Resource allocation
Is regionalising care fair to disabled people?
Open access · cc by · source: Europe PMC
Regionalisation promises to integrate health and social services, which matters especially for people with disabilities and chronic illness in the community; the authors test that promise with a disability-ethics justice framework.
How this study connects
Role on claims
Each row is a claim on a concept or method page where this paper supports, challenges, or qualifies the statement. Roles are hand-checked — not a model guess.
Restructuring services must be judged by effects on the most marginalised.
From disability ethics, regionalisation of services is argued to be just only if it integrates services for community living; justice here tracks marginalisation in health and quality of care, not only efficiency.
Evidence for the claim as stated.
Lay respondents in the NICU survey leaned utilitarian, favouring better outcomes and lower costs, while the disability-justice and food-insecurity arguments give priority to the marginalised and worst-off. The survey deliberately gave infants equal need, so it did not test prioritarian intuitions — this is a limit of scope, not a direct refutation.
Evidence for the claim as stated.
Open questions
Tensions this paper is part of
From concept pages' “where studies disagree.” Disagreement means the same question; scope means different assays, populations, or outcomes.
Lay respondents in the NICU survey leaned utilitarian, favouring better outcomes and lower costs, while the disability-justice and food-insecurity arguments give priority to the marginalised and worst-off. The survey deliberately gave infants equal need, so it did not test prioritarian intuitions — this is a limit of scope, not a direct refutation.
Inspect source passages
Is regionalising care fair to disabled people?
These passages occur verbatim in the stored paper text. They support the points listed below; they do not verify every statement in the explanation.
Promise?
integrating health and social services is especially important for people with disabilities and chronic illnesses transitioning to and/or living in the com
Especially for whom?
chronic illnesses transitioning to and/or living in the community. Without effective service integration, people with disabilities and chronic illnesses ma
Key findings
Without effective integration, community living fails. Regionalisation’s promise is especially important for this group. Justice here tracks marginalization in health and quality of care, not only efficiency.
Methodology
They consider regionalisation from disability ethics (disability studies plus normative/bioethics), stress service integration for community living, and use a justice framework on marginalization and health/quality of life.
Limitations
This is a 2006 Canadian-style justice argument, not a new RCT of a region. It does not measure wait times.
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Same topic cluster — not a recommendation engine.