Action guide for addressing ethical challenges of resource allocation within community-based healthcare organizations

Krista L. Harrison, Holly Taylor, Maria Merritt

Research output: Contribution to journalArticle

Abstract

This article proposes an action guide to making decisions regarding the ethical allocation of resources that affect access to healthcare services offered by community-based healthcare organizations. Using the filter of empirical data from a study of decision making in two community-based healthcare organizations, we identify potentially relevant conceptual guidance from a review of frameworks and action guides in the public health, health policy, and organizational ethics literature. We describe the development of this action guide. We used data from a prior empirical study of the values that influence decision making about the allocation of resources in particular types of community-based healthcare organizations. We evaluated, organized, and specified the conceptual guidance we found in 14 frameworks for ethical decision making. The result is an action guide that includes four domains that are relevant to the context of the decision to be made, eight domains that are relevant to the process of the decision to be made, and 15 domains that are relevant to the criteria of the decision to be made. We demonstrate the potential use of this action guide by walking through an illustrative resource allocation decision. The action guide provides community-based healthcare organizations with a conceptually grounded, empirically informed framework for ethical decision making.

Original languageEnglish (US)
Pages (from-to)124-138
Number of pages15
JournalJournal of Clinical Ethics
Volume29
Issue number2
StatePublished - Jun 1 2018

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Community Health Services
Resource Allocation
Decision Making
Organizations
decision making
resources
community
Institutional Ethics
Health Policy
health policy
Action Potentials
Walking
Public Health
public health
moral philosophy
Delivery of Health Care
Values

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Action guide for addressing ethical challenges of resource allocation within community-based healthcare organizations. / Harrison, Krista L.; Taylor, Holly; Merritt, Maria.

In: Journal of Clinical Ethics, Vol. 29, No. 2, 01.06.2018, p. 124-138.

Research output: Contribution to journalArticle

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