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By macro rationing.
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Clarifying values that guide decisions about health care rationing at a macro level can assist decision-making about rationing or prioritisation of services at lower levels.
While there has been a shift from implicit toward explicit rationing at a macro level, the presence of explicit rationing decisions do not fully resolve the dilemmas facing decision makers [ 14, 38].
There is also a need for understanding how current plans and priorities at macro- and meso -level translate into rationing dilemmas for physicians, and how those decisions can be made more efficiently and fairly [ 25].
Macro-level resource allocation decisions create the rationing dilemmas that clinicians face at the micro-level.
Explicit and implicit rationing are well discussed in relation to macro level health service decisions, for example in the UK, New Zealand, Sweden and Oregon (Table 2) and in the medical literature [ 14, 37].
Now, macro.
There is just macro.
Macro and micro benefit.
First, the macro picture.
The first is macro.
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