Managing scarcity : priority setting and rationing in the National Health Service

著者

書誌事項

Managing scarcity : priority setting and rationing in the National Health Service

Rudolf Klein, Patricia Day, and Sharon Redmayne

（The state of health series）

Open University Press, 1996

  • : hard
  • : pbk

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注記

Includes bibliographical references and index

内容説明・目次

巻冊次

: pbk ISBN 9780335194469

内容説明

The "rationing" of health care has become one of the most emotive issues of the 1990s in the UK, causing much public confusion and political controversy. This book provides a comprehensive and critical introduction to this debate. It does so by examining the processes which determine who gets what in the way of treatment, the decision makers involved at different levels in the NHS and the criteria used in making such decisions. In particular it analyses the relationship between decisions about spending priorities (taken by politicians and managers) and decisions about rationing care for individual patients (taken by doctors), between explicit and implicit rationing. As well as drawing on research-based evidence about what is happening in Britain today, Managing Scarcity also looks at the experience of the NHS since 1948 and puts the case of health care in the wider context of publicly funded services and programmes which have to allocate limited resources according to non-market criteria. Managing Scarcity is recommended reading for students and researchers of health policy, as well as health professionals and policy makers at all levels in the NHS.

目次

Series editor's introduction Part one: The context Unpicking the notion Politics and strategies Principles of resource allocation Part two: The NHS experience A history of institutionalized scarcity Priority setting in the new era Lifting the veils from rationing? Into the secret garden Part three: The way ahead Money or science to the rescue? What can we learn from others? Policy options for the future Bibliography Index.
巻冊次

: hard ISBN 9780335194476

内容説明

This volume presents an introduction to the issue of the "rationing" in health care. It does this by examining the processes which determine who gets what in the way of treatment, the decision makers involved at different levels, and the criteria used in making such decisions.

目次

  • Part 1 The context: unpicking the notion
  • politics and strategies
  • principles of resource allocation. Part 2 The NHS experience: a history of institutionalized scarcity
  • priority setting in the new era
  • lifting the veils from rationing?
  • into the secret garden. Part 3 The way ahead: money or science to the rescue?
  • what can we learn from others?
  • policy options for the future.

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