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?
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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