       Document 0842
 DOCN  M9640842
 TI    Resource allocation, health policy, and rationing craniofacial care.
 DT    9604
 AU    Strauss RP; Department of Dental Ecology, School of Dentistry,
       University of; North Carolina at Chapel Hill 27599-7450, USA.
 SO    Cleft Palate Craniofac J. 1995 Nov;32(6):515-9. Unique Identifier :
       AIDSLINE MED/96156391
 AB    The United States allocates health care without an overt system of
       rationing. This article analyzes the forces that guide resource
       allocation to craniofacial care. Various possible allocation systems are
       reviewed for how decision makers might evaluate proposed programs for
       legislative funding. Using a case-based exercise, readers are asked to
       weigh the potential costs and benefits of six health and social
       programs. These programs are also systematically examined for factors
       that are likely to affect resource allocation decisions. Eleven factors
       that affect decision-making are utilized in the analysis, ranging from
       the cost per client to emotional or human interest content of the
       proposed programs. Decisions about preventive programs are compared with
       those involving therapeutic programs. The allocation of resources to
       craniofacial programs, including those for children with rare major
       craniofacial conditions, is considered in the context of social justice
       and broad contemporary ethical and health care delivery issues.
 DE    Acquired Immunodeficiency Syndrome/THERAPY  Early Intervention
       (Education)  Female  Health Care Rationing/*STANDARDS  *Health Policy
       *Health Priorities  Human  Intensive Care Units, Neonatal/STANDARDS
       Male  Nursing Homes  Pregnancy  Pregnancy, High-Risk  Prenatal Care
       Skull/*ABNORMALITIES  United States  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

