Setting Limits Fairly : Can We Learn to Share Medical Resources?

Daniels, Norman; Sabin, James E., M.D.

ISBN 10: 019514936X / ISBN 13: 9780195149364

Editore: Oxford University Press, 2002

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Dati bibliografici

• Titolo: Setting Limits Fairly : Can We Learn to Share Medical Resources?
• Editore: Oxford University Press
• Data di pubblicazione: 2002
• Lingua: Inglese
• ISBN 10: 019514936X
• ISBN 13: 9780195149364
• Rilegatura: Rilegato
• Condizione: As New

Descrizione articolo

Riassunto

The central idea for this book is that we lack consensus on principles for allocating resources and in the absence of such a consensus we must rely on a fair decision-making process for setting limits on health care. The authors characterize key elements of this process in a variety of health care contexts where such decisions are made- decisions about insurance coverage for new technologies, pharmacy benefit management, the design of physician incentives, contracting for mental health care by public agencies, etc.- and they connect the problem in the U.S. with the same problem in other countries. They provide a cogent analysis of the current situation, lucidly review the usual candidate solutions, and describe their own approach, which represents a clear advance in thinking. Their intended audience is international since the problem of limits cuts across types of health care systems whether or not they have universal coverage.

Contenuti

• 1: Our Lives in Whose Hands?
• 2: Justice, Scarcity, and Public Accountability for Limits
• 3: The Legitimacy Problem and Fair Process
• 4: Accountability for Reasonableness
• 5: Managing Last-Chance Therapies
• 6: Lung Volume Reduction Surgery: A Case Study
• 7: Making Pharmacy Benefits Accountable for Reasonableness
• 8: Indirect Limit Setting: Accountability for Physician Incentives
• 9: Accountability for Reasonableness in Action: Public Sector Contracting for Mental Health Care
• 10: An International Learning Curve
• 11: Learning to Share Medical Resources