Ulteriori informazioni
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.
Sommario
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.
Info autore
