China 
Africa 
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Organisation and management of care
Published in Sue Chilton, Heather Bain, A Textbook of Community Nursing, 2017
Care organisation, prioritisation and delegation for a district nursing caseload of patients involve the scrutiny of diverse factors with varying degrees of importance (Luker and Kenrick, 1992). Theoretical models are widely applied to nursing, but Kennedy (2002: 710) found that they are not as applicable to the complex and varied nature of community nurses’ knowledge. Community nurses need to be able to swiftly grasp and weigh the significance of the many variables that add to the complexity of decision making in primary care (Kennedy, 2004). As a general starting point, prioritisation is based on determining the most significant or urgent of the identified clinical needs.
Ethical aspects of the coordination of return-to-work among employees on sick leave due to common mental disorders: a qualitative study
Published in Disability and Rehabilitation, 2023
Lisa Holmlund, Lars Sandman, Therese Hellman, Lydia Kwak, Elisabeth Björk Brämberg
The unequal access to the coordination of RTW identified in our study was related to a lack of, or arbitrary criteria for inclusion, and the use of regionally developed inclusion criteria based on length of sick leave and age. In healthcare and welfare systems struggling with resource constraints, prioritization, and rationing are inevitable. In the last few years, there have been strong developments in theories about distributive justice and fairness to handle this challenge [39]. From a utilitarian perspective, prioritizing those with shorter-term sick leave could be warranted for cost-benefit reasons, this is in line with research indicating short-term sick leave as an indicator for stainable RTW [40]. As such, giving priority to employees with shorter sick leave might be a more effective use of resources. However, according to egalitarian theories, there is a strong rationale to prioritize patients with greater needs above patients with lesser needs, all else being equal. According to prioritarian theories, effectiveness should be balanced against needs but greater needs are generally prioritized [41,42]. A potential problem with focusing strictly on the size of the need is that we might end up with fewer resources to spend on healthcare, if people who can return to work and contribute to the economic system are not prioritized. Another problem is that having to wait until the need becomes great enough, might imply generally down-prioritizing preventive work. This seems counter-productive if we want to achieve a healthy population. Hence, most jurisdictions do apply some mix of the above theories in distributing resources, where both the size of need and the overall health outcome of interventions are considered. This is certainly true for Sweden, where considerations of patient needs and effective and equal distribution of health are integral to healthcare legislation.
The missing link in Kenya’s universal health coverage experiment: a preventive and promotive approach to SRHR
Published in Sexual and Reproductive Health Matters, 2020
Lisa Owino, Annette Wangong’u, Nerima Were, Allan Maleche
Priority-setting can be defined as “the task of determining the priority to be assigned to a service, a service development or an individual patient at a given point in time. Prioritisation is needed because claims (whether needs or demands) on healthcare resources are greater than the resources available.”28