Settings limits fairly : can we learn to share medical resources?

著者

書誌事項

Settings limits fairly : can we learn to share medical resources?

Norman Daniels, James E. Sabin

Oxford University Press, c2002

  • alk. paper

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注記

Includes bibliographical references and index

内容説明・目次

内容説明

The central idea for this book is that we lack consensus on principles for allocating resources and in the absence of such a consensus we must rely on a fair decision-making process for setting limits on health care. The authors characterize key elements of this process in a variety of health care contexts where such decisions are made- decisions about insurance coverage for new technologies, pharmacy benefit management, the design of physician incentives, contracting for mental health care by public agencies, etc.- and they connect the problem in the U.S. with the same problem in other countries. They provide a cogent analysis of the current situation, lucidly review the usual candidate solutions, and describe their own approach, which represents a clear advance in thinking. Their intended audience is international since the problem of limits cuts across types of health care systems whether or not they have universal coverage.

目次

  • 1. Our Lives in Whose Hands?
  • 2. Justice, Scarcity, and Public Accountability for Limits
  • 3. The Legitimacy Problem and Fair Process
  • 4. Accountability for Reasonableness
  • 5. Managing Last-Chance Therapies
  • 6. Lung Volume Reduction Surgery: A Case Study
  • 7. Making Pharmacy Benefits Accountable for Reasonableness
  • 8. Indirect Limit Setting: Accountability for Physician Incentives
  • 9. Accountability for Reasonableness in Action: Public Sector Contracting for Mental Health Care
  • 10. An International Learning Curve
  • 11. Learning to Share Medical Resources

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