The "rationing" of health care has become one of the most emotive issues of the 1990s in the UK, causing much public confusion and political controversy. This book provides a comprehensive and critical introduction to this debate. It does so by examining the processes which determine who gets what in the way of treatment, the decision makers involved at different levels in the NHS and the criteria used in making such decisions. In particular it analyses the relationship between decisions about spending priorities (taken by politicians and managers) and decisions about rationing care for individual patients (taken by doctors), between explicit and implicit rationing. As well as drawing on research-based evidence about what is happening in Britain today, Managing Scarcity also looks at the experience of the NHS since 1948 and puts the case of health care in the wider context of publicly funded services and programmes which have to allocate limited resources according to non-market criteria.
Managing Scarcity is recommended reading for students and researchers of health policy, as well as health professionals and policy makers at all levels in the NHS.
Rezensionen / Stimmen
"Managing Scarcity looks the spectre of rationing right in the eye and holds a steadfast, daring gaze. And what's more, contrary to the common ambivalent spiel, it speaks in a language that both the lay reader and the health care specialist will understand...a brave book: fearlessly invading the theoretical minefield and blitzingany misconceptions that come into view, it lays the rationing cards firmly on the table." - British Journal of health care Management "...an extremely valuable addition to the literature on resource allocation in the NHS." - Sociology of Health &Illness "...a useful resource to have on one's bookshelf." - Health Matters "It is a genuine pleasure to read such a lucid, research-based account of an issue that (perhaps) over-dominates the health debate. That it is also likely to be seized upon by undergraduate readers merely adds to its appeal." - Social Policy "The general reader willnot find a better introductory exposition of the rationing process and the arguments which surround it than this one. It is clear and concise, and (most importantly) treats an obviously emotive subject with great rationality and objectivity." - Political Studies
Sprache
Verlagsort
Milton Keynes
Großbritannien
Produkt-Hinweis
Broschur/Paperback
Klebebindung
Illustrationen
Maße
Höhe: 200 mm
Breite: 151 mm
Dicke: 13 mm
Gewicht
ISBN-13
978-0-335-19446-9 (9780335194469)
Schweitzer Klassifikation
Rudolf Klein is Professor of Social Policy and Director of the Centre for the Analysis of Social Policy (CASP) at Bath. He is Professorial Fellow of the King's Fund Institute and author of The Politics of the NHS.
Patricia Day is Senior Research Officer at CASP. She is the co-author (with Rudolf Klein) of Accountabilities, and has written numerous journal articles and monographs on regulation and health care policy making.
Sharon Redmayne is Research Officer at CASP. She is the author of a series of monographs published by the National Association of Health Authorities and Trusts on resource allocation and priority setting in the NHS.
Series editor's introduction
Part one: The context
Unpicking the notion
Politics and strategies
Principles of resource allocation
Part two: The NHS experience
A history of institutionalized scarcity
Priority setting in the new era
Lifting the veils from rationing?
Into the secret garden
Part three: The way ahead
Money or science to the rescue?
What can we learn from others?
Policy options for the future
Bibliography
Index.
