The global challenge of health care rationing

著者

書誌事項

The global challenge of health care rationing

edited by Angela Coulter and Chris Ham

（The state of health series）

Open University Press, 2000

  • : hbk
  • : pbk

大学図書館所蔵 件 / 全17件

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注記

Includes bibliographical references and index

内容説明・目次

巻冊次

: pbk ISBN 9780335204632

内容説明

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.

目次

Series editor's 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 Israel's 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 clinician's 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.
巻冊次

: hbk ISBN 9780335204649

内容説明

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.

目次

  • Introduction - international experience of rationing (or priority setting). Part 1 How to set priorities: setting priorities - what is holding us back
  • inadequate information or inadequate institutions?. Part 2 Governments and rationing: developments in the Nordic countries
  • goodbye to the simple solutions
  • reactivation of the prioritization process in Finnish health care
  • Israel's basic basket of health services - the importance of being explicitly implicit
  • setting priorities "American style". Part 3 Priorities in developing countries: health priority dilemmas in developing countries
  • public health priorities and the social determinants of ill health. Part 4 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 clinician's perspective on priority setting
  • the ethics of decentralizing health care priority setting in Canada. Part 5 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 6 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 7 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?.

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