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Research Letter
Health Care Policy and Law
March 25, 2019

Prevalence and Severity of Rationing During Drug Shortages: A National Survey of Health System Pharmacists

Author Affiliations
  • 1The Maclean Center for Clinical Medical Ethics, The University of Chicago, Chicago, Illinois
  • 2Section of Hematology/Oncology, Department of Medicine, The University of Chicago, Chicago, Illinois
  • 3Department of Pharmacy, The University of Chicago Hospital, Chicago, Illinois
JAMA Intern Med. 2019;179(5):710-711. doi:10.1001/jamainternmed.2018.8251

Hospital medication shortages in the United States are associated with decreased quality and/or quantity of life.1,2 In severe cases, shortages require clinicians to decide which patients receive needed medications and which do not (ie, rationing drugs between patients).3 Previous studies have proposed ethical allocation frameworks and assessed the associations of specific shortages.2,4,5 We conducted a national survey of hospital pharmacy managers to investigate current drug allocation and rationing practices of US hospitals during shortages.

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