This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Part I

Roger W. Evans, PhD

JAMA. 1983;249(15):2047-2053.

Abstract
Increasingly, it is recognized that resources available to meet health care needs are limited. Recently, this has been evidenced by reductions in federally funded health care programs and the leveling off of research funds made available to the National Institutes of Health. The problem of severely constrained resources is likely to become more acute, given new medical technology and the high cost of medical care. It is now apparent that both resource allocation and resource-rationing decisions will become inevitable, since not all persons with catastrophic or complicated medical conditions will be able to benefit from medical technology. While the careful assessment of health care technology can conceivably increase the efficiency of the health care delivery system, the methods by which allocation and rationing decisions are made must be improved. In doing so, it will ultimately be essential for this society to come to grips with life and death issues in a manner to which it is not accustomed.

(JAMA 1983;249:2047-2053)

Author Affiliations
From the Health and Population Study Center, Battelle Human Affairs Research Centers, Seattle.

Footnotes
Reprint requests to Battelle Human Affairs Research Centers, 4000 NE 41st St, PO Box C-5395, Seattle, WA 98105 (Dr Evans).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Health-Care Rationing: Critical Features, Ordinary Language, and Meaning
Russell
J Law Med Ethics 2002;30:82-87.
 

The effects of hospice interventions on behaviors, discomfort, and physical complications of end stage dementia nursing home residents
Kovach et al.
AM J ALZHEIMERS DIS OTHER DEMEN 1996;11:7-15.
ABSTRACT  

Determinants in Canadian Health Care Workers of the Decision to Withdraw Life Support From the Critically Ill
Cook et al.
JAMA 1995;273:703-708.
ABSTRACT  

Consensus Statement on the Triage of Critically III Patients
Society of Critical Care Medicine Ethics Committee et al.
JAMA 1994;271:1200-1203.
ABSTRACT  

Controversies in Treatment: How can hospitals ration drugs? Drug rationing in a teaching hospital: a method to assign priorities
Bochner et al.
BMJ 1994;308:901-905.
FULL TEXT  

Should the Health Care Forest Be Selectively Thinned by Physicians or Clear Cut by Payers?
Welch
ANN INTERN MED 1991;115:223-226.
ABSTRACT  

Overcoming the Prejudice Against Establishing a National Health Care System
Botelho
Arch Intern Med 1991;151:863-869.
ABSTRACT  

Improving Health Care Provision to Neonates in the United States
Stahlman
Arch Pediatr Adolesc Med 1991;145:510-512.
ABSTRACT  

Should Alcoholics Compete Equally for Liver Transplantation?
Moss and Siegler
JAMA 1991;265:1295-1298.
ABSTRACT  

The Politics of Organ Transplantation: A Parable of Our Time
Rettig
Journal of Health Politics, Policy and Law 1989;14:191-227.
ABSTRACT  

Risk Factors for Nosocomial Infection in Intensive Care: 'Devices vs Nature' and Goals for the Next Decade
SHAKESPEARE and MAKI
Arch Intern Med 1989;149:30-35.
ABSTRACT  

Who Defines Futility?
Youngner
JAMA 1988;260:2094-2095.
ABSTRACT  

Age as a Basis for Allocating Lifesaving Medical Resources: An Ethical Analysis
Kttner
Journal of Health Politics, Policy and Law 1988;13:405-423.
ABSTRACT  

Health Insurance Without Provider Influence: The Limits of Cost Containment
Goldberg and Greenberg
Journal of Health Politics, Policy and Law 1988;13:293-303.
ABSTRACT  

Monitoring Quality of Care in the Medicare Program: Two Proposed Systems
Brook and Lohr
JAMA 1987;258:3138-3141.
ABSTRACT  

Efficiency of Intensive Care: A Comparative Analysis of Eight Pediatric Intensive Care Units
Pollack et al.
JAMA 1987;258:1481-1486.
ABSTRACT  

Donor Availability as the Primary Determinant of the Future of Heart Transplantation
Evans et al.
JAMA 1986;255:1892-1898.
ABSTRACT  

Rationing of Intensive Care Unit Services: An Everyday Occurrence
Strauss et al.
JAMA 1986;255:1143-1146.
ABSTRACT  

Pediatric Health Rationing: Recent Trends and Lessons From History
Neuspiel and David
Arch Pediatr Adolesc Med 1985;139:757-760.
ABSTRACT  

The Nursing Home Resident with Dementia: Clinical Care, Ethics, and Policy Implications
RANGO
ANN INTERN MED 1985;102:835-841.
ABSTRACT  

A Comparison of Western European and US University Hospitals: A Case Report From Leuven, West Berlin, Leiden, London, and San Francisco
Schroeder
JAMA 1984;252:240-246.
ABSTRACT  

Use of Diagnostic Resources in Health Maintenance Organizations and Fee-for-Service Practice Settings
Dorsey
Arch Intern Med 1983;143:1863-1865.
ABSTRACT