"Ruling in" and "ruling out": two approaches to the micro-rationing of health care.

@article{Hughes1997RulingIA,
  title={"Ruling in" and "ruling out": two approaches to the micro-rationing of health care.},
  author={David Hughes and Lesley J Griffiths},
  journal={Social science & medicine},
  year={1997},
  volume={44 5},
  pages={
          589-99
        }
}
Much of the implicit rationing said to characterise British health care occurs as doctors decide what resources to allocate to individual patients. This paper examines this process using data from case studies of selection of patients for cardiac surgery and admission to a specialist neurological rehabilitation centre. The analysis focuses on cardiac catheterisation conferences in which cardiologists present surgical candidates to a cardiac surgeon, and neuro-rehabilitation admissions… CONTINUE READING
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