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9 - Constrained resources

Published online by Cambridge University Press:  05 October 2014

M. G. Myriam Hunink ,
Milton C. Weinstein ,
Eve Wittenberg ,
Michael F. Drummond ,
Joseph S. Pliskin ,
John B. Wong  and
Paul P. Glasziou
M. G. Myriam Hunink
Affiliation:
Erasmus Universiteit Rotterdam
Milton C. Weinstein
Affiliation:
Harvard University, Massachusetts
Eve Wittenberg
Affiliation:
Harvard School of Public Health, Massachusetts
Michael F. Drummond
Affiliation:
University of York
Joseph S. Pliskin
Affiliation:
Ben-Gurion University of the Negev, Israel
John B. Wong
Affiliation:
Tufts University, Massachusetts
Paul P. Glasziou
Affiliation:
Bond University, Queensland
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Summary

There is no question that financial and medical effects will both be considered when making health care decisions at all levels of policymaking; the only question is whether they will be considered well.

Elaine J. Power and John M. Eisenberg

Introduction

Medical care entails benefits, harms, and costs. Until this chapter our approach has involved weighing benefits against harms for individuals and groups of patients and choosing the actions that provide the greatest expected health benefit. Now we extend our analysis to consider expressly the economic costs of health care and resource allocation decisions for populations.

As with all economic goods and services, the provision of health care consumes resources. Hospital beds, medical office facilities, medical equipment, pharmaceuticals, medical devices, and the time of physicians, nurses, other health-care workers, and family members all contribute to health care. The consumption of these resources constitutes the economic costs of health care.

Type
Chapter
Information
Decision Making in Health and Medicine
Integrating Evidence and Values
 , pp. 237 - 299
Publisher: Cambridge University Press
Print publication year: 2014

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