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Credit crunch health care : How economics can save our publicly-funded health services.

The credit crunch continues to threaten publicly-funded health care. In this timely and accessible book, Cam Donaldson considers value for money in the NHS and what can be achieved through reform and priority setting.

Detalles Bibliográficos
Clasificación:Libro Electrónico
Autor principal: Donaldson, Cam
Formato: Electrónico eBook
Idioma:Inglés
Publicado: Bristol : Policy Press, 2011.
Temas:
Acceso en línea:Texto completo
Tabla de Contenidos:
  • Credit crunch health care; Contents; List of figures, tables and boxes; About the author; Acknowledgements; Foreword; 1. Introduction: the quid pro quo of health care; Scarcity and value; From scarcity to value in health care; 2. Market failure and health care; Introduction; Health care as a 'commodity'; 'Market failure' in health care: the tale of the duck-billed platypus; What type of system?; Some final thoughts
  • and a toast; 3. Charging the public: exception or anomaly?; Introduction; The popularity of user charges; The fallacy of composition; Can we exempt people?
  • What are we trying to achieve?Medical savings accounts: another way of placing decision burden on the 'consumer'; An exception to the exception: lower-income countries; 4. Reform, privatisation and those damn doctors; Introduction; Public finance or public provision?; Evidence on internal markets; Does the 'for-profit versus not-for-profit' literature help?; Lessons from America?; Paying doctors; Conclusion; 5. The fiscal future of health care: an economist's rant; Introduction; The 'scarcity denial' rant: when in doubt ... ; Where now?; Challenges to managing scarcity; Do we have the data?
  • Conclusion6. Economic evaluation; Introduction; From principles to decisions; Quality adjusted life years; Willingness to pay; Appraising the economic appraisal; Conclusion; 7. What's your health worth?; Introduction; Quality adjusted life years and willingness to pay; Evaluating safety; From life to QALYs; Survey research on the value of a QALY; Adjusting values for socially relevant concerns; Conclusion; 8. Conclusion; It's official: publicly funded health care provides 'competitive advantage'; What role for health care reforms?; From culture of contentment to culture of containment.
  • Appendix: 'What's your health worth?' A questionnaireMy thoughts on the responses; Index.