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Author : Angela Coulter,Christopher Ham
Publisher : Unknown
Page : 292 pages
File Size : 54,6 Mb
Release : 2000
Category : Medical
ISBN : UOM:39015050032260
Adds to the debate on priority setting by looking at experience from other countries.
Author : Iestyn Williams,Helen Dickinson,Suzanne Robinson
Publisher : Policy Press
Page : 169 pages
File Size : 50,8 Mb
Release : 2012
Category : Medical
ISBN : 9781847427748
A clearly written and well structured textbook, providing an introduction to decision making and priority setting, this title brings together theories, practice and evidence from a wide range of disciplines.
Author : Ham, Chris,Glenn, Robert
Publisher : McGraw-Hill Education (UK)
Page : 194 pages
File Size : 40,9 Mb
Release : 2003-05-01
Category : Education
ISBN : 9780335211852
Health care rationing is a reality in much of the world, and priority setting is an issue of increasing importance. Choices about the use of health care budgets are inescapable and difficult. This study look at priority setting in the health services of several countries.
Author : Henry J. Aaron,William B. Schwartz
Publisher : Brookings Institution Press
Page : 232 pages
File Size : 43,8 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 : Philip M. Rosoff
Publisher : Oxford University Press
Page : 329 pages
File Size : 55,5 Mb
Release : 2017
Category : Medical
ISBN : 9780190206567
Unlike the rest of the advanced industrialized world, the United States does not have a national healthcare system that guarantees that all residents have access to medical services. Over the past century a number of unsuccessful attempts have been made to create and implement a unified, coordinated healthcare system. Piecemeal progress has been made, such as with the passage of Medicare, Medicaid, and the Affordable Care Act. However, the US still has the dubious distinction of possessing the most expensive healthcare in the world as well as health-related outcomes that are shameful for a wealthy country, mostly due to the number of people who lack decent care. The continuing escalation in medical costs is also threatening the financial stability of the nation. In his first book, Rationing is Not a Four-Letter Word, Philip M. Rosoff argued that the only way to control costs is to impose rationing, and the only way to do so fairly is to have it apply to all. The key to rationing is how it is accomplished. He outlined a general approach to making rationing decisions that involved a comprehensive explication of procedural fairness and illustrated this with the real-life accepted system of solid organ allocation for transplantation. In this book, he discusses how to decide what should and should not be covered in a generous benefits plan for all. He considers a variety of ways this might be done and concludes that the most just approach is to utilize a transparent process in which experts and lay people develop a consensus on what should be covered by focusing on both clinical evidence of need and the effective and appropriate means to address those needs. He also considers the various objections and impediments to this proposal and concludes that they are obstacles that can be successfully met.
Author : David J. Hunter
Publisher : Routledge
Page : 176 pages
File Size : 46,9 Mb
Release : 2018-10-08
Category : Business & Economics
ISBN : 9781317888383
Following the Governments health reforms in 1991 rationing has been put firmly on the agenda. This book identifies and clarifies the numerous political and ethical issues surrounding rationing in healthcare. Drawing upon international examples it offers a critical overview of the approaches to rationing and makes practical proposals for its management. Desperately Seeking Solutions challenges the assumption that all health services are inherently subject to rationing as demand invariably outstrips supply and examines this within a comparative framework. The author critically evaluates the extent to which rationing has always existed and should exist within the NHS, although until recently it operated on an implicit rather than explicit basis and was bound up with clinical judgements rather than purely financial considerations. The author questions whether calls for explicit rationing are actually desirable and potentially feasible.
Author : Iestyn Williams,Suzanne Robinson,Helen Dickinson
Publisher : Policy Press
Page : 185 pages
File Size : 55,7 Mb
Release : 2011-10-19
Category : Medical
ISBN : 9781447306122
The challenges faced by those rationing scarce health care resources have intensified following the economic downturn. This book tackles this challenge by exploring the latest thinking and practice on priority setting methods. In an accessible style the book brings together theories, practice and evidence from a wide range of disciplines and provides practical, evidence-based prescriptions for decision makers. It will be of interest to all health care managers and students of health care policy and management.
Author : John Butler
Publisher : SAGE Publications Limited
Page : 264 pages
File Size : 42,8 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 : Henry Aaron,William B. Schwartz
Publisher : Rowman & Littlefield
Page : 219 pages
File Size : 47,6 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 : Evridiki Papastavrou,Riitta Suhonen
Publisher : Springer Nature
Page : 205 pages
File Size : 44,9 Mb
Release : 2021-06-02
Category : Medical
ISBN : 9783030710736
This book reveals how economic restrictions and limited healthcare resources, combined with growing care demands due to advanced technology and more care options, have to a great extent contributed to increased workloads for healthcare professionals and put them under pressure to prioritize their work. This has led to the rationing of care, i.e., to decision-making processes on the allocation of scarce resources, especially human resources, and on which care activities take priority over others; in turn, these processes have led to unfinished or missed care, which has serious implications for quality of care and patient safety. Concerns related to nursing shortages and lean staffing practices have increased the awareness of the problem, as patient outcomes are affected by the quality and quantity of care that they receive and led to intensified scientific inquiry into this phenomenon. This book is written by the members of the Rancare Cost Action group, whose aim is to facilitate discussion about rationing of nursing care based on a cross-national comparative approach with implications for practice and professional development. Four working groups investigated four areas for four years: a) the conceptualization of care rationing and methodological inquiries concerning the investigation of the phenomenon, b) exploration of possible solutions and intervention studies, c) the ethical perspective of care rationing and missed care including patients’ rights and possible discrimination, and d) the educational implications, based on an exploration of the level of patient safety training and care rationing, as well as preparing guidelines for managers. The book will be a valuable resource for nurses, allied healthcare professionals, managers, policymakers, researchers, ethical committees, and educators whose goal is to provide better and safer care.
Author : Leonard M. Fleck
Publisher : Oxford University Press
Page : 479 pages
File Size : 47,8 Mb
Release : 2009
Category : Business & Economics
ISBN : 9780195128048
What does it mean to be a "just" and "caring" society when we have only limited resources to meet unlimited health care needs? Do we believe that all lives are of equal value? Is human life priceless? Should a "just" and "caring" society refuse to put limits on health care spending? In Just Caring, Leonard Fleck reflects on the central moral and political challenges of health reform today. He cites the millions of Americans who go without health insurance, thousands of whom die prematurely, unable to afford the health care needed to save their lives. Fleck considers these deaths as contrary to our deepest social values, and makes a case for the necessity of health care rationing decisions. The core argument of this book is that no one has a moral right to impose rationing decisions on others if they are unwilling to impose those same rationing decisions on themselves in the same medical circumstances. Fleck argues we can make health care rationing fair, in ways that are mutually respectful, if we engage in honest rational democratic deliberation. Such civic engagement is rare in our society, but the alternative is endless destructive social controversy that is neither just nor caring.
Author : Johann-Matthias Schulenburg (Graf von der.),Michael Blanke
Publisher : IOS Press
Page : 348 pages
File Size : 45,8 Mb
Release : 2004
Category : Medical
ISBN : 1586034650
Healthcare regulations should guarantee that everybody has access to appropriate healthcare. The main goals for healthcare are: Equal access to health care for everyone; Cost-efficient production of health services and Cost-control of public expenditure for medical services. Especially cost-control seems to be a global problem. One of the key issues in the debate on how to improve healthcare is rationing. It is an important challenge to understand the various methods of rationing in medical care, to analyse the effects of rationing and the ways to harmonize the various rationing cultures in Europe. This publication gives a comprehensive overview of the perception of different population groups in an international context and it shows how the different population and occupational groups estimate the possibilities, forms and also limits rationing in the near future. Patients who are affected by rationing decisions could ask for treatment in foreign European countries. In order to limit social inequities caused by capacity problems in less rationed countries it is important in a first step to demonstrate the differences in rationing procedures between European countries.
Author : Ezekiel Emanuel,Harald Schmidt,Andrew Steinmetz
Publisher : Oxford University Press
Page : 496 pages
File Size : 44,8 Mb
Release : 2018-05-10
Category : Medical
ISBN : 9780190200770
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.
Author : Angela Coulter,Christopher Ham
Publisher : Unknown
Page : 292 pages
File Size : 40,8 Mb
Release : 2000
Category : Health care rationing
ISBN : UVA:X006121448
Adds to the debate on priority setting by looking at experience from other countries.
Author : Heinz Redwood
Publisher : Unknown
Page : 156 pages
File Size : 53,8 Mb
Release : 2000
Category : Medical
ISBN : CHI:57844869
The National Health Service provides poor quality health care, compared with systems in other developed countries. In this book, Heinz Redwood makes detailed comparisons between the UK, France, Germany and the USA, in order to demonstrate just how wide the gap between Britain and the rest of the developed world has become. We spend less of our national wealth on health than countries at a similar level of economic development. In terms of numbers of doctors and nurses, the UK is closer to Mexico and Turkey than it is to France and Germany. As a result, we find ourselves denied the standard of care which people in other countries take for granted, or else we wait so long that some patients die before reaching the head of the queue.
