S4) Resource Allocation
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What is explicit rationing?
Explicit rationing is the use of institutional procedures for the systematic allocation of resources within health care system
What is implicit rationing?
Implicit rationing is the allocation of resources through individual clinical decisions without the criteria for those decisions being explicit
Identify 3 advantages of explicit rationing
• Transparent, accountable • Opportunity for debate • More clearly evidence-based
Identify 3 disadvantages of explicit rationing
• Heterogeneity of patients and illnesses • Patient and professional hostility • Impacts clinical freedom
Identify 3 disadvantages of implicit rationing
• Can lead to inequities and discrimination • Open to abuse • Reluctance of doctors