Macro allocation in health: an ethically based model.
We propose an approach to macro allocation of health care resources that is compatible with the principles of the Canada Health Act. The approach is equitable and just and takes public support into account. It hinges on the provision of data on disease prevalence and incidence, on data on the effectiveness of intervention measures and of their cost. It is therefore a proposal that may be important as a direction for ongoing research even if it is not immediately feasible. The approach is analyzed with respect to selected related approaches.
Kluge
E H
EH
Department of Philosophy, University of Victoria, BC, Canada. ekluge@uvic.ca
Moehr
J R
JR
Scaletta
G
G
D000465:Algorithms; D002170:Canada; D032921:Consensus; D004992:Ethics, Medical; D015276:Health Care Rationing; D006801:Humans; D026684:Personal Autonomy; D040841:Resource Allocation; D012945:Social Values