| Description |
xi, 191 pages ; 24 cm |
| 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 |
| Summary |
"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."--BOOK JACKET |
| Notes |
Includes index |
| Bibliography |
Includes bibliographical references (pages 175-182) and index |
| Subject |
Health care rationing.
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Medical economics -- Moral and ethical aspects.
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Right to health.
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Social medicine.
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Decision Making.
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Health Planning.
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Health Care Rationing.
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Ethics, Medical.
|
| Author |
Sabin, James.
|
| LC no. |
2001047458 |
| ISBN |
019514936X |
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