Identifying public opinion bias on scarce resource allocation
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Friday, October 21, 2022 | The Latest Research, Commentary, And News From Health Affairs
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In case you missed it, we just announced a new Policy Spotlight event on Tuesday, November 1 featuring Robert Otto Valdez, the new director of the Agency for Healthcare Research and Quality at the US Department of Health and Human Services. The event will be open to all.
Resource Allocation
A large problem associated with the COVID-19 pandemic was hospital supply shortages when large numbers of patients in the US were infected at the same time. During spikes, hospitals faced acute shortages of ventilators, beds, medications, and other critical resources.

While it is well known that people with disabilities face barriers to accessing health care, even in times when hospital resources are plentiful, less is known about how people with disabilities may be affected in times of shortage.

Ari Ne’eman and coauthors surveyed a nationally representative sample of US adults to examine how a range of patient characteristics affect respondents’ willingness to allocate a ventilator between two patients with equal likelihood of short-term survival.

In their survey, the authors find that respondents were 5.5 percentage points less likely to allocate a ventilator to a patient with a disability than to a nondisabled patient.

Disability bias was also correlated with older age cohorts and higher education levels of respondents.

The authors suggest that their findings highlight the importance of expanding bias mitigation efforts in health policy making, especially in conditions of scarcity.

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In Forefront, Stuart Buck and Kushal Kadakia analyze how the National Institutes of Health can innovate its experimentation process to maximize returns on investments in scientific research.

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