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"RATIONING"
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Law, legitimacy and the rationing of healthcare : a contextual and comparative perspective
Dr Keith Syrett argues for a reappraisal of the role of public law adjudication in questions of healthcare rationing. As governments worldwide turn to explicit rationing strategies to manage the mismatch between demand for and supply of health services and treatments, disappointed patients and the public have sought to contest the moral authority of bodies making rationing decisions. This has led to the growing involvement of law in this field of public policy. The author argues that, rather than bemoaning this development, those working within the health policy community should recognise the points of confluence between the principles and purposes of public law and the proposals which have been made to address rationing's 'legitimacy problem'. Drawing upon jurisprudence from England, Canada and South Africa, the book evaluates the capacity of courts to establish the conditions for a process of public deliberation from which legitimacy for healthcare rationing may be derived.
eBook
Rationed Life
Far from the battlefront, hundreds of thousands of workers toiled in Bohemian factories over the course of World War I, and their lives were inescapably shaped by the conflict. In particular, they faced new and dramatic forms of material hardship that strained social ties and placed in sharp relief the most mundane aspects of daily life, such as when, what, and with whom to eat. This study reconstructs the experience of the Bohemian working class during the Great War through explorations of four basic spheres—food, labor, gender, and protest—that comprise a fascinating case study in early twentieth-century social history.
eBook
Drawing the line : healthcare rationing and the cutoff problem
Rosoff \"discusses how to decide what should and should not be covered in a generous [health care] benefits plan for all. He considers a variety of ways this might be done and concludes that the most just approach is to utilize a transparent process in which experts and lay people develop a consensus on what should be covered by focusing on both clinical evidence of need and the effective and appropriate means to address those needs. He also considers the various objections and impediments to this proposal and concludes that they are obstacles that can be successfully met\"--Amazon.com.
Book
Systems-level barriers to treatment in a cervical cancer prevention program in Kenya: Several observational studies
To identify health systems-level barriers to treatment for women who screened positive for high-risk human papillomavirus (hrHPV) in a cervical cancer prevention program in Kenya.
In a trial of implementation strategies for hrHPV-based cervical cancer screening in western Kenya in 2018-2019, women underwent hrHPV testing offered through community health campaigns, and women who tested positive were referred to government health facilities for cryotherapy. The current analysis draws on treatment data from this trial, as well as two observational studies that were conducted: 1) periodic assessments of the treatment sites to ascertain availability of resources for treatment and 2) surveys with treatment providers to elicit their views on barriers to care. Bivariate analyses were performed for the site assessment data, and the provider survey data were analyzed descriptively.
Seventeen site assessments were performed across three treatment sites. All three sites reported instances of supply stockouts, two sites reported treatment delays due to lack of supplies, and two sites reported treatment delays due to provider factors. Of the 16 providers surveyed, ten (67%) perceived lack of knowledge of HPV and cervical cancer as the main barrier in women's decision to get treated, and seven (47%) perceived financial barriers for transportation and childcare as the main barrier to accessing treatment. Eight (50%) endorsed that providing treatment free of cost was the greatest facilitator of treatment.
Patient education and financial support to reach treatment are potential areas for intervention to increase rates of hrHPV+ women presenting for treatment. It is also essential to eliminate barriers that prevent treatment of women who present, including ensuring adequate supplies and staff for treatment.
Journal Article
Can We Say No?: The Challenge of Rationing Health Care
Over the past four decades, the share of income devoted to health care nearly tripled. If policy is unchanged, this trend is likely to continue. Should Americans decide to rein in the growth of health care spending, they will be forced to consider whether to ration care for the well-insured, a prospect that is odious and unthinkable to many. This book argues that sensible health care rationing can not only save money but improve general welfare and public health. It reviews the experience with health care rationing in Great Britain. The choices the British have made point up the nature of the options Americans will face if they wish to keep public health care budgets from driving taxes ever higher and private health care spending from crowding out increases in other forms of worker compensation and consumption. This book explains why serious consideration of health care rationing is inescapable. It also provides the information policymakers and concerned citizens need to think clearly about these difficult issues and engage in an informed debate.
eBook
The impact of population ageing on credit rationing in rural China
Based on the trend of ageing in rural populations, this study utilized the 2019 China Household Finance Survey data to theoretically and empirically analyze the rationing behavior of rural formal financial institutions in credit supply and demand. The study found that: (1) ageing of the rural population increases the risk of quantity rationing faced by farmers; (2) The results of the moderating effect show that pension insurance mitigates the impact of population ageing on farmers’ experience of quantity rationing; (3) Population ageing reduces the likelihood of farmers voluntarily giving up on applying for loans from formal financial institutions, a phenomenon mainly due to ageing weakening the effects of Transaction-cost rationing and risk rationing.The research outcomes provide theoretical guidance and decision-making support for enhancing the level of financial services in rural areas and meeting the capital needs of farmers in production and daily life.
Journal Article