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Updated: May 22, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
[The distribution of health resources: a hybrid model of equality and maximization]
1Département de communication sociale et publique de I'Université du Québec à Montréal, Montréal, Québec. farmer.yanick@uqam.ca
Abstract:
In the allocation of resources for health care, it is generally acknowledged that models based exclusively either on efficiency and maximizing the cost/benefit ratio of interventions, or on equity and justice through the notion of "maximin," are unsatisfactory when taken separately. To fill this gap, this commentary suggests a hybrid model of resource allocation that integrates the idea of a random distribution of resources using a lottery. The general aim of this model is to safeguard the notions of justice and equal access to resources to the maximum extent possible in a climate where budget restrictions and the economic downturn may lead to future reductions in services.
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