Ethical health resources allocation: Why the distinction between ‘rationing’ and ‘rationalization’ matters
Allocation of health resources has an irreducible ethical dimension, thus cannot be decided only technically, but must be ethically weighed, what paradigmatic experiences of macro (Oregon Basic Health Services Act, 1989) and micro allocation (God’s Committee, 1962) have shown. Justice is required in...
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| Format: | Article |
| Language: | Catalan |
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Universidad de Barcelona
2020-07-01
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| Series: | Revista de Bioética y Derecho |
| Subjects: | |
| Online Access: | https://revistes.ub.edu/index.php/RBD/article/view/32044 |
| _version_ | 1826994660635049985 |
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| author | Maria do Céu Patrão Neves |
| author_facet | Maria do Céu Patrão Neves |
| author_sort | Maria do Céu Patrão Neves |
| collection | DOAJ |
| description | Allocation of health resources has an irreducible ethical dimension, thus cannot be decided only technically, but must be ethically weighed, what paradigmatic experiences of macro (Oregon Basic Health Services Act, 1989) and micro allocation (God’s Committee, 1962) have shown. Justice is required in the enunciation of prioritization criteria, and transparency in its application. In situations of aggravated resource scarcity, it is common to take ‘allocate’ and ‘rationing’ as synonyms or claim that ‘allocate’ is always ‘rationing’. Rejecting these positions, there is a distinction between 'allocating' (resource management) from 'rationing' (allocation of limited resources to a limited number of persons) and 'rationalizing' (optimization of available resources). These distinctions are ethically pertinent, showing how only 'rationalization' respects justice, transparency and human dignity. |
| first_indexed | 2024-04-11T07:43:15Z |
| format | Article |
| id | doaj.art-9ea8ded932994ef9bfff2c9fd90bc905 |
| institution | Directory Open Access Journal |
| issn | 2545-6385 1886-5887 |
| language | Catalan |
| last_indexed | 2025-02-18T09:21:49Z |
| publishDate | 2020-07-01 |
| publisher | Universidad de Barcelona |
| record_format | Article |
| series | Revista de Bioética y Derecho |
| spelling | doaj.art-9ea8ded932994ef9bfff2c9fd90bc9052024-11-02T21:35:59ZcatUniversidad de BarcelonaRevista de Bioética y Derecho2545-63851886-58872020-07-01637910.1344/rbd2020.50.3204426445Ethical health resources allocation: Why the distinction between ‘rationing’ and ‘rationalization’ mattersMaria do Céu Patrão NevesAllocation of health resources has an irreducible ethical dimension, thus cannot be decided only technically, but must be ethically weighed, what paradigmatic experiences of macro (Oregon Basic Health Services Act, 1989) and micro allocation (God’s Committee, 1962) have shown. Justice is required in the enunciation of prioritization criteria, and transparency in its application. In situations of aggravated resource scarcity, it is common to take ‘allocate’ and ‘rationing’ as synonyms or claim that ‘allocate’ is always ‘rationing’. Rejecting these positions, there is a distinction between 'allocating' (resource management) from 'rationing' (allocation of limited resources to a limited number of persons) and 'rationalizing' (optimization of available resources). These distinctions are ethically pertinent, showing how only 'rationalization' respects justice, transparency and human dignity.https://revistes.ub.edu/index.php/RBD/article/view/32044allocationrationingrationalizationjusticetransparencyhuman dignity |
| spellingShingle | Maria do Céu Patrão Neves Ethical health resources allocation: Why the distinction between ‘rationing’ and ‘rationalization’ matters Revista de Bioética y Derecho allocation rationing rationalization justice transparency human dignity |
| title | Ethical health resources allocation: Why the distinction between ‘rationing’ and ‘rationalization’ matters |
| title_full | Ethical health resources allocation: Why the distinction between ‘rationing’ and ‘rationalization’ matters |
| title_fullStr | Ethical health resources allocation: Why the distinction between ‘rationing’ and ‘rationalization’ matters |
| title_full_unstemmed | Ethical health resources allocation: Why the distinction between ‘rationing’ and ‘rationalization’ matters |
| title_short | Ethical health resources allocation: Why the distinction between ‘rationing’ and ‘rationalization’ matters |
| title_sort | ethical health resources allocation why the distinction between rationing and rationalization matters |
| topic | allocation rationing rationalization justice transparency human dignity |
| url | https://revistes.ub.edu/index.php/RBD/article/view/32044 |
| work_keys_str_mv | AT mariadoceupatraoneves ethicalhealthresourcesallocationwhythedistinctionbetweenrationingandrationalizationmatters |