เมื่อสัปดาห์​ก่อนหน้า​นี้

เมื่อสัปดาห์​ก่อนหน้า​นี้

ผลลัพธ์ (อังกฤษ) 1:

last week

ผลลัพธ์ (อังกฤษ) 2:

last week.

ผลลัพธ์ (อังกฤษ) 3:

Empirical evidence on the efficiency of service pro- vision is a very important part of health economics, and one given extensive coverage later in this issue. But I have deliberately given Alan Williams paper on distri- butive justice in health care, otherwise known as equity, a higher priority here. I asked Alan to write a didactic paper on the subject, to enhance understanding of how these principles may apply to clinical nursing and the actions of managers. At one level this is a beguilingly easy paper to read, and in his inimitable style, Alan asks us to consider hard moral questions about whether some people are more deserving than others and challenges us all to consider where we stand as nurses and nurse managers. This paper has hidden depths, however. In the face of a limited budget, as nurse managers do we take a forgiving stance, and allocate scarce nursing resources to those who have damaged their own health, knowing that as a result care will be denied to those who haven’t? Or do the opposite on efficiency grounds? To some health economists, the twin goals of equity and efficiency are often in direct conflict with each other, i.e. if we achieve more of one it is at the price of less of the other. In such circumstances a Ôtrade-offÕ is needed, informed by some or other value system. If decisions are made using a Ôcovert and cap- riciousÕ process, based on implicit values, it could also mean they are unfair. In his paper, Alan invites the reader to examine just how egalitarian they are, com- pared with a sample of health professionals on three different policy choices.