Ebook Health Care Coverage Determinations An International Comparative Study

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EBOOK: Health Care Coverage Determinations: An International Comparative Study

Timothy Jost
EBOOK Health Care Coverage Determinations An International Comparative Study Book PDF

Author : Timothy Jost
Publisher : McGraw-Hill Education (UK)
Page : 295 pages
File Size : 54,5 Mb
Release : 2004-12-16
Category : Medical
ISBN : 9780335225996

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EBOOK: Health Care Coverage Determinations: An International Comparative Study by Timothy Jost Pdf

"A ground breaking set of case studies about how [health care] coverage decisions are made" Robert A. Berenson M.D. Senior Fellow at the Urban Institute, Washington D.C. and former Director of the Center for Health Plans and Providers of the Medicare program Developed countries are facing rapidly rising health care costs and one of the major factors driving health care cost growth is the continual development and diffusion of new, generally more expensive, health care technologies. This book contains: * A description of the institutions, procedures and criteria used by eight countries for assessing technologies for public insurance coverage * An analysis of the role of interest groups, and of the public interest, in these decision making processes * An examination of how particular technologies are treated differently by different countries, and why Based upon research from Australia, Canada, Germany, The Netherlands, Spain, Switzerland, the United States of America and the United Kingdom, the contributors argue that although each of these countries is committed to evidence-based scientific assessment of technologies, in fact adoption of technologies is significantly affected by political considerations, and in particular by the influence of interest groups. Moreover, it offers recommendations as to how technology assessment for coverage policy can be improved to serve better the public interest. Health Care Coverage Determinations is essential reading for health policy makers, managers, researchers and students with an interest in health economics, health care provision and the politics affecting health care legislation. Contributors: Liliana Bulfone, Tanisha Carino, Peter C. Coyte, Anna García-Altés, Colleen M. Flood, Stefan Greß, Felix Gurtner, Anthony Harris, Timothy Stoltzfus Jost, Eric Nauenberg, Christopher Newdick, Dea Niebuhr, Guillaume Roduit, Heinz Rothgang, Frans F.H. Rutten, Dominique Sprumont, Juergen Wasem.

Health Insurance Systems

Thomas Rice
Health Insurance Systems Book PDF

Author : Thomas Rice
Publisher : Academic Press
Page : 368 pages
File Size : 49,9 Mb
Release : 2021-05-06
Category : Medical
ISBN : 9780128162941

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Health Insurance Systems by Thomas Rice Pdf

Health Insurance Systems: An International Comparison offers united and synthesized information currently available only in scattered locations - if at all - to students, researchers, and policymakers. The book provides helpful contexts, so people worldwide can understand various healthcare systems. By using it as a guide to the mechanics of different healthcare systems, readers can examine existing systems as frameworks for developing their own. Case examples of countries adopting insurance characteristics from other countries enhance the critical insights offered in the book. If more information about health insurance alternatives can lead to better decisions, this guide can provide an essential service. Delivers fundamental insights into the different ways that countries organize their health insurance systems Presents ten prominent health insurance systems in one book, facilitating comparisons and contrasts, to help draw policy lessons Countries included are Australia, Canada, France, Germany, Japan, the Netherlands, Sweden, Switzerland, the United Kingdom, and the United States Helps students, researchers, and policymakers searching for innovative designs by providing cases describing what countries have learned from each other

Care Without Coverage

Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance
Care Without Coverage Book PDF

Author : Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance
Publisher : National Academies Press
Page : 213 pages
File Size : 52,8 Mb
Release : 2002-06-20
Category : Medical
ISBN : 9780309083430

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Care Without Coverage by Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance Pdf

Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

EBOOK: Comparative Health Policy in the Asia Pacific

Robin Gauld
EBOOK Comparative Health Policy in the Asia Pacific Book PDF

Author : Robin Gauld
Publisher : McGraw-Hill Education (UK)
Page : 273 pages
File Size : 41,8 Mb
Release : 2004-12-16
Category : Medical
ISBN : 9780335225101

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EBOOK: Comparative Health Policy in the Asia Pacific by Robin Gauld Pdf

"Dr. Gauld’s collection of case studies is informativeand accessible. I would recommend it as acentral text for a course in comparative healthsystems." Political Studies Review Based upon research from eight countries in the Asia-Pacific – Australia, China, Hong Kong, Japan, New Zealand, Singapore, South Korea, Taiwan – this book analyses and compares their differing health policies. Key issues the book probes include: ·The ways that health care is financed and delivered across the region ·The historical and institutional arrangements that impact upon health policy and health care ·How the health systems differ between the countries under study ·How policymakers and service providers deal with unlimited demand and limited funding and issues such as service coverage and quality ·How pharmaceuticals and population health strategies are managed ·What the roles of the state and various other players (such as the private sector and professional associations) are in the making of health policy and delivery of health care ·The challenges that lie ahead for health care and health policy in the region Comparative Health Policy in the Asia-Pacific is key reading for students, researchers and policy makers with an interest in health policy. It is relevant to those studying medicine and health studies, anthropology, history, sociology, public policy, politics and Asian studies.

EBOOK: The New Health Policy

Robin Gauld
EBOOK The New Health Policy Book PDF

Author : Robin Gauld
Publisher : McGraw-Hill Education (UK)
Page : 215 pages
File Size : 44,6 Mb
Release : 2009-06-16
Category : Medical
ISBN : 9780335239559

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EBOOK: The New Health Policy by Robin Gauld Pdf

"This is an excellent and accessible introduction to key current debates in health policy. It is enriched by deft comparative analysis and by the way Dr Gauld locates the study in the context of current ideological debates. Students will learn a lot from wrestling with the questions posed at the end of each chapter – and so will their teachers!" Paul Wilding, Emeritus Professor of Social Policy, University of Manchester, UK This book analyzes the issues that form the nucleus of the emerging ‘new health policy’ agenda. Robin Gauld brings together in one volume a comprehensive picture of the health policy challenges facing contemporary developed world health systems, as well as the strategies for tackling these. Individual chapters, respectively, analyze: Challenges in health care funding and organization Quality and patient safety The application of information technology Clinical governance The changing nature of professionalism and public involvement in health care planning Public health The role of the private sector The book highlights the importance to policy makers of each subject, overviews research into it, and discusses policy responses in Britain, New Zealand and the United States. The New Health Policy is essential reading for all students of health policy and health care, along with policy makers and health care professionals.

Health-Care Utilization as a Proxy in Disability Determination

National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Health Care Utilization and Adults with Disabilities
Health Care Utilization as a Proxy in Disability Determination Book PDF

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Health Care Utilization and Adults with Disabilities
Publisher : National Academies Press
Page : 161 pages
File Size : 43,9 Mb
Release : 2018-04-02
Category : Medical
ISBN : 9780309469210

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Health-Care Utilization as a Proxy in Disability Determination by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Health Care Utilization and Adults with Disabilities Pdf

The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Coronavirus Politics

Scott L Greer,Elizabeth King,Elize Massard da Fonseca,Andre Peralta-Santos
Coronavirus Politics Book PDF

Author : Scott L Greer,Elizabeth King,Elize Massard da Fonseca,Andre Peralta-Santos
Publisher : University of Michigan Press
Page : 416 pages
File Size : 51,9 Mb
Release : 2021-04-19
Category : Political Science
ISBN : 9780472902460

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Coronavirus Politics by Scott L Greer,Elizabeth King,Elize Massard da Fonseca,Andre Peralta-Santos Pdf

COVID-19 is the most significant global crisis of any of our lifetimes. The numbers have been stupefying, whether of infection and mortality, the scale of public health measures, or the economic consequences of shutdown. Coronavirus Politics identifies key threads in the global comparative discussion that continue to shed light on COVID-19 and shape debates about what it means for scholarship in health and comparative politics. Editors Scott L. Greer, Elizabeth J. King, Elize Massard da Fonseca, and André Peralta-Santos bring together over 30 authors versed in politics and the health issues in order to understand the health policy decisions, the public health interventions, the social policy decisions, their interactions, and the reasons. The book’s coverage is global, with a wide range of key and exemplary countries, and contains a mixture of comparative, thematic, and templated country studies. All go beyond reporting and monitoring to develop explanations that draw on the authors' expertise while engaging in structured conversations across the book.

Health System Efficiency

Jonathan Cylus,Irene Papanicolas,Peter C. Smith
Health System Efficiency Book PDF

Author : Jonathan Cylus,Irene Papanicolas,Peter C. Smith
Publisher : Health Policy
Page : 264 pages
File Size : 45,6 Mb
Release : 2016-12-15
Category : Medical
ISBN : 9289050411

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Health System Efficiency by Jonathan Cylus,Irene Papanicolas,Peter C. Smith Pdf

In this book the authors explore the state of the art on efficiency measurement in health systems and international experts offer insights into the pitfalls and potential associated with various measurement techniques. The authors show that: - The core idea of efficiency is easy to understand in principle - maximizing valued outputs relative to inputs, but is often difficult to make operational in real-life situations - There have been numerous advances in data collection and availability, as well as innovative methodological approaches that give valuable insights into how efficiently health care is delivered - Our simple analytical framework can facilitate the development and interpretation of efficiency indicators.

Crossing the Global Quality Chasm

National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Board on Global Health,Committee on Improving the Quality of Health Care Globally
Crossing the Global Quality Chasm Book PDF

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Board on Global Health,Committee on Improving the Quality of Health Care Globally
Publisher : National Academies Press
Page : 399 pages
File Size : 47,5 Mb
Release : 2019-01-27
Category : Medical
ISBN : 9780309477895

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Crossing the Global Quality Chasm by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Board on Global Health,Committee on Improving the Quality of Health Care Globally Pdf

In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.

The Learning Healthcare System

Institute of Medicine,Roundtable on Evidence-Based Medicine
The Learning Healthcare System Book PDF

Author : Institute of Medicine,Roundtable on Evidence-Based Medicine
Publisher : National Academies Press
Page : 374 pages
File Size : 51,6 Mb
Release : 2007-06-01
Category : Medical
ISBN : 9780309133937

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The Learning Healthcare System by Institute of Medicine,Roundtable on Evidence-Based Medicine Pdf

As our nation enters a new era of medical science that offers the real prospect of personalized health care, we will be confronted by an increasingly complex array of health care options and decisions. The Learning Healthcare System considers how health care is structured to develop and to apply evidence-from health profession training and infrastructure development to advances in research methodology, patient engagement, payment schemes, and measurement-and highlights opportunities for the creation of a sustainable learning health care system that gets the right care to people when they need it and then captures the results for improvement. This book will be of primary interest to hospital and insurance industry administrators, health care providers, those who train and educate health workers, researchers, and policymakers. The Learning Healthcare System is the first in a series that will focus on issues important to improving the development and application of evidence in health care decision making. The Roundtable on Evidence-Based Medicine serves as a neutral venue for cooperative work among key stakeholders on several dimensions: to help transform the availability and use of the best evidence for the collaborative health care choices of each patient and provider; to drive the process of discovery as a natural outgrowth of patient care; and, ultimately, to ensure innovation, quality, safety, and value in health care.

Free for All?

Joseph P. Newhouse,Rand Corporation. Insurance Experiment Group
Free for All Book PDF

Author : Joseph P. Newhouse,Rand Corporation. Insurance Experiment Group
Publisher : Harvard University Press
Page : 516 pages
File Size : 50,9 Mb
Release : 1993
Category : Business & Economics
ISBN : 0674318463

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Free for All? by Joseph P. Newhouse,Rand Corporation. Insurance Experiment Group Pdf

In the most important health insurance study ever conducted researchers at the RAND Corporation devised all experiment to address two key questions in health care financing: how much more medical care will people use if it is provided free of charge, and what are the consequences for their health? For three- or five-year periods the experiment measured both use and health outcomes in populations carefully selected to be representative of both urban and rural regions throughout the United States. Participants were enrolled in a range of insurance plans requiring different levels of copayment for medical care, from zero to 95 percent. The researchers found that in plans that reimbursed a higher proportion of the bill, patients used substantially more services - indeed, those who paid nothing used 40 percent more services than those required to pay a high deductible - but the effect on the health of the average person was negligible. In addition, participants who were assigned at random to a well-established health maintenance organization used hospitals substantially less than those in the fee-for-service system, again with no measurable effect on the health of the average person. This book collects in one place for the first time results previously dispersed through many journals over many years. Drawing comprehensive, coherent conclusions from an immense amount of data, it is destined to be a classic work serving as an invaluable reference for all those concerned with health care policy - health service researchers, policymakers in both the public and the private sectors, and students.

EBOOK: Reasonable Rationing

Chris Ham,Robert Glenn
EBOOK Reasonable Rationing Book PDF

Author : Chris Ham,Robert Glenn
Publisher : McGraw-Hill Education (UK)
Page : 194 pages
File Size : 55,8 Mb
Release : 2003-05-16
Category : Social Science
ISBN : 9780335225675

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EBOOK: Reasonable Rationing by Chris Ham,Robert Glenn Pdf

"Reasonable Rationing is must reading for those interested in how to connect theory about fair rationing processes to country-level practices. The five case studies reveal a deep tension between political pressures to accomodate interest group demands and ethically motivated efforts to improve both information and institutional procedures for setting fair limits to care. The authors frame the issues insightfully." - Professor Norman Daniels, Harvard School of Public Health . How are different countries setting priorities for health care? . What role does information and evidence on cost and effectiveness play? . How are institutions contributing to priority setting? . What are the lessons for policy makers? Priority setting in health care is an issue of increasing importance. Choices about the use of health care budgets are inescapable and difficult. A number of countries have sought to strengthen their approach to priority setting by drawing on research-based evidence on the cost and effectiveness of different treatments. This book brings together leading experts in the field to summarize and analyse the experience of priority setting in five countries: Canada, The Netherlands, New Zealand, Norway and the United Kingdom. Drawing on literature from a range of disciplines, it makes a significant contribution to the debate on the role of information and institutions in priority setting. Reasonable Rationing has been written with a broad readership in mind. It will be of interest to policy makers, health care professionals and health service managers, as well as students of health and social policy at advanced undergraduate and postgraduate levels.

Explaining Divergent Levels of Longevity in High-Income Countries

National Research Council,Division of Behavioral and Social Sciences and Education,Committee on Population,Panel on Understanding Divergent Trends in Longevity in High-Income Countries
Explaining Divergent Levels of Longevity in High Income Countries Book PDF

Author : National Research Council,Division of Behavioral and Social Sciences and Education,Committee on Population,Panel on Understanding Divergent Trends in Longevity in High-Income Countries
Publisher : National Academies Press
Page : 194 pages
File Size : 53,7 Mb
Release : 2011-06-27
Category : Social Science
ISBN : 9780309217101

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Explaining Divergent Levels of Longevity in High-Income Countries by National Research Council,Division of Behavioral and Social Sciences and Education,Committee on Population,Panel on Understanding Divergent Trends in Longevity in High-Income Countries Pdf

During the last 25 years, life expectancy at age 50 in the United States has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the United States spends more on health care than any other nation. Concerned about this divergence, the National Institute on Aging asked the National Research Council to examine evidence on its possible causes. According to Explaining Divergent Levels of Longevity in High-Income Countries, the nation's history of heavy smoking is a major reason why lifespans in the United States fall short of those in many other high-income nations. Evidence suggests that current obesity levels play a substantial part as well. The book reports that lack of universal access to health care in the U.S. also has increased mortality and reduced life expectancy, though this is a less significant factor for those over age 65 because of Medicare access. For the main causes of death at older ages -- cancer and cardiovascular disease -- available indicators do not suggest that the U.S. health care system is failing to prevent deaths that would be averted elsewhere. In fact, cancer detection and survival appear to be better in the U.S. than in most other high-income nations, and survival rates following a heart attack also are favorable. Explaining Divergent Levels of Longevity in High-Income Countries identifies many gaps in research. For instance, while lung cancer deaths are a reliable marker of the damage from smoking, no clear-cut marker exists for obesity, physical inactivity, social integration, or other risks considered in this book. Moreover, evaluation of these risk factors is based on observational studies, which -- unlike randomized controlled trials -- are subject to many biases.

Understanding Racial and Ethnic Differences in Health in Late Life

National Research Council,Division of Behavioral and Social Sciences and Education,Committee on Population,Panel on Race, Ethnicity, and Health in Later Life
Understanding Racial and Ethnic Differences in Health in Late Life Book PDF

Author : National Research Council,Division of Behavioral and Social Sciences and Education,Committee on Population,Panel on Race, Ethnicity, and Health in Later Life
Publisher : National Academies Press
Page : 184 pages
File Size : 49,5 Mb
Release : 2004-09-08
Category : Social Science
ISBN : 9780309165860

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Understanding Racial and Ethnic Differences in Health in Late Life by National Research Council,Division of Behavioral and Social Sciences and Education,Committee on Population,Panel on Race, Ethnicity, and Health in Later Life Pdf

As the population of older Americans grows, it is becoming more racially and ethnically diverse. Differences in health by racial and ethnic status could be increasingly consequential for health policy and programs. Such differences are not simply a matter of education or ability to pay for health care. For instance, Asian Americans and Hispanics appear to be in better health, on a number of indicators, than White Americans, despite, on average, lower socioeconomic status. The reasons are complex, including possible roles for such factors as selective migration, risk behaviors, exposure to various stressors, patient attitudes, and geographic variation in health care. This volume, produced by a multidisciplinary panel, considers such possible explanations for racial and ethnic health differentials within an integrated framework. It provides a concise summary of available research and lays out a research agenda to address the many uncertainties in current knowledge. It recommends, for instance, looking at health differentials across the life course and deciphering the links between factors presumably producing differentials and biopsychosocial mechanisms that lead to impaired health.

Health Professions Education

Institute of Medicine,Board on Health Care Services,Committee on the Health Professions Education Summit
Health Professions Education Book PDF

Author : Institute of Medicine,Board on Health Care Services,Committee on the Health Professions Education Summit
Publisher : National Academies Press
Page : 191 pages
File Size : 40,7 Mb
Release : 2003-07-01
Category : Medical
ISBN : 9780309133197

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Health Professions Education by Institute of Medicine,Board on Health Care Services,Committee on the Health Professions Education Summit Pdf

The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.