Intended for healthcare professionals

Letters Criteria for scarce resources

Apply criteria to improve health systems in developing countries

BMJ 2012; 344 doi: (Published 14 February 2012) Cite this as: BMJ 2012;344:e546
  1. David Beran, researcher and lecturer1,
  2. John S Yudkin, emeritus professor of medicine2
  1. 1University of Geneva, Faculty of Medicine, Division of International and Humanitarian Medicine, Rue Gabrielle-Perret-Gentil 6, 1211 Geneva 14, Switzerland
  2. 2University College London, London, UK
  1. david.beran{at}

Shelton proposes 20 criteria to make the best use of scarce resources in developing countries.1 This new approach to prioritising healthcare interventions may, however, omit considerations strengthening health services as well as some ethical issues.

We have scored insulin use in type 1 diabetes in a typical resource poor setting. With a score of around 70-80, this intervention would be …

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