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The Global Challenge Health Care Rationing

The Global Challenge Health Care Rationing

9780335204632
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Description
Rationing or priority setting occurs in all health care systems. Doctors, managers, and politicians are involved in making decisions on how to use scarce resources and which groups and patients should receive priority. These decisions may be informed by the results of medical research and cost effectiveness studies but they also involve the use of judgement and experience. Consequently, priority setting involves ethics as well as economics and decisions on who should live and who should die remain controversial and contested.

This book seeks to illuminate the debate on priority setting by drawing on experience from around the world. The authors are all involved in priority setting, either as decision makers or researchers, and their contributions demonstrate in practical terms how different countries and disciplines are approaching the allocation of resources between competing claims. Accessible to general readers as well as specialists, The Global Challenge of Health Care Rationing summarizes the latest thinking in this area and provides a unique resource for those searching for a guide through the maze.
Product Details
Open University Press
46125
9780335204632
9780335204632

Data sheet

Publication date
2000
Issue number
1
Cover
paperback
Dimensions (mm)
137 x 216
Weight (g)
380
  • Series editors introduction
    Introduction: international experience of rationing (or priority setting)

    Part one: How to set priorities

    Setting priorities
    what is holding us back - inadequate information or inadequate institutions?

    Part two: Governments and rationing

    Developments in the Nordic countries - goodbye to the simple solutions
    Reactivation of the prioritization process in Finnish health care
    Israels basic basket of health services
    the importance of being explicitly implicit
    Setting priorities American style

    Part three: Priorities in developing countries

    Health priority dilemmas in developing countries
    Public health priorities and the social determinants of ill health

    Part four: Ethical dilemmas

    Accountability for reasonableness in private and public health insurance
    Tragic choices in health care
    lessons from the Child B case
    Fairness as a problem of love and the heart
    a clinicians perspective on priority setting
    The ethics of decentralizing health care priority setting in Canada

    Part five: Techniques for determining priorities

    Priority setting and health technology assessment
    beyond evidence based medicine and cost effectiveness analysis
    The rationing of surgery
    clinical judgement versus priority access scoring

    Part six: Involving the public

    Public involvement in health care priority setting
    are the methods appropriate and valid?
    Rationing health care in New Zealand - how the public has a say
    Explicit rationing, deprivation disutility and denial disutility
    evidence from a qualitative study

    Part seven: Rationing specific treatments

    Priority setting in practice
    When sentiments run high
    the Di Bella case and others
    Increasing demand for accountability
    is there a professional response?
    Conclusion: where are we now?
    References
    Index.

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