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Paediatric Patient and Family-Centred Care: Ethical and Legal Issues pp 35–54Cite as

Resource Allocation in Paediatric Patient and Family-Centred Care

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Part of the book series: International Library of Ethics, Law, and the New Medicine ((LIME,volume 57))

Abstract

In this chapter, I explore the implications of paediatric patient and family-centred care (PPFCC) on resource allocation processes and decisions at the micro (clinical) and meso (organizational) levels in paediatric healthcare settings. Although resource allocation is commonly identified as one of the most pressing ethical and practical challenges faced by health organizations today, the literature on PPFCC is resoundingly silent on such challenges. Indeed, PPFCC is often presented as a resource-neutral or -positive strategy without acknowledging the daily realities of providing care within finite health resources. This myopic view is not only unhelpful to those clinicians, managers, patients and families who grapple with these difficulties in real-time; it is also a lost opportunity in care settings committed to PPFCC. By examining two hypothetical cases—one at the clinical level and the other at the organizational level—I contend that the core principles of PPFCC are not only concordant with many current advances in resource allocation practice and scholarship, they may also enable health organizations to better mobilize their limited resources toward achieving high quality healthcare. I conclude that further conceptual and empirical scholarship is needed to explore this promising alignment between best practices in both PPFCC and healthcare resource allocation.

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  1. Institute of Health Policy, Management & Evaluation, and Joint Centre for Bioethics, University of Toronto, Toronto, Canada

    Jennifer L. Gibson PhD

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  1. Dept. of Bioethics, The Hospital for Sick Children, Toronto, Canada

    Randi Zlotnik Shaul

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Gibson, J. (2014). Resource Allocation in Paediatric Patient and Family-Centred Care. In: Zlotnik Shaul, R. (eds) Paediatric Patient and Family-Centred Care: Ethical and Legal Issues. International Library of Ethics, Law, and the New Medicine, vol 57. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-0323-8_3

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