 | The 131st Annual Meeting (November 15-19, 2003) of APHA |
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| The 131st Annual Meeting (November 15-19, 2003) of APHA |
Molly McNulty, JD, School of Medicine, University of Rochester, 601 Elmwood Avenue Box 324, Rochester, NY 14642, 585-273-2586, molly_mcnulty@urmc.rochester.edu and Mark D. Fox, MD, PhD, Medicine/Pediatrics, University of Oklahoma College of Medicine - Tulsa, 4502 E. 41st Street, Room 3G-05, Tulsa, OK 74135.
Public health ethics analysis of [semi-privatized] allocation policy: The Case of a Low-Prevalence High-Need Child Health Service
Although transplantation affects relatively few children compared to other more prevalent chronic health problems, transplantation policies are infused with significant public health issues that relate to a much broader health services policy agenda. Public health ethics suggest that assessment criteria for ethical allocation policy should include evidence of disparities in outcome, a concern with open and public process, the social causes of disease, and distributive justice. This paper applies these criteria to the policy process for allocating a scarce resource (organs) to children with chronic heart disease. The data sources include the UNOS Registry of Pediatric Heart Transplants, federal statutory and regulatory materials, public meeting minutes, and federal court cases.
Learning Objectives:
Keywords: Ethics, Decision-Making
Related Web page: www.unos.org
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.