Resource allocation/coverage decision making, as addressed in ethics policies. Whether and how three different types of organisations mention issues of resource allocation and coverage decision making processes in their written ethics policies and statements
| Topic | Organisational type | ||
|---|---|---|---|
| Physician professional associations N = 18 n (%) | Physician group practices N = 9 n (%) | Managed care plans N = 12 n (%) | |
| *Difference significant at p<0.1 compared to physician professional associations, by two-tailed χ2 test. | |||
| Equality | 1 (6) | 1 (11) | 2 (17) |
| Equality: among segments of the population | 1 (6) | 0 (0) | 0 (0) |
| Equality: among patients | 0 (0) | 1 (11) | 1 (8) |
| Stewardship of resources | 2 (11) | 2 (22) | 1 (8) |
| Justice | 6 (33) | 0 (0)* | 1 (8)* |
| Rationing/triage | 3 (17) | 0 (0) | 0 (0) |
| Efficiency or cost effectiveness | 7 (39) | 6 (67) | 5 (42) |
| Universal coverage | 1 (6) | 0 (0) | 0 (0) |
| Resource allocation/coverage decisions (any mention) | 11 (61) | 7 (78) | 8 (67) |
| General mention | 4 (22) | 1 (11) | 0 (0)* |
| Benefits determinations | 0 (0) | 0 (0) | 0 (0) |
| Methods for distribution | 4 (22) | 0 (0) | 0 (0)* |
| Use of evidence based medicine | 1 (6) | 0 (0) | 0 (0) |
| Involving community in decision making | 1 (6) | 0 (0) | 0 (0) |
| Practice parameters/outcomes data | 4 (22) | 1 (11) | 1 (8) |
| Coverage of “experimental” treatments | 1 (6) | 0 (0) | 0 (0) |
| Necessity determinations (need/rule of rescue) | 2 (11) | 0 (0) | 0 (0) |