RESUMO
In this article we consider the conclusions and recommendations of the World Health Organisation's report Making Fair Choices from a philosophical perspective. In particular we reflect on the report's return to substantive claims about justice in the allocation of health care resources and its argument that certain trade-offs are 'generally unacceptable'.
Assuntos
Comportamento de Escolha , Alocação de Recursos para a Atenção à Saúde/ética , Humanos , Justiça Social , Organização Mundial da SaúdeRESUMO
At present, health systems across Europe face the same challenges: a changing demographic profile, a rise in multi-morbidity and long-term conditions, increasing health care costs, large public debts and other legacies of an economic downturn. In light of these concerns, this article provides an overview of the international evidence on how to improve productive efficiency in secondary care settings. Updating and expanding upon a recent review of the literature by Hurst and Williams (2012), we set out evidence on potential interventions in the policy environment, hospital management, and operational processes. We conclude with five key lessons for policy makers and practitioners on how to improve productive efficiency within hospital settings, and identify several gaps in the existing evidence base.