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By micro rationing.
With regard to micro rationing, it would be unfair to deny elderly patients health care if the doctor's decision was based on pejorative attitudes towards elderly people.
Similar(58)
Hughes and Griffiths' paper on micro-rationing of healthcare [ 61], for example, was a key paper in helping to generate the construct of candidacy that later came to unify the themes of our analysis.
Our research aims to illuminate how variation in health care (the 'postcode lottery') is produced locally through micro-rationing practices.
By macro rationing.
Two key issues combine to produce this increasing impost on micro level clinicians to make rationing decisions.
Where rationing occurs at a micro level, it is often a means for professionals to cope with budgetary or other pressures and reflects the challenge for the day to day application of rationing decisions.
The effective devolvement of rationing decisions to the micro level contributed to the stresses described by many participants working in public sector services.
These higher level decisions, often made without explicit directives about service reductions, effectively devolved the decision of rationing service provision to physiotherapists at a micro level.
Macro-level resource allocation decisions create the rationing dilemmas that clinicians face at the micro-level.
However, there still remain challenges for the day to day application of rationing decisions at health service (meso) level and at the level of the clinician (micro level).
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