Are preferences for equity over efficiency in health care allocation "all or nothing"?

Medical Care

Volumn 38, Issue 4, 2000, Pages 366-373

  Ubel, Peter A ^a,b,c   Baron, Jonathan ^c   Nash, Beth ^d   Asch, David A ^a,b,c  

^a VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b UNIVERSITY OF PENNSYLVANIA   (United States)

^c UNIVERSITY OF PENNSYLVANIA   (United States)

^d Physicians' Online   (United States)

Author keywords

Allocation; Cost effectiveness analysis; Ethics; General public survey; Physician survey; Rationing

Indexed keywords

ADULT; AGED; ARTICLE; BUDGET; COLON TUMOR; COST BENEFIT ANALYSIS; ECONOMICS; FEMALE; HEALTH CARE DELIVERY; HEALTH CARE ORGANIZATION; HEALTH CARE QUALITY; HEALTH PERSONNEL ATTITUDE; HUMAN; MALE; MASS SCREENING; MEDICARE; MIDDLE AGED; PUBLIC OPINION; UNITED STATES;

ADULT; AGED; ATTITUDE OF HEALTH PERSONNEL; BUDGETS; COLONIC NEOPLASMS; COST-BENEFIT ANALYSIS; FEMALE; HEALTH CARE RATIONING; HEALTH SERVICES ACCESSIBILITY; HUMANS; MALE; MASS SCREENING; MEDICARE; MIDDLE AGED; PHILADELPHIA; PUBLIC OPINION; QUALITY ASSURANCE, HEALTH CARE; UNITED STATES;

EID: 0034169550     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/00005650-200004000-00003     Document Type: Article

References (20)

1. Hadorn DC. Setting health care priorities in Oregon: Cost-effectiveness meets the rule of rescue. JAMA 1991;265:2218-2225.
2. Emery DD, Schneiderman LJ. Cost-effectiveness analysis in health care. Hastings Cent Rep 1989;19:8-13.
3. Kamlet MS. The Comparative Benefits Modeling Project: A framework for cost-utility analysis of government health care programs. Washington, DC: US Department of Health and Human Services; 1992.
4. Ubel PA, Loewenstein G. Distributing scarce livers: The moral reasoning of the general public. Soc Sci Med 1996;42:1049-1055.
5. Ubel PA, Loewenstein G. Public perceptions of the importance of prognosis in allocating transplantable livers to children. Med Decis Making 1996;16:234-241.
6. Ubel PA, Loewenstein G. The efficacy and equity of retransplantation: An experimental survey of public attitudes. Health Policy 1995;34:145-151.
7. Ubel PA, DeKay ML, Baron J, Asch DA. Public preferences for efficiency and racial equity in kidney transplant allocation decisions. Transplant Proc 1996;28:2975-2980.
8. Nord E. The relevance of health state after treatment in prioritizing between different patients. J Med Ethics 1993;19:37-42.
9. Nord E, Richardson J, Kuhse H, Singer P. Who cares about cost? Does economic analysis impose or reflect social values? Health Policy 1995;34:79-94.
10. Nord E, Richardson J, Street A, Kuhse H, Singer P. Maximizing health benefits vs. egalitarianism: An Australian survey of health issues. Soc Sci Med 1995;41:1429-1437.
11. Ubel PA, DeKay M L, Baron J, Asch D A. Cost-effectiveness analysis in a setting of budget constraints: Is it equitable? N Engl J Med 1996;334:1174-1177.
12. Cantor SB. Cost-effectiveness analysis, extended dominance, and ethics. Med Decis Making 1994;14:259-265.
13. Maynard A, Bloor K. Help or hindrance? The role of economics in rationing health care. Br Med Bull 1995;51:854-868.
14. Baron J. Judgment misguided: Intuition and error in public decision making. New York, NY: Oxford University Press; 1998.
15. Nord E, Pinto JL, Richardson J, Menzel P, Ubel P. Incorporating societal concerns for fairness in numerical valuations of health programs. Health Econ 1999;8:25-39.
16. Keeney RL, Winkler RL. Evaluating decision strategies for equity of public risks. Operations Res 1985;33:955-970.
17. Sarin RK. Measuring equity in public risk. Operations Res 1985;33:210-217.
18. Williams A. Intergenerational equity: An exploration of the "fair innings" argument. Health Econ 1997;6:117-132.
19. Murray CJ, Lopez AD. The global burden of disease: A comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020. Cambridge, Mass: Harvard University Press; 1996.
20. Nord E. The person trade-off approach to valuing health care programs. Med Decis Making 1995;15:201-208.