existing healthcare programs to fund new healthcare programs. The decision-making plane (DMP) has been developed as a means to graphically present the results of reallocating available healthcare resources when healthcare program costs and effects are uncertain. Mapping a value function over the DMP allows the analyst to value all possible combinations of net costs and net effects that may result from reallocating available healthcare resources under conditions of uncertainty. In this paper, we extend this approach to include a change in portfolio risk, stemming from a change in the portfolios of funded healthcare programs, as an additional source of uncertainty, and demonstrate how this can be incorporated into the value function over net costs and net effects for a risk-averse decision maker. The methodology presented in this paper is of particular interest to decision makers who are risk averse, as it will help to better incorporate their preferences in the process of deciding how to best allocate scarce healthcare resources.


2020 ◽  
Vol 27 (2) ◽  
pp. 93-114 ◽  
Author(s):  
Caterina Di Costanzo

Abstract The right to health, as a right to healthcare, represents the most expensive social right in Europe, significantly affecting the total budget of the Member States, both in universal and insurance healthcare systems. No healthcare system provides unlimited healthcare resources to all its users. The resources available for healthcare are limited compared with demand, and all healthcare systems, regardless of their financing and organisation, employ mechanisms to prioritise finite healthcare resources. The progressive increase in healthcare costs in a context of scarce resources, worsened by the fiscal crisis of the 1990s and economic crises spreading in Europe since 2007, has highlighted the ever more urgent need to address the fundamental issues of resource allocation and priority-setting at both European and national levels. Hence, priority-setting is arguably one of the most important health policy issues of our time at global, European and national levels.


Author(s):  
Zachary A. Collier ◽  
Jeffrey M. Keisler ◽  
Benjamin D. Trump ◽  
Jeffrey C. Cegan ◽  
Sarah Wolberg ◽  
...  

Bioethics ◽  
2020 ◽  
Author(s):  
Gry Wester ◽  
Leah Zoe Gibson Rand ◽  
Christine Lu ◽  
Mark Sheehan

2019 ◽  
Vol 49 (11) ◽  
pp. 1364-1367 ◽  
Author(s):  
Ian Olver ◽  
Susan Dodds ◽  
Jeremy Kenner ◽  
Ian Kerridge ◽  
Kevin McGovern ◽  
...  

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