Money, Lives and Scarcity - How do people allocate healthcare resources?

医疗资源可以用金钱或健康结果来描述。然而，过去的研究表明，人们倾向于使用与市场规范一致的原则（例如，效率）分配资金，但不愿意这样做的“神圣价值”，如健康和生命。这项研究探讨了人们对医疗资源的分配偏好如何转变，这取决于分配政策是否以财务成本或健康结果为依据。它还探讨了人们是否根据他们认为特定资源的稀缺程度对不同类型的医疗资源应用不同的分配策略。 美国面临着抑制医疗支出的突出需求。然而，公众对如何分配有限的医疗资源并没有明显的共识，也没有就如何在分配中平衡效率与公平达成一致。拟议的研究解开公众意见的医疗保健分配的政策框架和感知的稀缺性的影响。本研究以大规模的全国概率样本为研究对象， 美国成年人，并将提供丰富的数据，公众意见的一个关键的卫生政策问题;分配有限的医疗资源。它还将为政策制定者提供指导，指导他们如何为不同的医疗资源设计不同的分配政策，以及如何制定分配政策，以获得公众对拟议政策的最大支持。

Healthcare resources can be described either in terms of money, or in terms of health outcomes. Yet, past research suggests that people tend to use principles consistent with market norms (e.g., efficiency) to allocate money, but are reluctant to do so for "sacred values" such as health and lives. This research examines how people's allocation preference for healthcare resources can shift, depending on whether allocation policies are framed in terms of financial cost or health outcomes. It also explores whether people apply different allocation strategies to different types of healthcare resources based on how scarce they perceive the particular resource to be. The United States faces an eminent need to curb healthcare spending. However, there is no obvious consensus among members of the public on how to allocate the limited healthcare resources, nor is there agreement about how to balance efficiency versus equality in such allocations. The proposed research untangles public opinions on healthcare allocation by examining the influence of policy framing and perceived scarcity. This research studies large scale national probaility samples of American adults and will provide rich data on public opinions for a critical health policy issue; the distribution of limited healthcare resources. It will also provide guidance to policymakers for how to design different allocation policies for different healthcare resources, as well as how to frame allocation policies to gain the most public support for proposed policies.