In the Oregon rationing system, the commission attempted torank-order over 700 differing health care services on the basis ofperception of value, effectiveness, and cost. Rank-order thefollowing 20 services using these criteria. First, rank-order thelist individually; then rank-order them as a group. Because some ofthe services may be of equal value to you, give them the sameranking (e.g., it will be possible to have more than one service infirst or second place).
Once we have rank-ordered the list, we can often get a betterdiscrimination between items by giving our choices a weight factor.In the weight value box, place VI (very important), I (important),or NI (not important).
Rank Order Weight Value
1. Prenatal care ________ ________
2. Neonatal intensive care ________ ________
3. Mammography ________ ________
4. Cardiac rehabilitation ________ ________
5. Nursing home maintenance ________ ________
6. Genetic screening ________ ________
7. Pulmonary rehabilitation ________ ________
8. Well baby care ________ ________
9. Drug rehabilitation ________ ________
10. Liposuction ________ ________
11. Cosmetic surgery ________ ________
12. Organ transplants ________ ________
13. Burn centers ________ ________
14. Fertility clinics ________ ________
15. Primary care services ________ ________
16. Dietetics ________ ________
17. Sports medicine ________ ________
18. AIDS treatment centers ________ ________
19. Chemotherapy ________ ________
20. Dental and orthodontics ________ ________
Look at your top five weighted items and your bottom five weighteditems. What, if anything, does it say about your perception ofvalue? Would you say you were more favorable to any age group?Would you say that you had a bias toward social utility? How diddrug rehabilitation and AIDS patients fare?
