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Distributing medical resources

An application of cooperative bargaining theory to an allocation problem in medicine

Series:

Antje Köckeritz

Allocating scarce medical resources has become an important topic in public discussion. In the German statutory health system we are facing a situation of lacking adequate funds for all needs. The financial restrictions force us to use resources wisely. This emphasizes the need of general allocation rules and criteria applied in medical allocation situations. The purpose of this work is to implement and interpret properties of cooperative bargaining theory to special allocation situations in medicine. The author shows how the concepts of Nash and Kalai/Smorodinsky can be applied to a medical allocation problem and discusses implications of their properties and solutions for the German health system.

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Preface

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Allocating scarce resources in medicine has become an important topic in the public discussion. In the German statutory health system we face a situation in which there is not enough money to finance all needs. Financial restrictions force us to use resources wisely. This emphasizes the need of general allocation rules and criteria applied to medical allocation situations. The purpose of this work is to implement and interpret properties of axiomatic bargaining theory to special allocation situations in medicine. The work and results of this dissertation are strongly influenced by the German research group FOR 655 on “Prioritizing in medicine”, especially by the subgroup C04 on equality of chances, justice and efficiency in allocating medical resources. This interdisciplinary group of researchers and therefore part of my work as well are financed by the German Research Foundation (Deutsche Forschungsgemeinschaft, abbr.: DFG). The financial support by DFG is gratefully acknowledged. My work is also funded by the post graduate fund of Saxony Anhalt (Graduiertenförderung des Landes Sachsen-Anhalt). I truly appreciated this financial stipend because it enabled me to combine the doctorate with my family of two young children. Most of all I thank Prof. Dr. Dr. Marlies Ahlert for developing the idea of the dissertation together with me and for discussing work in progress. Furthermore, I greatly appreciate her support and motivation in achieving my academic as well as personal goals. Also, I thank Prof. Dr. Dr. Bodo Vogt for agreeing to be a second assessor. The author would like to...

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