Health care rationing in an age of uncertainty
A conceptual model
Bibliographic Data
| ID | 4590731 |
|---|---|
| Authors | Tiago Moreira (0000-0002-4962-4063) |
| Year | 2011 |
| Volume | 72 |
| Issue | 8 |
| Pages | 1333-1341 |
| Publication date | 2011-04-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Science & Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.socscimed.2011.02.026 |
| PMID | 21439698 |
| OpenAlex | W2084456651 |
| Language | EN |
| Citations received | 20 |
| References cited | 24 |
Explicit health care rationing or priority-setting is the use of institutional procedures for the systematic allocation of resources within health care systems. With the establishment of priority setting systems in various countries in the past two decades, research has been conducted on their principles, methods and institutional aspects. This paper draws on the sociology of science and technology to propose an uncertainty-focused conceptual model of the relationship between knowledge practises and political processes in health care rationing. Taking a case-study approach, the paper explores the public controversy about whether dementia drugs should be available on the UK National Health Service. It shows how three aspects of the controversy - loose institutional framing, open membership and hybrid knowledge - worked together to enable the use of a 'pragmatic balance' between rules and cases. Placing this outcome within the space of possibilities suggested by the model, the paper suggests that accepting and fostering the exploration of uncertainty at the core of health care priority setting systems should provide those systems with increased social robustness
Cognitive reframing · Conceptual framework · Economic growth · Economics · Framing (construction · Health care · Health care rationing · Management science · Political science · Public economics · Public health · Public relations · Rationing · Social science · Sociology · Engineering · Health Services Management and Policy · Health Systems, Economic Evaluations, Quality of Life · Healthcare Systems and Challenges · Medicine · Nursing · Psychology · Social Psychology · Health Policy
Critique in context
Tactics as Empirical and Conceptual Objects
Constructing research findings
Bridging theory and practice
Decision making in Nice single technological appraisals
The double nexus of clinical management - hybrid doctor-manager roles in Danish hospitals
Uncertainty and the Development of Evidence-Based Guidelines
Decision-making in the midst of uncertainty
The sociology of rationing
Epistemological deliberation
Access, accountability, and the proliferation of psychological therapy
Trust, regulatory processes and Nice decision-making
Decision‐making as discovery
Why Forensic Pathologists Maintain Uncertainty in Reporting Causes of Death
The Formation of the Cypriot Thalassaemia Prevention System
Valuing patient engagement
Seven warrants for qualitative health sociology
Nice and Society
Good conduct in a context of rationing
Genomic uncertainty and genetic counsellors' professional authority
Re-Thinking Science
Case Study Research
Rethinking Social Inquiry
The Role of Lay People in the Production and Dissemination of Scientific Knowledge
Trust in Numbers
Entangled evidence
Regulatory Objectivity in Action
The Politics of Regulation within the ‘Modernized’ NHS
Controversies as Informal Technology A ssessment
Regulatory objectivity and the generation and management of evidence in medicine
Diversity in clinical guidelines
Health technology adoption and the politics of governance in the UK
The Q(u)ALYfying Hand
Ni intellectuel engagé, ni intellectuel dégagé
Leviathan and the Air-Pump
Introduction
| Unique citing works | 20 |
|---|---|
| Citations per year | 1,54 |
| Citation span | 2013 - 2026 (14) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 18 |