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  1. The Patient-Physician Relationship and the Allocation of Scarce Resources: A Law and Economics Approach.Maxwell J. Mehlman & Susan R. Massey - 1994 - Kennedy Institute of Ethics Journal 4 (4):291-308.
    Patients with insufficient financial resources place physicians in a conflict of interest between the patients' needs and the financial interests of the physician, other patients, and society. Not only must physicians act ethically, but they must avoid liability for violating their legal duties to their patients. The traditional rules of contract and malpractice law that govern the patient-physician relationship do not provide satisfactory guidelines. Better answers are found in the rules of fiduciary law, but only with regard to direct conflicts (...)
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  • How Physicians Allocate Scarce Resources at the Bedside: A Systematic Review of Qualitative Studies.D. Strech, M. Synofzik & G. Marckmann - 2008 - Journal of Medicine and Philosophy 33 (1):80-99.
    Although rationing of scarce health-care resources is inevitable in clinical practice, there is still limited and scattered information about how physicians perceive and execute this bedside rationing (BSR) and how it can be performed in an ethically fair way. This review gives a systematic overview on physicians’ perspectives on influences, strategies, and consequences of health-care rationing. Relevant references as identified by systematically screening major electronic databases and manuscript references were synthesized by thematic analysis. Retrieved studies focused on themes that fell (...)
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  • Unpredictable Drug Shortages: An Ethical Framework for Short-Term Rationing in Hospitals.Philip M. Rosoff - 2012 - American Journal of Bioethics 12 (1):1 - 9.
    Periodic and unexpected shortages of drugs, biologics, and even medical devices have become commonplace in the United States. When shortages occur, hospitals and clinics need to decide how to ration their available stock. When such situations arise, institutions can choose from several different allocation schemes, such as first-come, first-served, a lottery, or a more rational and calculated approach. While the first two approaches sound reasonable at first glance, there are a number of problems associated with them, including the inability to (...)
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  • A framework for rationing by clinical judgment.Samia A. Hurst & Marion Danis - 2007 - Kennedy Institute of Ethics Journal 17 (3):247-266.
    Although rationing by clinical judgment is controversial, its acceptability partly depends on how it is practiced. In this paper, rationing by clinical judgment is defined in three different circumstances that represent increasingly wider circles of resource pools in which the rationing decision takes place: triage during acute shortage, comparison to other potential patients in a context of limited but not immediately strained resources, and determination of whether expected benefit of an intervention is deemed sufficient to warrant its cost by reference (...)
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  • The Tensions and Challenges of Unpredictable Drug Shortages.Annekathryn Goodman - 2012 - American Journal of Bioethics 12 (1):20 - 22.
    The American Journal of Bioethics, Volume 12, Issue 1, Page 20-22, January 2012.
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