Allocating Health Care Resources

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The Economics of Resource Allocation in Health Care

Author : Andrea Klonschinski
Publisher : Routledge
Page : 293 pages
File Size : 42,6 Mb
Release : 2016-03-31
Category : Business & Economics
ISBN : 9781317291817

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The Economics of Resource Allocation in Health Care by Andrea Klonschinski Pdf

The question of how to allocate scarce medical resources has become an important public policy issue in recent decades. Cost-utility analysis is the most commonly used method for determining the allocation of these resources, but this book counters the argument that overcoming its inherent imbalances is simply a question of implementing methodological changes. The Economics of Resource Allocation in Health Care represents the first comprehensive analysis of equity weighting in health care resource allocation that offers a fundamental critique of its basic framework. It offers a critique of health economics, putting the discourse on economic evaluation into its broader socio-political context. Such an approach broadens the debate on fairness in health economics and ties it in with deeper-rooted problems in moral philosophy. Ultimately, this interdisciplinary study calls for the adoption of a fundamentally different paradigm to address the distribution of scarce medical resources. This book will be of interest to policy makers, health care professionals, and post-graduate students looking to broaden their understanding of the economics of the health care system.

The Allocation of Health Care Resources

Author : John McKie
Publisher : Routledge
Page : 172 pages
File Size : 44,8 Mb
Release : 1998
Category : Health care rationing
ISBN : STANFORD:36105023152239

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The Allocation of Health Care Resources by John McKie Pdf

The competition for limited health care resources is intensifying. We urgently need an acceptable method for deciding how they should be allocated. The Quality-Adjusted Life Year, or QALY, is the most developed proposal for such allocation. In this book a distinguished team of ethicists and economists defend the core of the QALY proposal: that health care resources should be used so as to produce more years of life, of the highest possible quality. The result is the most thorough account yet of the ethical issues raised by the use of the QALY as a basis for allocating health care resources.

Improving Health in the Community

Author : Institute of Medicine,Committee on Using Performance Monitoring to Improve Community Health
Publisher : National Academies Press
Page : 497 pages
File Size : 55,7 Mb
Release : 1997-05-21
Category : Medical
ISBN : 9780309055345

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Improving Health in the Community by Institute of Medicine,Committee on Using Performance Monitoring to Improve Community Health Pdf

How do communities protect and improve the health of their populations? Health care is part of the answer but so are environmental protections, social and educational services, adequate nutrition, and a host of other activities. With concern over funding constraints, making sure such activities are efficient and effective is becoming a high priority. Improving Health in the Community explains how population-based performance monitoring programs can help communities point their efforts in the right direction. Within a broad definition of community health, the committee addresses factors surrounding the implementation of performance monitoring and explores the "why" and "how to" of establishing mechanisms to monitor the performance of those who can influence community health. The book offers a policy framework, applies a multidimensional model of the determinants of health, and provides sets of prototype performance indicators for specific health issues. Improving Health in the Community presents an attainable vision of a process that can achieve community-wide health benefits.

Rationing and Resource Allocation in Healthcare

Author : Ezekiel Emanuel,Harald Schmidt,Andrew Steinmetz
Publisher : Oxford University Press
Page : 569 pages
File Size : 50,7 Mb
Release : 2018
Category : Medical
ISBN : 9780190200763

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Rationing and Resource Allocation in Healthcare by Ezekiel Emanuel,Harald Schmidt,Andrew Steinmetz Pdf

Budgets of governments and private insurances are limited. Not all drugs and services that appear beneficial to patients or physicians can be covered. Is there a core set of benefits that everyone should be entitled to? If so, how should this set be determined? Are fair decisions just impossible, if we know from the outset than not all needs can be met? While early work in bioethics has focused on clinical issues and a narrow set of principles, in recent years there has been a marked shift towards addressing broader population-level issues, requiring consideration of more demanding theories in philosophy, political science, and economics. At the heart of bioethics' new orientation is the goal of clarity on a complex set of questions in rationing and resource allocation. Rationing and Resource Allocation in Healthcare: Essential Readings provides key excerpts from seminal and pertinent texts and case studies about these topics, contextualized by original introductions. The volume is divided into three broad sections: Conceptual Distinctions and Ethical Theory; Rationing; and Resource Allocation. Containing the most important and classic articles surrounding the theoretical and practical issues related to rationing and how to allocate scare medical resources, this collection aims to assist and inform those who wish to be a part of bioethics' 21st century shift including practitioners and policy-makers, and students and scholars in the health sciences, philosophy, law, and medical ethics.

Public Health Ethics: Cases Spanning the Globe

Author : Drue H. Barrett,Leonard W. Ortmann,Angus Dawson,Carla Saenz,Andreas Reis,Gail Bolan
Publisher : Springer
Page : 0 pages
File Size : 53,9 Mb
Release : 2016-04-20
Category : Medical
ISBN : 3319238469

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Public Health Ethics: Cases Spanning the Globe by Drue H. Barrett,Leonard W. Ortmann,Angus Dawson,Carla Saenz,Andreas Reis,Gail Bolan Pdf

This Open Access book highlights the ethical issues and dilemmas that arise in the practice of public health. It is also a tool to support instruction, debate, and dialogue regarding public health ethics. Although the practice of public health has always included consideration of ethical issues, the field of public health ethics as a discipline is a relatively new and emerging area. There are few practical training resources for public health practitioners, especially resources which include discussion of realistic cases which are likely to arise in the practice of public health. This work discusses these issues on a case to case basis and helps create awareness and understanding of the ethics of public health care. The main audience for the casebook is public health practitioners, including front-line workers, field epidemiology trainers and trainees, managers, planners, and decision makers who have an interest in learning about how to integrate ethical analysis into their day to day public health practice. The casebook is also useful to schools of public health and public health students as well as to academic ethicists who can use the book to teach public health ethics and distinguish it from clinical and research ethics.

Allocating Health Care Resources

Author : James M. Humber,Robert F. Almeder
Publisher : Springer Science & Business Media
Page : 222 pages
File Size : 41,9 Mb
Release : 1995-01-11
Category : Medical
ISBN : 9781592594474

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Allocating Health Care Resources by James M. Humber,Robert F. Almeder Pdf

In ALLOCATING HEALTH CARE RESOURCES, leading authorities and researchers expose the basic philosophical, ethical, and economic issues underlying the current health care debate. The contributors wrestle with such complicated issues as whether it is ethical to ration health care, the morality of the worldwide bias against children in allocating health care resources, whether sin taxes can be defended morally, and how to achieve a just health care system. The book also includes an insightful analysis of the Clinton health care reform plan. ALLOCATING HEALTH CARE RESOURCES will be of interest to philosophers, health policy experts, medical ethicists, health professionals, and concerned citizens. It serves to clarify and illuminate the logic and rhetoric of health care reform, and so to help us all achieve a fair and equitable distribution of these precious resources.

Rationing and Resource Allocation in Healthcare

Author : Ezekiel Emanuel,Harald Schmidt,Andrew Steinmetz
Publisher : Oxford University Press
Page : 496 pages
File Size : 46,6 Mb
Release : 2018-05-10
Category : Medical
ISBN : 9780190677305

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Rationing and Resource Allocation in Healthcare by Ezekiel Emanuel,Harald Schmidt,Andrew Steinmetz Pdf

Budgets of governments and private insurances are limited. Not all drugs and services that appear beneficial to patients or physicians can be covered. Is there a core set of benefits that everyone should be entitled to? If so, how should this set be determined? Are fair decisions just impossible, if we know from the outset than not all needs can be met? While early work in bioethics has focused on clinical issues and a narrow set of principles, in recent years there has been a marked shift towards addressing broader population-level issues, requiring consideration of more demanding theories in philosophy, political science, and economics. At the heart of bioethics' new orientation is the goal of clarity on a complex set of questions in rationing and resource allocation. Rationing and Resource Allocation in Healthcare: Essential Readings provides key excerpts from seminal and pertinent texts and case studies about these topics, contextualized by original introductions. The volume is divided into three broad sections: Conceptual Distinctions and Ethical Theory; Rationing; and Resource Allocation. Containing the most important and classic articles surrounding the theoretical and practical issues related to rationing and how to allocate scare medical resources, this collection aims to assist and inform those who wish to be a part of bioethics' 21st century shift including practitioners and policy-makers, and students and scholars in the health sciences, philosophy, law, and medical ethics.

Operations Research and Health Care

Author : Margaret L. Brandeau,Francois Sainfort,William P. Pierskalla
Publisher : Springer Science & Business Media
Page : 870 pages
File Size : 44,8 Mb
Release : 2006-04-04
Category : Medical
ISBN : 9781402080661

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Operations Research and Health Care by Margaret L. Brandeau,Francois Sainfort,William P. Pierskalla Pdf

In both rich and poor nations, public resources for health care are inadequate to meet demand. Policy makers and health care providers must determine how to provide the most effective health care to citizens using the limited resources that are available. This chapter describes current and future challenges in the delivery of health care, and outlines the role that operations research (OR) models can play in helping to solve those problems. The chapter concludes with an overview of this book – its intended audience, the areas covered, and a description of the subsequent chapters. KEY WORDS Health care delivery, Health care planning HEALTH CARE DELIVERY: PROBLEMS AND CHALLENGES 3 1.1 WORLDWIDE HEALTH: THE PAST 50 YEARS Human health has improved significantly in the last 50 years. In 1950, global life expectancy was 46 years [1]. That figure rose to 61 years by 1980 and to 67 years by 1998 [2]. Much of these gains occurred in low- and middle-income countries, and were due in large part to improved nutrition and sanitation, medical innovations, and improvements in public health infrastructure.

Tracking Resources For Primary Health Care: A Framework And Practices In Low- And Middle-income Countries

Author : Hong Wang,Peter Berman
Publisher : World Scientific
Page : 445 pages
File Size : 51,7 Mb
Release : 2020-06-03
Category : Medical
ISBN : 9789811212420

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Tracking Resources For Primary Health Care: A Framework And Practices In Low- And Middle-income Countries by Hong Wang,Peter Berman Pdf

The global health community is broadly in agreement that achievement of the health-related Sustainable Development Goals (SDGs) hinges upon both an escalation of the financial resources dedicated to primary health care (PHC) and a more effective use of those resources: more money, better spent. This book introduces and explicates the end-to-end resource tracking and management (RTM) framework, which includes five components that determine effective and efficient financing for PHC: resource mobilization, allocation, utilization, productivity, and targeting.In addition, this book compiles detailed results from the most recent RTM-based resource tracking efforts for PHC in selected countries. This is to demonstrate how the RTM framework can be used to bring a set of separate resource tracking efforts at different stages of flow of funds into a comprehensive process with an end-to-end 'storyline'. In order to build a functional PHC system that addresses access, quality, and equity issues, this book highlights the key (public) financing issues that researchers, technical advisors, and policy makers would need to address in addition to more resources.

Framework for Equitable Allocation of COVID-19 Vaccine

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Population Health and Public Health Practice,Board on Health Sciences Policy,Committee on Equitable Allocation of Vaccine for the Novel Coronavirus
Publisher : National Academies Press
Page : 273 pages
File Size : 41,8 Mb
Release : 2020-11-30
Category : Medical
ISBN : 9780309682244

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Framework for Equitable Allocation of COVID-19 Vaccine by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Population Health and Public Health Practice,Board on Health Sciences Policy,Committee on Equitable Allocation of Vaccine for the Novel Coronavirus Pdf

In response to the coronavirus disease 2019 (COVID-19) pandemic and the societal disruption it has brought, national governments and the international community have invested billions of dollars and immense amounts of human resources to develop a safe and effective vaccine in an unprecedented time frame. Vaccination against this novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), offers the possibility of significantly reducing severe morbidity and mortality and transmission when deployed alongside other public health strategies and improved therapies. Health equity is intertwined with the impact of COVID-19 and there are certain populations that are at increased risk of severe illness or death from COVID-19. In the United States and worldwide, the pandemic is having a disproportionate impact on people who are already disadvantaged by virtue of their race and ethnicity, age, health status, residence, occupation, socioeconomic condition, or other contributing factors. Framework for Equitable Allocation of COVID-19 Vaccine offers an overarching framework for vaccine allocation to assist policy makers in the domestic and global health communities. Built on widely accepted foundational principles and recognizing the distinctive characteristics of COVID-19, this report's recommendations address the commitments needed to implement equitable allocation policies for COVID-19 vaccine.

Disease Control Priorities in Developing Countries

Author : Dean T. Jamison,Joel G. Breman,Anthony R. Measham,George Alleyne,Mariam Claeson,David B. Evans,Prabhat Jha,Anne Mills,Philip Musgrove
Publisher : World Bank Publications
Page : 1449 pages
File Size : 55,6 Mb
Release : 2006-04-02
Category : Medical
ISBN : 9780821361801

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Disease Control Priorities in Developing Countries by Dean T. Jamison,Joel G. Breman,Anthony R. Measham,George Alleyne,Mariam Claeson,David B. Evans,Prabhat Jha,Anne Mills,Philip Musgrove Pdf

Based on careful analysis of burden of disease and the costs ofinterventions, this second edition of 'Disease Control Priorities in Developing Countries, 2nd edition' highlights achievable priorities; measures progresstoward providing efficient, equitable care; promotes cost-effectiveinterventions to targeted populations; and encourages integrated effortsto optimize health. Nearly 500 experts - scientists, epidemiologists, health economists,academicians, and public health practitioners - from around the worldcontributed to the data sources and methodologies, and identifiedchallenges and priorities, resulting in this integrated, comprehensivereference volume on the state of health in developing countries.

The Economics of Resource Allocation in Health Care

Author : Andrea Klonschinski
Publisher : Routledge
Page : 238 pages
File Size : 52,8 Mb
Release : 2016-03-31
Category : Business & Economics
ISBN : 9781317291824

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The Economics of Resource Allocation in Health Care by Andrea Klonschinski Pdf

The question of how to allocate scarce medical resources has become an important public policy issue in recent decades. Cost-utility analysis is the most commonly used method for determining the allocation of these resources, but this book counters the argument that overcoming its inherent imbalances is simply a question of implementing methodological changes. The Economics of Resource Allocation in Health Care represents the first comprehensive analysis of equity weighting in health care resource allocation that offers a fundamental critique of its basic framework. It offers a critique of health economics, putting the discourse on economic evaluation into its broader socio-political context. Such an approach broadens the debate on fairness in health economics and ties it in with deeper-rooted problems in moral philosophy. Ultimately, this interdisciplinary study calls for the adoption of a fundamentally different paradigm to address the distribution of scarce medical resources. This book will be of interest to policy makers, health care professionals, and post-graduate students looking to broaden their understanding of the economics of the health care system.

Access to Health Care in America

Author : Institute of Medicine,Committee on Monitoring Access to Personal Health Care Services
Publisher : National Academies Press
Page : 240 pages
File Size : 52,8 Mb
Release : 1993-02-01
Category : Medical
ISBN : 9780309047425

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Access to Health Care in America by Institute of Medicine,Committee on Monitoring Access to Personal Health Care Services Pdf

Americans are accustomed to anecdotal evidence of the health care crisis. Yet, personal or local stories do not provide a comprehensive nationwide picture of our access to health care. Now, this book offers the long-awaited health equivalent of national economic indicators. This useful volume defines a set of national objectives and identifies indicatorsâ€"measures of utilization and outcomeâ€"that can "sense" when and where problems occur in accessing specific health care services. Using the indicators, the committee presents significant conclusions about the situation today, examining the relationships between access to care and factors such as income, race, ethnic origin, and location. The committee offers recommendations to federal, state, and local agencies for improving data collection and monitoring. This highly readable and well-organized volume will be essential for policymakers, public health officials, insurance companies, hospitals, physicians and nurses, and interested individuals.

Health Status and Health Policy

Author : Donald L. Patrick,Pennifer Erickson
Publisher : Oxford University Press, USA
Page : 512 pages
File Size : 48,8 Mb
Release : 1993
Category : Medical
ISBN : UOM:49015001483412

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Health Status and Health Policy by Donald L. Patrick,Pennifer Erickson Pdf

This book has two major objectives. The first is to propose the Health Resource Allocation Strategy as a social and political process for comparing costs and outcomes of alternative policy options in the health and medical care arena to select interventions with greatest benefit in relation to cost. The second objective is to provide a reference for state-ofthe-art development and application of health status and quality of life measures for health care policy and research, including clinical applications. Not all policy applications of health- related quality of life involve resource allocation. Thus we present guidelines to assessment for use in program evaluation, monitoring of health policy, clinical trials, and health services research.

Dictionary of Global Bioethics

Author : Henk ten Have,Maria do Céu Patrão Neves
Publisher : Springer Nature
Page : 1063 pages
File Size : 52,6 Mb
Release : 2021-05-26
Category : Philosophy
ISBN : 9783030541613

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Dictionary of Global Bioethics by Henk ten Have,Maria do Céu Patrão Neves Pdf

This Dictionary presents a broad range of topics relevant in present-day global bioethics. With more than 500 entries, this dictionary covers organizations working in the field of global bioethics, international documents concerning bioethics, personalities that have played a role in the development of global bioethics, as well as specific topics in the field.The book is not only useful for students and professionals in global health activities, but can also serve as a basic tool that explains relevant ethical notions and terms. The dictionary furthers the ideals of cosmopolitanism: solidarity, equality, respect for difference and concern with what human beings- and specifically patients - have in common, regardless of their backgrounds, hometowns, religions, gender, etc. Global problems such as pandemic diseases, disasters, lack of care and medication, homelessness and displacement call for global responses.This book demonstrates that a moral vision of global health is necessary and it helps to quickly understand the basic ideas of global bioethics.