Buch, Englisch, 224 Seiten, Format (B × H): 163 mm x 239 mm, Gewicht: 522 g
Opportunities and Barriers
Buch, Englisch, 224 Seiten, Format (B × H): 163 mm x 239 mm, Gewicht: 522 g
ISBN: 978-0-19-517186-0
Verlag: Oxford University Press, USA
American policy makers have not used cost-effectiveness analysis to inform health spending decisions
Provides a unique perspective among health policy studies by considering economic, social, political and ethical factors that contribute to the situation
Offers practical advice for policy makers, researchers, analysts and health administrators to guide better policies for the future
As health costs in the U.S. soar past $1.5 trillion, much evidence indicates that the nation does not get good value for its money. It is widely agreed that we could do better by using cost-effective analysis (CEA) to help determine which health care services are most worthwhile. American policy makers, however, have largely avoided using CEA, and researchers have devoted little attention to understanding why this is so. By considering the economic, social, legal, and ethical factors that contribute to the situation, and how they can be negotiated in the future, this book offers a unique perspective. It traces the roots of EA in health and medicine, describes its promise for rational resource allocation, and discusses the nature of the opposition to it, using Medicare and the Oregon health plans as examples. In exploring the disconnection between the promise of CEA and the persistent failure of rational intentions, the book seeks to find common ground and practical solutions. It analyzes the prospects for change and presents a roadmap for getting there. It offers pragmatic advice for cost-effectiveness analysts, discussing ways in which they can better translate their research findings into the basis for action. The book also offers advice for policy makers and politicians, including lessons from Europe, Canada, and Australia, and underlines the need for leadership to establish the conditions for change.
Contents
1 Introduction
2 The promise and promotion of CEA
3 Resistance to CEA in the United States
4 Understanding the resistance
5 Legal, political and ethical concerns
6 Lessons from Oregon
7 Does anyone in America really use CEA? Examples from the field
8 Cost-effective analysis abroad
9 Imagining a future for CEA
10 Advice for CEA practitioners
11 Advice for policy makers and politicians
Zielgruppe
Health policy researchers or analysts in academic, government or business settings, health outcomes managers within the pharmaceutical industry or managed care industries, students taking courses in health policy or health administration in schools of public health, medicine or business.
Autoren/Hrsg.
Fachgebiete
- Geowissenschaften Umweltwissenschaften Umweltpolitik, Umweltprotokoll
- Wirtschaftswissenschaften Wirtschaftswissenschaften Wirtschaftswissenschaften: Allgemeines
- Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Public Health, Gesundheitsmanagement, Gesundheitsökonomie, Gesundheitspolitik
- Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Gesundheitssystem, Gesundheitswesen
- Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Präventivmedizin, Gesundheitsförderung, Medizinisches Screening
- Wirtschaftswissenschaften Volkswirtschaftslehre Volkswirtschaftslehre Allgemein
- Wirtschaftswissenschaften Volkswirtschaftslehre Öffentliche Finanzwirtschaft, Besteuerung
- Sozialwissenschaften Politikwissenschaft Regierungspolitik Umwelt- und Gesundheitspolitik
- Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Medizinische Mathematik & Informatik
