NHS Resources and patient rights Flashcards
1
Q
what is rationing
A
to the discretionary allocation of scarce resources
2
Q
Strategies to resource allocation
A
- Equal access to treatment
- Rationing according to clinical need
- Maximising health gains (QALY)
- Discriminating according to age
- Taking individual responsibility for ill health into account
- Rationing according to ability to pay
- Singling out certain types of excluded treatment
- Dilution of care
- Random allocation
3
Q
QALY maximising health gains
A
quality adjusted life year that follows the theory of consequentialism
4
Q
NICEs four technology appraisal recommendations
A
- Recommended for use in NHS
- Restricted use to certain categories of patients
- Use confined to clinical trials
- Should not be used in NHS
5
Q
Decision-making process is open & transparent
Some criticisms:
A
- Status of guidelines ambiguous
- Implementation is variable
- Topic selection is not random
6
Q
Scottish Medicines Consortium
A
aim is to ensure that people in Scotland have timely access to medicines that provide most benefit based on best available evidence.
it evaluates whether the benefits for patients may be considered an acceptable use of NHS resources
7
Q
Should the following be funded from the healthcare budget?
A
- Treatments to assist reproduction
- Cosmetic surgery
- Long-term nursing for elderly
- Health education in schools
- Provision of traffic-calming measures
- Reversal of sterilisation
8
Q
incentives
A
weight loss
smoking
breastfeeding
