2012
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http://archipel.uqam.ca/13324/
Yanick Farmer, « Random distribution of healthcare resources: a model for balancing principles of fairness and utility. », UQAM Archipel : articles scientifiques, ID : 10670/1.pw7c8z
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.