This paper is intended as a constructive response to“Managing Scarcity: a worked example using Burden and Efficacy”, from Professor Gavin Andrews. Professor Andrews” paper is helpful in proposing an approach to allocating resources which has some claims to being rational. However the presentation begs many questions. In this commentary, I set out to critique Professor Andrews” model of resource allocation from a moral theoretical perspective.
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References
1.
CalmanKC. The ethics of allocation of scarce health care resources: a view from the centre. Journal of Medical Ethics1994;20:71–74.
2.
Bobadilla in: MurrayCJLLopezAD (eds.) Global comparative assessments in the health sector, Geneva. World Health Organization, 1994.
3.
BenthamJ.The Commonplace Book In: BowringJ. (ed.) 1843 Works Vol.10: 142.
4.
KantE. Foundation of the Metaphysics of Morals.sect. 1, 1785.
5.
ChalmersDJ. Facing up to the problem of consciousness. Journal of Consciousness Studies1995;2:200–219.
6.
CiarloJATweedDLShernDLKirkpatrickLESachs-EricssonN.Validation of indirect methods to estimate need for mental health services: Concepts, strategy and general conclusions. Evaluation and Program Planning1992;15:115–131.
7.
ThornicroftG.Social deprivation and rates of treated mental disorder: developing statistical models to predict psychiatric service utilization. British Journal of Psychiatry1991;158:475–484.
8.
JarmanBHirschS.Statistical models to predict district psychiatric morbidity. In ThornicroftGBrewinCRWingJ. eds. Measuring mental health needs. London: Gaskell, 1992:62–80.
9.
MeadowsG.A Proposal for a local resource allocation formula for mental health services. Australasian Psychiatry1996;4:125–127.
10.
MeadowsGN. Geographical resource allocation for public mental health services in Victoria. Australian and New Zealand Journal of Psychiatry1997;31:95–104.