TY - JOUR
T1 - Which patients first? Setting priorities for antiretroviral therapy where resources are limited
AU - McGough, Laura J.
AU - Reynolds, Steven J.
AU - Quinn, Thomas C.
AU - Zenilman, Jonathan M.
PY - 2005/7
Y1 - 2005/7
N2 - The availability of limited funds from international agencies for the purchase of antiretroviral (ARV) treatment in developing countries presents challenges, especially in prioritizing who should receive therapy. Public input and the protection of human rights are crucial in making treatment programs equitable and accountable. By examining historical precedents of resource allocation, we aim to provoke and inform debate about current ARV programs. Through a critical review of the published literature, we evaluate 4 precedents for key lessons: the discovery of insulin for diabetes in 1922, the release of penicillin for civilian use in 1943, the development of chronic hemodialysis programs in 1961, and current allocation of liver transplants. We then describe current rationing mechanisms for ARVs.
AB - The availability of limited funds from international agencies for the purchase of antiretroviral (ARV) treatment in developing countries presents challenges, especially in prioritizing who should receive therapy. Public input and the protection of human rights are crucial in making treatment programs equitable and accountable. By examining historical precedents of resource allocation, we aim to provoke and inform debate about current ARV programs. Through a critical review of the published literature, we evaluate 4 precedents for key lessons: the discovery of insulin for diabetes in 1922, the release of penicillin for civilian use in 1943, the development of chronic hemodialysis programs in 1961, and current allocation of liver transplants. We then describe current rationing mechanisms for ARVs.
UR - http://www.scopus.com/inward/record.url?scp=21644483328&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=21644483328&partnerID=8YFLogxK
U2 - 10.2105/AJPH.2004.052738
DO - 10.2105/AJPH.2004.052738
M3 - Review article
C2 - 15983271
AN - SCOPUS:21644483328
SN - 0090-0036
VL - 95
SP - 1173
EP - 1180
JO - American journal of public health
JF - American journal of public health
IS - 7
ER -