Setting Limits Fairly : Can we learn to share medical resources?
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.
- Hardback | 208 pages
- 160 x 240 x 30mm | 449.06g
- 01 Mar 2002
- Oxford University Press
- Oxford, United Kingdom
Table of 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 Contracting for Mental Health Care ; 10. An International Learning Curve ; 11. Learning to Share Medical Resources