Public participation in the rationing of health care:
Saved in:
| Main Author: | |
|---|---|
| Format: | Book |
| Language: | English |
| Published: |
Aachen
Shaker
2000
|
| Series: | Berichte aus der Medizin
|
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Item Description: | Zugl.: Hannover, Univ., Diss., 1999 |
| Physical Description: | X, 290 S. graph. Darst. : 21 cm |
| ISBN: | 3826582799 |
Staff View
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Record in the Search Index
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| adam_text | Table of contents
List of figures and tables V
List of abreviations VII
Summary IX
Chapter 1 Introduction and overview 1
Chapter 2 Health care and why it needs to be prioritised 11
2.1. What is health? Is health care special? 11
a) Health 11
b) Health care 13
c) The economics of health and health care 15
2.2. Reasons for priority setting 18
a) The rising rationing pressure 18
b) The use of market structures 24
c) Rationalisation and rationing 28
q) Rationing as a political, economic and philosophical problem 30
2.3. Explicit vs. implicit rationing 32
Chapter 3 Public participation in rationing an overview of
practical approaches and theoretical expositions 37
3.1. The experience in Germany and the UK 38
a) Germany 38
b) Great Britain 42
3.2. The Oregon Experiment 52
I
3.3. Theoretical expositions and their transfer into practice 63
3.4. Main findings of chapter 3 70
Chapter 4 Moral theory and the just allocation of health care 75
4.1. Is the scarcity of health care resources an economic problem or
a moral dilemma? 75
4.2. Contract theory and social justice 80
a) Contract theories 80
m Extensions of Rawls theory of justice to health care 87
c) Application of the difference principle 89
4.3. What is it that health care should aim to equalise? 92
4.4. The content of health care in contract perspective 102
a) Rights, need, and a decent minimum of health care 104
b) The (natural) right to health care 105
c) Needs, a decent minimum of health care and the specification of
provision 107
d) The utilitarian overall maximising principle and welfare economics 109
e) Mixed conceptions 120
4.5. Main findings of chapter 4 122
Chapter 5 A procedure instead of a principle: using considered
judgements for the evaluation of social states 127
5.1. Some examples of finding a practical solution when there are
conflicting principles 128
a) The demobilisation of soldiers after the war 129
b) The allocation of organs for transplantation 130
c) Priority assessment criteria for elective surgery in New Zealand 134
5.2. Value pluralism and procedural justice 136
a) Value pluralism 136
b) Procedural justice 138
c) Balancing considered judgements and theoretical reasoning 141
5.3. Intuitonism 143
5.4. Economic theory and political processes: public choice and
social choice theory 147
a) Methodological individualism 149
b) Rationality 150
c) Modes of preference aggregation 159
d) Social choice some critical remarks 161
5.5. Procedural justice: An experiment 163
n
5.6. Main findings of chapter 5 167
Chapter 6 The transition into practice: How can solutions for
health policy be found? 171
6.1. Levels of decision making 171
a) Health policy and policies that affect health 171
b) Levels of decision making 172
c) Forms of direct public participation 174
6.2. Horizontal justice and the need for classification 178
a) Categorisation of diagnosis and treatment 180
b) Classification of patients 183
6.3. Forms of prioritisation 190
a) Choosing between patient groups 191
b) Established and experimental treatments 191
c) Prioritisation algorithms 192
6.4. Resolving conflicts: public debate, consensus and voting 195
a) Public debate 195
b) Consensus 197
c) Voting 199
6.5. Public views: the discrimination of minorities and other
possible pitfalls 202
6.6. Some case studies 210
a) The allocation of transplantable organs 211
b) Cancer treatment 214
c) Preventive measures 215
6.7. Main findings of chapter 6 217
Chapter 7 Conclusions 221
Chapter 8 Epilogue 237
a) Theoretical concepts and the physician at the bedside 237
b) Are advantages possible towards just rationing? 249
cj Making sense of moral conflict 251
d) Die Verfiihrung durch das Machbare 252
e) The contribution of science 255
Index of names 259
References 265
m
List of figures and tables
Figure 1: Outline of the work indicating connections between the chapters 7
Figure 2: Rectangularisation of the survival curve in Germany 20
Figure 3: Estimated lifetime Medicare payments according to age at death 21
Figure 4: Medicare payments for persons with different ages at death 21
Figure 5: (Non monetary) costs of reducing health care expenditures via
rationalisation and rationing 29
Figure 6: Health care reform acts and their impact on the annual growth of
healthcare expenditures in Germany (in %) 41
Figure 7: Rationing by resource and patient centred criteria 65
Figure 8: Correlation between the extent of health care consumed and the
health status of an individual given current technology, more efficient
and effective technology and given less efficient but more effective
technology 99
Figure 9: Relationship between commodities, characteristics and utilities 100
Table 1: Rank of services according to study results 48
Table 2: Ranking of health care services according to the results 49
Table 3: Priorities for health care spending 51
Table 4: Categories of health care in the Oregon rationing approach 56
Table 5: The Diagnosis Treatment Pairs in the Oregon rationing approach 59
Table 6: Interventions a e ranked by six voters 201
V
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| isbn | 3826582799 |
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| spelling | Obermann, Konrad Verfasser (DE-588)1045404373 aut Public participation in the rationing of health care Konrad Obermann Aachen Shaker 2000 X, 290 S. graph. Darst. : 21 cm txt rdacontent n rdamedia nc rdacarrier Berichte aus der Medizin Zugl.: Hannover, Univ., Diss., 1999 Economics, Medical Health Care Costs Health Care Rationing Mengenrationierung (DE-588)4038616-8 gnd rswk-swf Prozedurale Gerechtigkeitstheorie (DE-588)4256168-1 gnd rswk-swf Medizinische Versorgung (DE-588)4038270-9 gnd rswk-swf Deutschland (DE-588)4011882-4 gnd rswk-swf (DE-588)4113937-9 Hochschulschrift gnd-content Dissertations, Academic rbgenr Deutschland (DE-588)4011882-4 g Medizinische Versorgung (DE-588)4038270-9 s Mengenrationierung (DE-588)4038616-8 s Prozedurale Gerechtigkeitstheorie (DE-588)4256168-1 s DE-604 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009236382&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Obermann, Konrad Public participation in the rationing of health care Economics, Medical Health Care Costs Health Care Rationing Mengenrationierung (DE-588)4038616-8 gnd Prozedurale Gerechtigkeitstheorie (DE-588)4256168-1 gnd Medizinische Versorgung (DE-588)4038270-9 gnd |
| subject_GND | (DE-588)4038616-8 (DE-588)4256168-1 (DE-588)4038270-9 (DE-588)4011882-4 (DE-588)4113937-9 |
| title | Public participation in the rationing of health care |
| title_auth | Public participation in the rationing of health care |
| title_exact_search | Public participation in the rationing of health care |
| title_full | Public participation in the rationing of health care Konrad Obermann |
| title_fullStr | Public participation in the rationing of health care Konrad Obermann |
| title_full_unstemmed | Public participation in the rationing of health care Konrad Obermann |
| title_short | Public participation in the rationing of health care |
| title_sort | public participation in the rationing of health care |
| topic | Economics, Medical Health Care Costs Health Care Rationing Mengenrationierung (DE-588)4038616-8 gnd Prozedurale Gerechtigkeitstheorie (DE-588)4256168-1 gnd Medizinische Versorgung (DE-588)4038270-9 gnd |
| topic_facet | Economics, Medical Health Care Costs Health Care Rationing Mengenrationierung Prozedurale Gerechtigkeitstheorie Medizinische Versorgung Deutschland Hochschulschrift Dissertations, Academic |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009236382&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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