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Sailing without radar: an excursion in resource allocation.

K Alexander1, N Hicks

  • 1Women's and Children's Hospital, North Adelaide, South Australia.

Australian Health Review : a Publication of the Australian Hospital Association
|December 8, 1997
PubMed
Summary
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This study differentiates between

Area of Science:

  • Health economics
  • Health policy analysis
  • Knowledge management in healthcare

Background:

  • Resource allocation in healthcare is complex.
  • Traditional economic models offer a 'thin-textured' view of decision-making.
  • A 'thick-textured' approach is needed to account for broader societal factors.

Purpose of the Study:

  • To distinguish between 'thick-textured' and 'thin-textured' knowledge in resource allocation.
  • To critique the limitations of rationalist economic approaches in healthcare.
  • To propose alternative frameworks for priority-setting in health services.

Main Methods:

  • Analysis of health service policy-making in South Australia and internationally.
  • Literature review of priority-setting approaches in healthcare.

Related Experiment Videos

  • Conceptual distinction between 'thick' and 'thin' knowledge bases.

    • Main Results:

    • Rationalist economics provides a 'thin-textured' view, excluding crucial contextual factors.
    • A 'thick-textured' knowledge base incorporates history, civic goods, and diverse human needs.
    • Existing priority-setting literature is often 'thin-textured'.

    Conclusions:

    • Healthcare resource allocation benefits from a 'thick-textured' knowledge base.
    • Overcoming deficiencies in 'thin-textured' approaches requires integrating broader societal considerations.
    • Two alternative approaches to priority-setting that address these deficiencies are presented.