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Author : Timothy M. Smeeding
Publisher : Rowman & Littlefield
Page : 204 pages
File Size : 53,9 Mb
Release : 1987
Category : Health & Fitness
ISBN : 0847675211
To find more information about Rowman and Littlefield titles, please visit www.rowmanlittlefield.com.
Author : Eric Matthews,Elizabeth Russell
Publisher : CRC Press
Page : 176 pages
File Size : 50,8 Mb
Release : 2018-10-08
Category : Medical
ISBN : 9781498799881
"Rationing Medical Care on the Basis of Age" explores this highly topical issue and presents a critical argument on the nature of the possible crisis. Its in-depth philosophical analysis of the main ethical positions adopts an interdisciplinary and international approach. This book is important reading for healthcare policy makers and shapers and healthcare managers. Academics in ethics, philosophy, economics, and all healthcare disciplines will find it useful, as will public health specialists, health economists, and social scientists with an interest in health and medicine. The authors of this book have opened up significant new perspectives on many important issues which in practice confront politicians, managers, professionals, patients and the public today. They have done this moreover in a way that is highly accessible to a non-specialist readership.
Author : Greg Bognar,Iwao Hirose
Publisher : Routledge
Page : 183 pages
File Size : 41,7 Mb
Release : 2014-06-05
Category : Philosophy
ISBN : 9781317695899
Should organ transplants be given to patients who have waited the longest, or need it most urgently, or those whose survival prospects are the best? The rationing of health care is universal and inevitable, taking place in poor and affluent countries, in publicly funded and private health care systems. Someone must budget for as well as dispense health care whilst aging populations severely stretch the availability of resources. The Ethics of Health Care Rationing is a clear and much-needed introduction to this increasingly important topic, considering and assessing the major ethical problems and dilemmas about the allocation, scarcity and rationing of health care. Beginning with a helpful overview of why rationing is an ethical problem, the authors examine the following key topics: What is the value of health? How can it be measured? What does it mean that a treatment is "good value for money"? What sort of distributive principles - utilitarian, egalitarian or prioritarian - should we rely on when thinking about health care rationing? Does rationing health care unfairly discriminate against the elderly and people with disabilities? Should patients be held responsible for their health? Why does the debate on responsibility for health lead to issues about socioeconomic status and social inequality? Throughout the book, examples from the US, UK and other countries are used to illustrate the ethical issues at stake. Additional features such as chapter summaries, annotated further reading and discussion questions make this an ideal starting point for students new to the subject, not only in philosophy but also in closely related fields such as politics, health economics, public health, medicine, nursing and social work.
Author : Henry J. Aaron,William B. Schwartz
Publisher : Brookings Institution Press
Page : 232 pages
File Size : 42,9 Mb
Release : 2005
Category : Political Science
ISBN : 0815701209
"Examines the use of rationing as a means to curb health care spending, using the experience of Great Britain to highlight the promises and pitfalls of this approach"--Provided by publisher.
Author : John Butler
Publisher : SAGE Publications Limited
Page : 264 pages
File Size : 55,8 Mb
Release : 1999
Category : Medical
ISBN : STANFORD:36105024922788
This volume explains why, and in what ways, health care is being rationed in the late-1990s health service. It examines the ethical questions which arise from this rationing and includes personal case studies, from surgeons to geriatric advisors.
Author : Beatrix Hoffman
Publisher : University of Chicago Press
Page : 357 pages
File Size : 50,9 Mb
Release : 2012-09-15
Category : Health & Fitness
ISBN : 9780226348032
The 2010 Affordable Care Act is a sweeping reform to the US health care system. Hoffman offers an engaging and in-depth look at America's long tradition of unequal access to health care. She argues that two main features have characterized the US health system: a refusal to adopt a right to care and a particularly American type of rationing. Unlike rationing in most countries, which is intended to keep costs down, rationing in the United States has actually led to increased costs, resulting in the most expensive health care system in the world.
Author : André den Exter,Martin Buijsen,M. A. J. M. Buijsen
Publisher : Maklu
Page : 252 pages
File Size : 48,7 Mb
Release : 2012
Category : Law
ISBN : 9789046605257
'Medical need' is a factor in health care access decision-making, but merit-considerations are becoming important too. In the shortening of waiting time, priority arrangements are considered and/or introduced, based on non-medical criteria. Simultaneously, in terms of financing, health status has become important due to payment arrangements, limited insurance package options, etc. At the same time, health status disparities, due to socioeconomic inequalities, seem to be increasing. Under these circumstances, confronted with increased health spending, it is expected that rationing will become more eminent. Due to this, the emerging relevant questions are: Who will be responsible for rationing (the market, governments, bureaucrats, physicians, or others)? * How does it function (explicit or implicit)? * What are relevant and acceptable selection criteria (QUALYs, DALYs, health status, sex, age, etc.)? * To what extent is current rationing just? * What can be done to make it more just? *
Author : Harry R. Moody,Jennifer R. Sasser
Publisher : SAGE Publications
Page : 609 pages
File Size : 50,8 Mb
Release : 2017-01-12
Category : Social Science
ISBN : 9781506327990
Presenting current research in an innovative text-reader format, Aging: Concepts and Controversies, Ninth Edition encourages students to become involved and take an informed stand on the major aging issues we face as a society. Not simply a summary of research literature, Harry R. Moody and Jennifer R. Sasser’s text focuses on controversies and questions, rather than on assimilating facts or arriving at a single "correct" view about aging and older people. Drawing on their extensive expertise, the authors first provide an overview of aging in three domains: aging over the life course, health care, and the socioeconomic aspects of aging. Each section is followed by a series of edited readings, offering different perspectives from experts and specialists on that subject. New readings focus on whether current federal spending on the elderly is sustainable and fair to other groups, how older consumers are reshaping the business landscape, and the challenges of marketing and selling to customers 60 and over. More emphasis is placed on how social class and inequality earlier in life can shape our final years and the number of older Americans living in poverty. The section on Aging and Health Care has been thoroughly updated to reflect the latest data about chronic diseases that affect the elderly, government spending on health care, and policy changes to programs like Medicaid and Medicare. The section on the Social and Economic Outlook for an Aging Society gives the most current picture of the racial and ethnic diversity of older Americans, their participation in the labor force, and their income and wealth.
Author : Peter A. Ubel
Publisher : MIT Press (MA)
Page : 208 pages
File Size : 42,9 Mb
Release : 2000
Category : Medical
ISBN : 0262210169
A physician and bioethicist discusses the moral issues surrounding health care rationing, exploring the various ethical and practical issues, and suggesting some ways to ration care in an effective, just way.
Author : Henry Aaron,William B. Schwartz
Publisher : Rowman & Littlefield
Page : 219 pages
File Size : 47,5 Mb
Release : 2005-11-21
Category : Business & Economics
ISBN : 9780815797944
"Examines the use of rationing as a means to curb health care spending, using the experience of Great Britain to highlight the promises and pitfalls of this approach"--Provided by publisher.
Author : Paul T. Menzel
Publisher : Unknown
Page : 264 pages
File Size : 54,5 Mb
Release : 1990
Category : Business & Economics
ISBN : STANFORD:36105003925786
In one form or another, health care now gets rationed. Not everything beneficial is done for every patient. For the individual the consequences are sometimes tragic. Rationing decisions thus raise a classic dilemma: how can we treat with dignity and genuine respect the person who gets short-changed by an efficient policy that seems best overall? Strong Medicine argues that we can, if those policies represent the hard trade-off preferences of patients controlling resources for their larger lives. Rationing is still strong medicine to swallow, but then it becomes what patients as well as the doctor ordered. Menzel develops this central idea and applies it to major issues of health policy and economics: the notion of pricing life, the long-run cost of prevention, measuring quality of life, imperiled newborns, adequate care for the poor, containing costs by market competition, malpractice suits, procuring organs for transplant, and dying expensively in old age. He provides a hard-hitting, critical philosophical discussion of these issues, in non-technical language accessible to a wide range of readers interested in policy questions the book takes up. The issues are fascinating, the arguments are careful, and the results often surprising.
Author : Uwe E. Reinhardt
Publisher : Princeton University Press
Page : 232 pages
File Size : 45,9 Mb
Release : 2020-09
Category : Business & Economics
ISBN : 9780691208534
Uwe Reinhardt was a towering figure and moral conscience of health care policy in the United States and beyond. Famously bipartisan, he advised presidents and Congress on health reform and originated central features of the Affordable Care Act. In Priced Out, Reinhardt offers an engaging and enlightening account of today's U.S. health care system, explaining why it costs so much more and delivers so much less than the systems of every other advanced country, why this situation is morally indefensible, and how we might improve it.
Author : Institute of Medicine,Board on Health Care Services,Committee on Standards for Systematic Reviews of Comparative Effectiveness Research
Publisher : National Academies Press
Page : 267 pages
File Size : 41,5 Mb
Release : 2011-07-20
Category : Medical
ISBN : 9780309164252
Healthcare decision makers in search of reliable information that compares health interventions increasingly turn to systematic reviews for the best summary of the evidence. Systematic reviews identify, select, assess, and synthesize the findings of similar but separate studies, and can help clarify what is known and not known about the potential benefits and harms of drugs, devices, and other healthcare services. Systematic reviews can be helpful for clinicians who want to integrate research findings into their daily practices, for patients to make well-informed choices about their own care, for professional medical societies and other organizations that develop clinical practice guidelines. Too often systematic reviews are of uncertain or poor quality. There are no universally accepted standards for developing systematic reviews leading to variability in how conflicts of interest and biases are handled, how evidence is appraised, and the overall scientific rigor of the process. In Finding What Works in Health Care the Institute of Medicine (IOM) recommends 21 standards for developing high-quality systematic reviews of comparative effectiveness research. The standards address the entire systematic review process from the initial steps of formulating the topic and building the review team to producing a detailed final report that synthesizes what the evidence shows and where knowledge gaps remain. Finding What Works in Health Care also proposes a framework for improving the quality of the science underpinning systematic reviews. This book will serve as a vital resource for both sponsors and producers of systematic reviews of comparative effectiveness research.
Author : Tom Koch
Publisher : MIT Press
Page : 373 pages
File Size : 52,8 Mb
Release : 2012-09-07
Category : Medical
ISBN : 9780262304603
An argument against the “lifeboat ethic” of contemporary bioethics that views medicine as a commodity rather than a tradition of care and caring. Bioethics emerged in the 1960s from a conviction that physicians and researchers needed the guidance of philosophers in handling the issues raised by technological advances in medicine. It blossomed as a response to the perceived doctor-knows-best paternalism of the traditional medical ethic and today plays a critical role in health policies and treatment decisions. Bioethics claimed to offer a set of generally applicable, universally accepted guidelines that would simplify complex situations. In Thieves of Virtue, Tom Koch contends that bioethics has failed to deliver on its promises. Instead, he argues, bioethics has promoted a view of medicine as a commodity whose delivery is predicated not on care but on economic efficiency. At the heart of bioethics, Koch writes, is a “lifeboat ethic” that assumes “scarcity” of medical resources is a natural condition rather than the result of prior economic, political, and social choices. The idea of natural scarcity requiring ethical triage signaled a shift in ethical emphasis from patient care and the physician's responsibility for it to neoliberal accountancies and the promotion of research as the preeminent good. The solution to the failure of bioethics is not a new set of simplistic principles. Koch points the way to a transformed medical ethics that is humanist, responsible, and defensible.
Author : Françoise Baylis,Alice Dreger
Publisher : Unknown
Page : 189 pages
File Size : 41,5 Mb
Release : 2018-05-17
Category : Law
ISBN : 9781107120891
A collection of first-person case studies that detail serious ethical problems in medical practice and research.