Author: M. Malek
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 360
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Book Description
The dual problems of securing access to health care and containing the increasing costs of health care delivery bring the issue of prioritization to the forefront of health care debates. This study discusses the implications and consequences of allocating priorities to certain groups.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309176301
Category : Medical
Languages : en
Pages : 174
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Book Description
This book examines methods for selecting topics and setting priorities for clinical practice guideline development and implementation. Clinical practice guidelines are "systematically defined statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances." In its assessment of processes for setting priorities, the committee considers the principles of consistency with the organization's mission, implementation feasibility, efficiency, utility of the results to the organization, and openness and defensibilityâ€"a principle that is especially important to public agencies. The volume also examines the implications of health care restructuring for priority setting and topic selection, including the link between national and local approaches to guidelines development.
Author: Eckhard Nagel
Publisher: Springer
ISBN: 3319211129
Category : Medical
Languages : en
Pages : 273
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Book Description
The gap between a rising demand for health care services on the one side and scarce resources on the other, is leading to a growing pressure on decision-making processes. Hence, prioritization in medicine has become an increasingly important issue for assuring stability of health systems and improving the capability of health care. The present volume addresses normative dimensions of methodological and theoretical approaches, the legal basis behind priority setting as well as international experiences concerning the normative framework and the process of priority setting. It also examines specific criteria for prioritization and discusses economic evaluations. Contributing authors from a broad range of scientific disciplines discuss prioritization within an international dialogue.
Author: Torbjörn Tännsjö
Publisher:
ISBN: 0190946881
Category : Health & Fitness
Languages : en
Pages : 233
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Book Description
Tannsjo here approaches the question of how to allocate limited health-care resources from a philosophical perspective. He balanaces theoretical treatments of distributive ethics with real-world examples of how health-care is administered around the world today, arguing for the controversial position that we ought to direct more resources to the care and cure of people suffering from mental illness, and less to the marginal life extension of elderly patients.
Author: Ole Frithjof Norheim
Publisher:
ISBN: 0190912766
Category : Medical
Languages : en
Pages : 361
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Book Description
Global health is at a crossroads. The 2030 Agenda for Sustainable Development has come with ambitious targets for health and health services worldwide. To reach these targets, many more billions of dollars need to be spent on health. However, development assistance for health has plateaued and domestic funding on health in most countries is growing at rates too low to close the financing gap. National and international decision-makers face tough choices about how scarce health care resources should be spent. Should additional funds be spent on primary prevention of stroke, treating childhood cancer, or expanding treatment for HIV/AIDS? Should health coverage decisions take into account the effects of illness on productivity, household finances, and children's educational attainment, or just focus on health outcomes? Does age matter for priority setting or should it be ignored? Are health gains far in the future less important than gains in the present? Should higher priority be given to people who are sicker or poorer? Global Health Priority-Setting provides a framework for how to think about evidence-based priority-setting in health. Over 18 chapters, ethicists, philosophers, economists, policy-makers, and clinicians from around the world assess the state of current practice in national and global priority setting, describe new tools and methodologies to address establishing global health priorities, and tackle the most important ethical questions that decision-makers must consider in allocating health resources.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309085438
Category : Medical
Languages : en
Pages : 160
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Book Description
A new release in the Quality Chasm Series, Priority Areas for National Action recommends a set of 20 priority areas that the U.S. Department of Health and Human Services and other groups in the public and private sectors should focus on to improve the quality of health care delivered to all Americans. The priority areas selected represent the entire spectrum of health care from preventive care to end of life care. They also touch on all age groups, health care settings and health care providers. Collective action in these areas could help transform the entire health care system. In addition, the report identifies criteria and delineates a process that DHHS may adopt to determine future priority areas.
Author: Peter Littlejohns
Publisher: CRC Press
ISBN: 1315357798
Category : Medical
Languages : en
Pages : 196
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Book Description
Sharing the costs of ill health is the mark of a civilised society. However, every society has limited healthcare resources, and must therefore make finely balanced decisions on how best to allocate them. The National Institute for Health and Clinical Excellence (NICE) has been responsible for the UK's health resource allocation for a decade. To inform its decisions, a Citizens Council of 30 members of the general public was established by NICE to gauge the underlying values of the society it serves. A number of national and international organisations and governments have asked NICE to share its experiences in establishing and running the Citizens Council, and encouraging and supporting patient involvement. As part of NICE's response, this book provides an up to date 'position statement' on the Citizens Council, an exploration of how patients interact with NICE and how their views are taken into account, and a national and international perspective on new issues facing the interaction between patients, the public and healthcare provision. 'Reading this volume will enable you, the reader, to assess how well NICE is acting as a means of fostering responsible public choice. I hope you profit from its chapters as much as I have.' - Albert Weale in his Foreword
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309113563
Category : Medical
Languages : en
Pages : 279
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Book Description
There is currently heightened interest in optimizing health care through the generation of new knowledge on the effectiveness of health care services. The United States must substantially strengthen its capacity for assessing evidence on what is known and not known about "what works" in health care. Even the most sophisticated clinicians and consumers struggle to learn which care is appropriate and under what circumstances. Knowing What Works in Health Care looks at the three fundamental health care issues in the United States-setting priorities for evidence assessment, assessing evidence (systematic review), and developing evidence-based clinical practice guidelines-and how each of these contributes to the end goal of effective, practical health care systems. This book provides an overall vision and roadmap for improving how the nation uses scientific evidence to identify the most effective clinical services. Knowing What Works in Health Care gives private and public sector firms, consumers, health care professionals, benefit administrators, and others the authoritative, independent information required for making essential informed health care decisions.
Author: Paula Braveman
Publisher: World Health Organization
ISBN: 9241544732
Category : Medical
Languages : en
Pages : 60
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Book Description
Establishes a framework and a method for assessing the place of screening programmes in primary health care and determining which programmes will be most likely to benefit patients and health services alike. Though the principles described can be used in any country, particular attention is given to the setting of priorities in situations where resources are extremely limited and choices must be carefully made. Some 97 different health problems and risk factors which might form the focus of screening programmes are critically assessed. The book has eight chapters. The first three examine a number of policies, principles, and widely held assumptions that arise when decisions are made about the value of screening programmes. Chapter one discusses the aims, requirements, and potential benefits of preventive screening within the context of primary health care. In chapter two, the authors establish seven criteria that can help planners and programme administrators decide whether screening will contribute to the aims of primary health care in a particular situation. Chapter three on the planning and implementation of services alerts readers to several important issues that frequently arise at the local level when screening services are implemented. Various proposals for mandatory HIV screening are used to illustrate legal and ethical issues. In a key achievement, chapter four sets out a method for the systematic assessment of screening programmes and the setting of priorities. Focused on the questions of why, who, how, and when, the method is intended to help decision-makers assess local conditions, think through resource needs for diagnosis and intervention as well as screening anticipate problems, and then select the most appropriate preventive option. Having established a framework for setting priorities, the remaining chapters issue recommendations for a large number of screening options of potential value in primary health care programmes. Separate chapters cover screening in maternal, reproductive and newborn health care, child health care, care to prevent communicable disease, and the health care of adults. Readers are also alerted to situations where screening constitutes a waste of resources where patients may be harmed, and where other preventive options should have first call on resources. The book concludes with a 25-page tabular summary of all screening options considered; the level of resources required for screening, diagnosis, and intervention; and the recommendations made.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309138361
Category : Medical
Languages : en
Pages : 252
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Book Description
Clinical research presents health care providers with information on the natural history and clinical presentations of disease as well as diagnostic and treatment options. In today's healthcare system, patients, physicians, clinicians and family caregivers often lack the sufficient scientific data and evidence they need to determine the best course of treatment for the patients' medical conditions. Initial National Priorities for Comparative Effectiveness Research(CER) is designed to fill this knowledge gap by assisting patients and healthcare providers across diverse settings in making more informed decisions. In this 2009 report, the Institute of Medicine's Committee on Comparative Effectiveness Research Prioritization establishes a working definition of CER, develops a priority list of research topics, and identifies the necessary requirements to support a robust and sustainable CER enterprise. As part of the 2009 American Recovery and Reinvestment Act, Congress appropriated $1.1 billion in federal support of CER, reflecting legislators' belief that better decisions about the use of health care could improve the public's health and reduce the cost of care. The Committee on Comparative Effectiveness Research Prioritization was successful in preparing a list 100 top priority CER topics and 10 recommendations for best practices in the field.
