Rationing and Resource Allocation in Healthcare

by Ezekiel J. Emanuel

Author	: Ezekiel J. Emanuel
Publisher	: Oxford University Press
Total Pages	: 569
Release	: 2018
Genre	: Law
ISBN	: 0190200766

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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.

Improving Health in the Community

by Institute of Medicine

Author	: Institute of Medicine
Publisher	: National Academies Press
Total Pages	: 497
Release	: 1997-05-21
Genre	: Medical
ISBN	: 0309055342

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How do communities protect and improve the health of their populations? Health care is part of the answer but so are environmental protections, social and educational services, adequate nutrition, and a host of other activities. With concern over funding constraints, making sure such activities are efficient and effective is becoming a high priority. Improving Health in the Community explains how population-based performance monitoring programs can help communities point their efforts in the right direction. Within a broad definition of community health, the committee addresses factors surrounding the implementation of performance monitoring and explores the "why" and "how to" of establishing mechanisms to monitor the performance of those who can influence community health. The book offers a policy framework, applies a multidimensional model of the determinants of health, and provides sets of prototype performance indicators for specific health issues. Improving Health in the Community presents an attainable vision of a process that can achieve community-wide health benefits.

The Economics of Resource Allocation in Health Care

by Andrea Klonschinski

Author	: Andrea Klonschinski
Publisher	: Routledge
Total Pages	: 293
Release	: 2016-03-31
Genre	: Business & Economics
ISBN	: 1317291816

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The question of how to allocate scarce medical resources has become an important public policy issue in recent decades. Cost-utility analysis is the most commonly used method for determining the allocation of these resources, but this book counters the argument that overcoming its inherent imbalances is simply a question of implementing methodological changes. The Economics of Resource Allocation in Health Care represents the first comprehensive analysis of equity weighting in health care resource allocation that offers a fundamental critique of its basic framework. It offers a critique of health economics, putting the discourse on economic evaluation into its broader socio-political context. Such an approach broadens the debate on fairness in health economics and ties it in with deeper-rooted problems in moral philosophy. Ultimately, this interdisciplinary study calls for the adoption of a fundamentally different paradigm to address the distribution of scarce medical resources. This book will be of interest to policy makers, health care professionals, and post-graduate students looking to broaden their understanding of the economics of the health care system.

The Allocation of Health Care Resources

by John McKie

Author	: John McKie
Publisher	: Routledge
Total Pages	: 172
Release	: 1998
Genre	: Business & Economics
ISBN	:

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The competition for limited health care resources is intensifying. We urgently need an acceptable method for deciding how they should be allocated. The Quality-Adjusted Life Year, or QALY, is the most developed proposal for such allocation. In this book a distinguished team of ethicists and economists defend the core of the QALY proposal: that health care resources should be used so as to produce more years of life, of the highest possible quality. The result is the most thorough account yet of the ethical issues raised by the use of the QALY as a basis for allocating health care resources.

Allocating Health Care Resources

by James M. Humber

Author	: James M. Humber
Publisher	: Springer Science & Business Media
Total Pages	: 222
Release	: 1995-01-11
Genre	: Medical
ISBN	: 1592594476

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In ALLOCATING HEALTH CARE RESOURCES, leading authorities and researchers expose the basic philosophical, ethical, and economic issues underlying the current health care debate. The contributors wrestle with such complicated issues as whether it is ethical to ration health care, the morality of the worldwide bias against children in allocating health care resources, whether sin taxes can be defended morally, and how to achieve a just health care system. The book also includes an insightful analysis of the Clinton health care reform plan. ALLOCATING HEALTH CARE RESOURCES will be of interest to philosophers, health policy experts, medical ethicists, health professionals, and concerned citizens. It serves to clarify and illuminate the logic and rhetoric of health care reform, and so to help us all achieve a fair and equitable distribution of these precious resources.

Public Health Ethics: Cases Spanning the Globe

by Drue H. Barrett

Author	: Drue H. Barrett
Publisher	: Springer
Total Pages	: 0
Release	: 2016-04-20
Genre	: Medical
ISBN	: 9783319238463

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This Open Access book highlights the ethical issues and dilemmas that arise in the practice of public health. It is also a tool to support instruction, debate, and dialogue regarding public health ethics. Although the practice of public health has always included consideration of ethical issues, the field of public health ethics as a discipline is a relatively new and emerging area. There are few practical training resources for public health practitioners, especially resources which include discussion of realistic cases which are likely to arise in the practice of public health. This work discusses these issues on a case to case basis and helps create awareness and understanding of the ethics of public health care. The main audience for the casebook is public health practitioners, including front-line workers, field epidemiology trainers and trainees, managers, planners, and decision makers who have an interest in learning about how to integrate ethical analysis into their day to day public health practice. The casebook is also useful to schools of public health and public health students as well as to academic ethicists who can use the book to teach public health ethics and distinguish it from clinical and research ethics.

Tracking Resources For Primary Health Care: A Framework And Practices In Low- And Middle-income Countries

by Hong Wang

Author	: Hong Wang
Publisher	: World Scientific
Total Pages	: 445
Release	: 2020-06-03
Genre	: Medical
ISBN	: 9811212422

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The global health community is broadly in agreement that achievement of the health-related Sustainable Development Goals (SDGs) hinges upon both an escalation of the financial resources dedicated to primary health care (PHC) and a more effective use of those resources: more money, better spent. This book introduces and explicates the end-to-end resource tracking and management (RTM) framework, which includes five components that determine effective and efficient financing for PHC: resource mobilization, allocation, utilization, productivity, and targeting.In addition, this book compiles detailed results from the most recent RTM-based resource tracking efforts for PHC in selected countries. This is to demonstrate how the RTM framework can be used to bring a set of separate resource tracking efforts at different stages of flow of funds into a comprehensive process with an end-to-end 'storyline'. In order to build a functional PHC system that addresses access, quality, and equity issues, this book highlights the key (public) financing issues that researchers, technical advisors, and policy makers would need to address in addition to more resources.

Health Status and Health Policy

by Donald L. Patrick

Author	: Donald L. Patrick
Publisher	: Oxford University Press, USA
Total Pages	: 512
Release	: 1993
Genre	: Medical
ISBN	:

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This book has two major objectives. The first is to propose the Health Resource Allocation Strategy as a social and political process for comparing costs and outcomes of alternative policy options in the health and medical care arena to select interventions with greatest benefit in relation to cost. The second objective is to provide a reference for state-ofthe-art development and application of health status and quality of life measures for health care policy and research, including clinical applications. Not all policy applications of health- related quality of life involve resource allocation. Thus we present guidelines to assessment for use in program evaluation, monitoring of health policy, clinical trials, and health services research.

Operations Research and Health Care

by Margaret L. Brandeau

Author	: Margaret L. Brandeau
Publisher	: Springer Science & Business Media
Total Pages	: 870
Release	: 2006-04-04
Genre	: Medical
ISBN	: 1402080662

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In both rich and poor nations, public resources for health care are inadequate to meet demand. Policy makers and health care providers must determine how to provide the most effective health care to citizens using the limited resources that are available. This chapter describes current and future challenges in the delivery of health care, and outlines the role that operations research (OR) models can play in helping to solve those problems. The chapter concludes with an overview of this book – its intended audience, the areas covered, and a description of the subsequent chapters. KEY WORDS Health care delivery, Health care planning HEALTH CARE DELIVERY: PROBLEMS AND CHALLENGES 3 1.1 WORLDWIDE HEALTH: THE PAST 50 YEARS Human health has improved significantly in the last 50 years. In 1950, global life expectancy was 46 years [1]. That figure rose to 61 years by 1980 and to 67 years by 1998 [2]. Much of these gains occurred in low- and middle-income countries, and were due in large part to improved nutrition and sanitation, medical innovations, and improvements in public health infrastructure.