Fair Resource Allocation and Rationing at the Bedside

Health systems need to set priorities fairly. This book makes the case that priority setting and rationing contribute significantly to the possibility of affordable and fair health care and that clinicians play an indispensable role in that process. The book depicts the results of a survey of European physicians about their experiences with rationing and other cost-containment strategies, and their perception of scarcity and fairness in their health care systems. Responding to and complementing these findings, commentators discuss why resource allocation and bedside rationing is necessary and justifiable. The book explores how bedside rationing relates to clinical judgments about medical necessity and medical indications, marginal benefits, weak evidence-based medicine, and off-label use. The book highlights how comparative studies of health care systems can advance more effective and fair bedside rationing through learning from one another