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Rationing Decisions: From Diversity to Consensus

Authors
  • Schwartz, Lisa1
  • Morrison, Jill1
  • Sullivan, Frank2
  • 1 University of Glasgow, Department of General Practice, 4 Lancaster Crescent, Glasgow, GI2 0RR, Scotland
  • 2 University of Dundee, Tayside Centre for General Practice, Kirsty Semple Way, Dundee, DD2 4AD, Scotland , Dundee
Type
Published Article
Journal
Health Care Analysis
Publisher
Kluwer Academic Publishers
Publication Date
May 01, 1999
Volume
7
Issue
2
Pages
195–205
Identifiers
DOI: 10.1023/A:1009484920277
Source
Springer Nature
Keywords
License
Yellow

Abstract

As rationing decisions become more of an immediate reality for healthcare practitioners it is important to design mechanisms that facilitate carefully deliberated outcomes. No individual can be expected to be able to cover wide debate on their own, so an exercise has been designed that helps generate consensus decisions from diverse opinions. The exercise was piloted with two groups, an undergraduate medical class and the members of a general practice. Though the aims were different for each group, the tool was useful to both for producing the desired outcomes. Expert and non-expert knowledge were drawn upon and rationing prioritisation lists regarding funding of infertility treatment were generated. A description of the exercise and the results produced by the two groups are provided, as well as the theoretical placement for the significance of forming consensus from diversity.

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