Being reasonable about the economics of health: selected essays
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Cheltenham, UK [u.a.]
Elgar
1997
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| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XVI, 371 S. graph. Darst. |
| ISBN: | 1858986486 |
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| 245 | 1 | 0 | |a Being reasonable about the economics of health |b selected essays |c by Alan Williams. Comp. and ed. by A. J. Culyer ... |
| 264 | 1 | |a Cheltenham, UK [u.a.] |b Elgar |c 1997 | |
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| 650 | 4 | |a Medical care -- Cost effectiveness | |
| 650 | 4 | |a Health care rationing | |
| 650 | 4 | |a Health status indicators | |
| 650 | 4 | |a Medical policy | |
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Datensatz im Suchindex
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|---|---|
| adam_text | Contents
List of figures vii
List of tables ix
Acknowledgements xi
Introduction xiii
PART ONE: ECONOMIC APPROACHES TO HEALTH AND SOCIAL
WELFARE 1
1. Cost Benefit Analysis: Bastard Science and/or Insidious Poison 3
in the Body Politick?
2. The Cost Benefit Approach 26
3. One Economist s View of Social Medicine 38
4. Health Economics: The Cheerful Face of the Dismal Science? 45
5. Priority Setting in Public and Private Health Care: A Guide
Through the Ideological Jungle 54
6. Natural Selection, Health Economics and Human Welfare 65
7. Measuring the Effectiveness of Health Care Systems 90
PART TWO: THE MEASUREMENT AND VALUATION OF HEALTH
8. Welfare Economics and Health Care Status Measurement 107
9. Valuation of Quality of Life: Some Psychometric Evidence 120
10. The Measurement and Valuation of Health: A Chronicle 136
PART THREE: PRIORITY SETTING AND HEALTH TECHNOLOGY
ASSESSMENT
11. Need as a Demand Concept (with special reference to health) 179
12. The Budget as a (Mis ) Information System 194
13. The Role of Economics in the Evaluation of Health Care
Technologies 203
14. Economics of Coronary Artery Bypass Grafting 238
v
15. Prioritising Waiting Lists 249
16. How Should Information on Cost Effectiveness Influence
Clinical Practice? 263
PART FOUR: ECONOMICS, ETHICS AND CLINICAL FREEDOM
17. Health Economics: The End of Clinical Freedom? 273
18. Ethics and Equity in the Provision of Health Care 282
19. Cost Effectiveness Analysis: Is it Ethical? 296
20. QALYs and Ethics: A Health Economist s Perspective 305
21. Conceptual and Empirical Issues in the Efficiency Equity
Trade Off in the Provision of Health Care or, If we are going
to get a fair innings, someone will need to keep the score! 322
References 351
Index 363
vi
Figures
4.1 Schematic presentation of the main elements in health
economics 46
6.1 The Grossman Williams Model of Health Behaviour 72
6.2 Annual NHS expenditure per head 79
7.1 Descriptive categories for a health index 94
7.2 Trading off the two dimensions 95
7.3 Net benefit of treatment over no treatment 97
9.1 Median valuations of states 122
9.2 Valuations of medical patients 122
9.3 Valuations of psychiatric patients 123
9.4 Valuations of medical nurses 123
9.5 Valuations of psychiatric nurses 124
9.6 Valuations of healthy volunteers 124
9.7 Valuations of doctors 125
9.8 Valuations implied by court awards 127
10.1 Visual analogue scale 152
10.2 Self rated health status 158
10.3 Frequency of reported problem, distribution by age group 158
10.4 Structure of the analytical work 160
10.7 TTO tariff of means: whole population 10 year duration 163
11.1 Sickness and need as seen by three parties 182
13.1 Product life cycle curve for medical technology 204
14.1 Expected value of quality and length of life gained for
patients with severe angina and left vessel disease 241
14.2 Expected value of quality and length of life gained for
patients with severe angina and one vessel disease 242
16.1 A simple clinical decision tree 265
16.2 Expected health gains 266
16.3 Decision tree including costs of preferred options 268
16.4 Decision tree with costs fully incorporated 269
21.1 Health production possibilities with social welfare function 324
21.2 Health production possibilities with social welfare function:
enlarged segment 325
vii
21.3 Value of a year of life 330
21.4 Technical efficiency of health care: a comparison of systems 332
21.5 Survival rates, males versus females 332
21.6 Survival rate from initial cohort males: by social groupings 333
21.7 Health related quality of life compared: males and females 335
21.8 Health related quality of life compared: males, social
classes 1/2 versus 4/5 337
21.9 Life expectancy at birth by social class 338
21.10 Inequalities in life expectancy by social class 340
21.11 Survival and gradient of SWF fair innings = expected
death at 74.5 342
21.12 Survival and gradient of SWF fair innings = QALYs at
death 59.4 343
21.13 Equity weights for the disabled: fair innings expected
QALYs at death = 60 344
viii
Tables
5.1 Attitudes typically associated with viewpoint A and B 56
5.2 Idealised health care system 57
5 3 Actual health care systems 59
6.1 Health, wealth and wisdom as capital stocks 70
6.2 A comparison of models 76
10.1 Rossers classification of illness states 138
10.2 Rosser s revised matrix 139
10.3 Coverage of various descriptive instruments 144
10.4 The Euroqol classification system 150
10.5 Euroqol states valued in the main survey 155
10.6 A tariff of values from the general population 162
10.7 Converting VAS scores into TTO scores 168
13.1 Incremental probabilities of machines A and B being
available in the first three years 220
13.2 The values at the end of year 4 220
13.3 Decision tree for buy now option 222
13.4 Payoff tree: wait 224
13.5 Buy now: expected value calculation 230
13.6 Wait: expected value calculation 232
14.1 Valuation matrix for 70 respondents 240
14.2 Expected value of quality adjusted life years gained from
operation compared with medical management 243
14.3 Coronary artery bypass grafting and percutaneous coronary
angioplasty 245
14.4 Summary of costs and benefits of three cardiac procedures 246
14.5 Summary of costs and benefits of some selected
non cardiovascular treatments 247
15 1 The composition of Guy s Hospital general surgical waiting
list as at June 1988 25°
15 2 Rosser s classification of illness states 251
15.3 Rosser s valuation matrix: all 70 respondents 251
15.4 Mean values of five general surgeons expectations concerning
the effects of operating for 20 common conditions 252
ix
15.5 Benefits from treatment versus no treatment 253
15.6 Summary of benefit from surgery 254
15.7 Benefits from immediate treatment versus treatment one year
later 255
15.8 Summary of benefit from earlier surgery 255
15.9 Resource requirements of surgery for each condition 256
15.10 Benefits per hour of operating time 257
15.11 Benefits per day bed occupied 258
15.12 Rank ordering of conditions with respect to benefit per
resource requirement 259
18.1 York health evaluation survey 285
18.2 Hypothetical data on the relative values of good health
at different life stages 286
18.3 Questionnaire for eliciting preferences 290
18.4 Pilot survey respondents 293
18.5 Choice of discriminators by occupational group 293
18.6 Adjusted choice of discriminators by occupational group 294
18.7 Adjusted choice of discrimination by main occupational
groups standardised so that each now sums to 100 294
21.1 Who should be given priority if only one can be treated? 326
21.2 Health related quality of life descriptors as presented in
EuroQol EQ 5D 336
21.3 Summary of inequality findings 340
21.4 UK health expectancy at different ages 342
x
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| spelling | Williams, Alan Verfasser aut Being reasonable about the economics of health selected essays by Alan Williams. Comp. and ed. by A. J. Culyer ... Cheltenham, UK [u.a.] Elgar 1997 XVI, 371 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Medical care -- Cost effectiveness Health care rationing Health status indicators Medical policy Gesundheitspolitik (DE-588)4113743-7 gnd rswk-swf Gesundheitsökonomie (DE-588)4130935-2 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Gesundheitsökonomie (DE-588)4130935-2 s Gesundheitspolitik (DE-588)4113743-7 s DE-604 Culyer, Anthony J. 1942- Sonstige (DE-588)110175697 oth HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007861728&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Williams, Alan Being reasonable about the economics of health selected essays Medical care -- Cost effectiveness Health care rationing Health status indicators Medical policy Gesundheitspolitik (DE-588)4113743-7 gnd Gesundheitsökonomie (DE-588)4130935-2 gnd |
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| title | Being reasonable about the economics of health selected essays |
| title_auth | Being reasonable about the economics of health selected essays |
| title_exact_search | Being reasonable about the economics of health selected essays |
| title_full | Being reasonable about the economics of health selected essays by Alan Williams. Comp. and ed. by A. J. Culyer ... |
| title_fullStr | Being reasonable about the economics of health selected essays by Alan Williams. Comp. and ed. by A. J. Culyer ... |
| title_full_unstemmed | Being reasonable about the economics of health selected essays by Alan Williams. Comp. and ed. by A. J. Culyer ... |
| title_short | Being reasonable about the economics of health |
| title_sort | being reasonable about the economics of health selected essays |
| title_sub | selected essays |
| topic | Medical care -- Cost effectiveness Health care rationing Health status indicators Medical policy Gesundheitspolitik (DE-588)4113743-7 gnd Gesundheitsökonomie (DE-588)4130935-2 gnd |
| topic_facet | Medical care -- Cost effectiveness Health care rationing Health status indicators Medical policy Gesundheitspolitik Gesundheitsökonomie Aufsatzsammlung |
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