Rationing of nursing care is a widespread and growing phenomenon whose causes are multifaceted consequences serious. Nursing rationing defined as withholding or failing to perform necessary tasks due insufficient time, staffing, and/or inadequate skills. also omission, delay, failure complete, which qualifies an error omission. Unfinished has many negative for patients, nurses, organizations. T...

The purpose of this paper is to explore how rationing decisions are made by government and hospital policy makers and practitioners, at the micro, meso and macro levels of analysis, through examining the rationing of cardiac care in a Canadian hospital, and discussing how the interaction between policy makers and practitioners at each of these levels affects the process and outcomes. Data were ...

n engl j med 366;21 nejm.org may 24, 2012 1949 distributive justice. But in the United States, ethical debate is now shifting from rationing to the avoidance of waste. This little-noticed shift has important policy implications. Whereas the “R word” is a proverbial third rail in politics, ethicists rush in where politicians fear to tread. The ethics of rationing begins with two considerations. ...

We consider a seller who can sell her product over two periods, advance and spot. The seller has private information about the product quality, which is unknown to customers in advance and publicly revealed in spot. The question we consider is whether the seller has an incentive to signal quality in advance and, if so, how she can convey a credible signal of product quality. We characterize the...

W study the effect of strategic customer behavior on pricing and rationing decisions of a firm selling a single product over two periods. The seller may limit the availability of the product (that is, ration) in the second (clearance) period. Some customers are strategic and respond to the firm’s decisions by timing their purchases. When capacity is nonconstraining and the seller has pricing fl...

BACKGROUND Evidence internationally suggests that staffing constraints and non-supportive work environments result in the rationing of nursing interventions (that is, limiting or omitting interventions for particular patients), which in turn may influence patient outcomes. In the neonatal intensive care unit (NICU), preliminary studies have found that discharge preparation and infant comfort ca...

The costs of shortages and rationing are not captured by standard consumer price indices. In this study, virtual prices for the rationed goods are used to calculate a new cost-of-living index (CLI). The results for Poland show that from 1987 to 1992 the CLI that ignores the rationing effects is biased upward from 3.6 to 6.99 percentage points per year. Compared to the welfare loss calculated by...

Society should not accept the inevitability of rationing medical resources, at least not in the short term. Because of the high degree of waste and duplication that characterize the Canadian and, even more, the American healthcare system, the invitation to focus on rationing procedures known to be useful is likely to divert attention from the need to eliminate waste. If and when extensive ratio...

This paper compares and contrasts three different substantive (as opposed to procedural) principles of justice for making health care priority-setting or "rationing" decisions: need principles, maximising principles and egalitarian principles. The principles are compared by tracing out their implications for a hypothetical rationing decision involving four identified patients. This decision has...