Setting Limits Fairly
Can We Learn to Share Medical Resources?
Published on 14. February 2002
206 pages
978-0-19-974903-4 (ISBN)
Description
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.
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Content
- Intro
- Contents
- 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 Mental Health Contracting
- 10 An International Learning Curve
- 11 Learning to Share Medical Resources
- References
- Index
- A
- B
- C
- D
- E
- F
- G
- H
- I
- J
- K
- L
- M
- N
- O
- P
- Q
- R
- S
- T
- U
- V
- W
