高效、公平和激励相容的医疗配给
Efficient, Fair, and Incentive-Compatible Healthcare Rationing
摘要:
医疗资源的合理配置已成为医学专家、政策制定者和公众讨论的重要问题。我们考虑的是一个配给问题,即医疗单位分配给病人。每个单元保留给几个类别中的一个,每个类别都有患者的优先级。我们提出了一个分配规则,尊重优先级,符合资格要求,分配最大的可行数量的单位,并不激励代理商隐藏,他们有资格通过一个类别。该规则描述了所有满足前三个属性的可能分配,并且是多项式时间可计算的。
英文摘要:
Rationing of healthcare resources has emerged as an important issue, which has been discussed by medical experts, policy-makers, and the general public. We consider a rationing problem where medical units are to be allocated to patients. Each unit is reserved for one of several categories and each category has a priority ranking of the patients. We present an allocation rule that respects the priorities, complies with the eligibility requirements, allocates the largest feasible number of units, and does not incentivize agents to hide that they qualify through a category. The rule characterizes all possible allocations that satisfy the first three properties and is polynomial-time computable.
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