title: [The distribution of health resources: a hybrid model of equality and maximization].
abstract: In the allocation of resources for health care, it is generally acknowledged that models based exclusively either on efficiency and maximizing the cost/benefit ratio of interventions, or on equity and justice through the notion of "maximin," are unsatisfactory when taken separately. To fill this gap, this commentary suggests a hybrid model of resource allocation that integrates the idea of a random distribution of resources using a lottery. The general aim of this model is to safeguard the notions of justice and equal access to resources to the maximum extent possible in a climate where budget restrictions and the economic downturn may lead to future reductions in services.
authors.affiliation: Département de communication sociale et publique de I'Université du Québec à Montréal, Montréal, Québec. farmer.yanick@uqam.ca
authors.forename: Yanick
authors.initials: Y
authors.lastname: Farmer
mesh_terms: D002170:Canada; D006801:Humans; D008962:Models, Theoretical; D040841:Resource Allocation / Q000941:ethics*; D012935:Social Justice