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

医疗资源既可以用金钱来描述，也可以用健康结果来描述。然而，过去的研究表明，人们倾向于使用符合市场规范的原则（例如，效率）来分配资金，但为了健康和生命等“神圣的价值”而不愿这样做。这项研究考察了人们对医疗资源的分配偏好如何变化，这取决于分配政策是根据财务成本还是健康结果制定的。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。美国面临着控制医疗支出的迫切需要。然而，对于如何分配有限的医疗资源，公众并没有明显的共识，也没有就如何在分配中平衡效率与公平达成一致。建议的研究通过检查政策框架和感知稀缺性的影响来解开公众对医疗保健分配的意见。这项研究研究了美国成年人的大规模全国概率样本，并将为一个关键的卫生政策问题提供丰富的公众意见数据；有限医疗资源的分配。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.