EBOOK: Reasonable Rationing

EBOOK: Reasonable Rationing

Author: Chris Ham

Publisher: McGraw-Hill Education (UK)

Published: 2003-05-16

Total Pages: 194

ISBN-13: 0335225675

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"Reasonable Rationing is must reading for those interested in how to connect theory about fair rationing processes to country-level practices. The five case studies reveal a deep tension between political pressures to accomodate interest group demands and ethically motivated efforts to improve both information and institutional procedures for setting fair limits to care. The authors frame the issues insightfully." - Professor Norman Daniels, Harvard School of Public Health . How are different countries setting priorities for health care? . What role does information and evidence on cost and effectiveness play? . How are institutions contributing to priority setting? . What are the lessons for policy makers? Priority setting in health care is an issue of increasing importance. Choices about the use of health care budgets are inescapable and difficult. A number of countries have sought to strengthen their approach to priority setting by drawing on research-based evidence on the cost and effectiveness of different treatments. This book brings together leading experts in the field to summarize and analyse the experience of priority setting in five countries: Canada, The Netherlands, New Zealand, Norway and the United Kingdom. Drawing on literature from a range of disciplines, it makes a significant contribution to the debate on the role of information and institutions in priority setting. Reasonable Rationing has been written with a broad readership in mind. It will be of interest to policy makers, health care professionals and health service managers, as well as students of health and social policy at advanced undergraduate and postgraduate levels.


EBOOK: Health Care Coverage Determinations: An International Comparative Study

EBOOK: Health Care Coverage Determinations: An International Comparative Study

Author: Timothy Jost

Publisher: McGraw-Hill Education (UK)

Published: 2004-12-16

Total Pages: 295

ISBN-13: 0335225993

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"A ground breaking set of case studies about how [health care] coverage decisions are made" Robert A. Berenson M.D. Senior Fellow at the Urban Institute, Washington D.C. and former Director of the Center for Health Plans and Providers of the Medicare program Developed countries are facing rapidly rising health care costs and one of the major factors driving health care cost growth is the continual development and diffusion of new, generally more expensive, health care technologies. This book contains: * A description of the institutions, procedures and criteria used by eight countries for assessing technologies for public insurance coverage * An analysis of the role of interest groups, and of the public interest, in these decision making processes * An examination of how particular technologies are treated differently by different countries, and why Based upon research from Australia, Canada, Germany, The Netherlands, Spain, Switzerland, the United States of America and the United Kingdom, the contributors argue that although each of these countries is committed to evidence-based scientific assessment of technologies, in fact adoption of technologies is significantly affected by political considerations, and in particular by the influence of interest groups. Moreover, it offers recommendations as to how technology assessment for coverage policy can be improved to serve better the public interest. Health Care Coverage Determinations is essential reading for health policy makers, managers, researchers and students with an interest in health economics, health care provision and the politics affecting health care legislation. Contributors: Liliana Bulfone, Tanisha Carino, Peter C. Coyte, Anna García-Altés, Colleen M. Flood, Stefan Greß, Felix Gurtner, Anthony Harris, Timothy Stoltzfus Jost, Eric Nauenberg, Christopher Newdick, Dea Niebuhr, Guillaume Roduit, Heinz Rothgang, Frans F.H. Rutten, Dominique Sprumont, Juergen Wasem.


EBOOK: Regulating Healthcare

EBOOK: Regulating Healthcare

Author: Kieran Walshe

Publisher: McGraw-Hill Education (UK)

Published: 2003-06-16

Total Pages: 276

ISBN-13: 0335228283

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Healthcare organizations in the UK and the USA face a growing tide of regulation, accreditation, inspection and external review, all aimed at improving their performance. In the US, over three decades of regulation by state and federal government, and by non-governmental agencies, has created a complex, costly and overlapping network of oversight arrangements for healthcare organizations. In the UK, regulation of the government-run National Health Service is central to current health policy, with the creation of a host of new national agencies and inspectorates tasked with overseeing the performance of NHS hospitals and other organizations. But does regulation work? This book: . explores the development and use of healthcare regulation in both countries, comparing and contrasting their experience and drawing on regulatory research in other industries and settings . offers a structured approach to analysing what regulators do and how they work . develops principles for effective regulation, aimed at maximising the benefits of regulatory interventions and minimising their costs Regulating Healthcare is aimed at all with an interest or involvement in health policy and management, be they policy makers, healthcare managers or health professionals. It is particularly suitable for use on postgraduate health and health-related programmes.


EBOOK: The New Health Policy

EBOOK: The New Health Policy

Author: Robin Gauld

Publisher: McGraw-Hill Education (UK)

Published: 2009-06-16

Total Pages: 215

ISBN-13: 0335239552

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"This is an excellent and accessible introduction to key current debates in health policy. It is enriched by deft comparative analysis and by the way Dr Gauld locates the study in the context of current ideological debates. Students will learn a lot from wrestling with the questions posed at the end of each chapter – and so will their teachers!" Paul Wilding, Emeritus Professor of Social Policy, University of Manchester, UK This book analyzes the issues that form the nucleus of the emerging ‘new health policy’ agenda. Robin Gauld brings together in one volume a comprehensive picture of the health policy challenges facing contemporary developed world health systems, as well as the strategies for tackling these. Individual chapters, respectively, analyze: Challenges in health care funding and organization Quality and patient safety The application of information technology Clinical governance The changing nature of professionalism and public involvement in health care planning Public health The role of the private sector The book highlights the importance to policy makers of each subject, overviews research into it, and discusses policy responses in Britain, New Zealand and the United States. The New Health Policy is essential reading for all students of health policy and health care, along with policy makers and health care professionals.


EBOOK: Cultures for Performance in Health Care

EBOOK: Cultures for Performance in Health Care

Author: Russell Mannion

Publisher: McGraw-Hill Education (UK)

Published: 2004-10-16

Total Pages: 319

ISBN-13: 0335226329

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·What is organizational culture? ·Do organizational cultures influence the performance of health care organizations? ·Are organizational cultures capable of being managed to beneficial effect? Recent legislation in the United Kingdom has led to significant reforms within the health care system. Clinical quality, safety and performance have been the focus for improvement alongside systematic changes involving decision-making power being devolved to patients and frontline staff. However, as this book shows, improvements in performance are intrinsically linked to cultural changes within health care settings. Using theories from a wide range of disciplines including economics, management and organization studies, policy studies and the health sciences, this book sets out definitions of cultures and performance, in particular the specific characteristics that help or hinder performance. Case studies of high and low performing hospital trusts and primary care trusts are used to explore the links between culture and performance. These studies provide examples of strategies to create beneficial, high-performance cultures that may be used by other managers. Moreover, implications for future policies and research are outlined. Cultures for Performance in Health Care is essential reading for those with an interest in health care management and health policy including students, researchers, policy makers and health care professionals.


EBOOK: The European Patient Of The Future

EBOOK: The European Patient Of The Future

Author: Angela Coulter

Publisher: McGraw-Hill Education (UK)

Published: 2003-06-16

Total Pages: 301

ISBN-13: 0335224628

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Health care is changing fast and patients' experiences and expectations are also changing. Developments in information technology and biotechnology are already having a profound influence on the way health services are delivered and the organization of health care is under reform in most countries. Patients no longer see themselves as passive recipients of care: increasingly they expect to be involved in all decisions that affect them. This book reports the results of a major study carried out in eight different European countries to look at health policy dilemmas through the eyes of the patient. Drawing on literature reviews, focus groups and a survey of 1,000 people in each of the eight countries, the book addresses the following questions: . Why might the patients of the future be different? . What will patients and citizens expect from health systems? . Will the public be willing to pay more for better health care? . What kind of value trade-offs are people prepared to make, for example between prompt access and continuity of care, or between choice and equity? . How will patients access information, advice and treatment? . How should policy-makers and providers react to patients' desire for greater autonomy? . How can public confidence in health systems be maintained in the future? The European Patient of the Future is a clear, jargon-free text which will be a key resource for all health service professionals, health policy analysts and patient advocates.


EBOOK: The Politics Of European Union Health Policies

EBOOK: The Politics Of European Union Health Policies

Author: Scott Greer

Publisher: McGraw-Hill Education (UK)

Published: 2009-06-16

Total Pages: 208

ISBN-13: 0335239617

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"Scott Greer has done a remarkable job in explaining how the Europeanization of health policy takes place, how institutional legacies exert an influence in lobbying, how harmonization exacerbates path-dependent welfare structures that in turn impede a 'race to the bottom', and why the idea of a European social model creates positive external effects, even if it is a only an ad hoc policy construction." Journal of European Social Policy 2010 20 (2) "Provides an original and thought-provoking perspective and approach, combining in-depth theoretical discussions and well-researched case studies over 11 chapters...The book is well written and insightful, and the main argument is that EU law and policy developments - directly and indirectly - have the potential of undermining domestic health systems and the political actors within them."Journal of Common Market Studies, 2010 Volume 48. Number 3 "This book provides a unique insight into what is going on, unnoticed by most, 'below the surface' in EU health policy. It serves as a wake-up call for those who continue to believe that the EU is of marginal interest and relevance in national level debates about the direction of health care. In addition, in an engaging and lively style, it provides essential guidance for students of health policy who seek to understand the labyrinthine processes and the wide ranging unintended consequences - for good and for bad - of EU policy making." Professor Naomi Chambers, Head of Health Policy and Management, Manchester Business School “In this insightful book, Scott Greer describes how European health policy has long been developed in a secret garden, where a small number of people find pragmatic solutions to immediate problems while avoiding the fundamental questions … Yet the logic of European integration is tearing down the garden's walls, creating a public park where pragmatism takes second place to principles. Something must be done, but it is not clear what. Greer's book will be essential reading … for anyone who is responsible for organising how health care is delivered in Europe.” Martin McKee CBE, London School of Hygiene and Tropical Medicine, UK This important new book explains how European Union (EU) developed policies shape and constrain health services. It answers the key questions asked of EU health policy: What is it? Why did it happen? What does it take to influence it and how can it be changed? Using extensive new data, Greer discusses how EU policy is influenced by lobbies in Brussels and by four big member states: France, Germany, Spain and the United Kingdom. Shaping EU health policy takes information, coordination, nimbleness and focus. The book examines the ways that the successful health lobbies and member states work, identifies weaknesses, and emphasizes the challenge to health policymakers: if they do not influence EU health policies, they will lose influence over their own health systems. The Politics of European Union Health Policies will be of great interest to students and academics of EU policy and politics, as well as health policy makers.


EBOOK: Comparative Health Policy in the Asia Pacific

EBOOK: Comparative Health Policy in the Asia Pacific

Author: Robin Gauld

Publisher: McGraw-Hill Education (UK)

Published: 2004-12-16

Total Pages: 273

ISBN-13: 0335225101

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"Dr. Gauld’s collection of case studies is informativeand accessible. I would recommend it as acentral text for a course in comparative healthsystems." Political Studies Review Based upon research from eight countries in the Asia-Pacific – Australia, China, Hong Kong, Japan, New Zealand, Singapore, South Korea, Taiwan – this book analyses and compares their differing health policies. Key issues the book probes include: ·The ways that health care is financed and delivered across the region ·The historical and institutional arrangements that impact upon health policy and health care ·How the health systems differ between the countries under study ·How policymakers and service providers deal with unlimited demand and limited funding and issues such as service coverage and quality ·How pharmaceuticals and population health strategies are managed ·What the roles of the state and various other players (such as the private sector and professional associations) are in the making of health policy and delivery of health care ·The challenges that lie ahead for health care and health policy in the region Comparative Health Policy in the Asia-Pacific is key reading for students, researchers and policy makers with an interest in health policy. It is relevant to those studying medicine and health studies, anthropology, history, sociology, public policy, politics and Asian studies.


EBOOK: Health Policy and Economics: Opportunities and Challenges

EBOOK: Health Policy and Economics: Opportunities and Challenges

Author: Peter Smith

Publisher: McGraw-Hill Education (UK)

Published: 2004-11-16

Total Pages: 308

ISBN-13: 0335227937

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Health economics has made major contributions to the development of health policy in many countries. This book describes those successes and looks forward to the major contributions that health economics can bring to bear on emerging policy issues in health and health care. With contributions from internationally recognized researchers, this book addresses generic policy issues confronting health systems across the developed world. The coverage progresses from micro, patient level issues to macro, whole system issues including: ·Determining cost-effective treatments ·Fair distribution of health care ·Regulatory issues such as performance measurement and incentives ·Revenue distribution ·Decentralization and internationalization of health systems Health Policy and Economics identifies the major contributions that health economics makes to important policy issues in health and health care. It is key reading for policy makers and health managers as well as students and academics with an interest in health policy and health services research. Contributors: Ron L. Akehurst, Karen E. Bloor, Martin Buxton, Karl P. Claxton, Richard Cookson, Diane A. Dawson, Paul Dolan, Mike Drummond, Brian Ferguson, Hugh Gravelle, Maria Goddard, Katharina Hauck, John Hutton, Andrew M. Jones, Rowena Jacobs, Paul Kind, Rosella Levaggi, Guillem López Casanovas, Alan K. Maynard, Nigel Rice, Anthony Scott, Rebecca Shaw, Trevor Sheldon, Andrew D. Street, Mark Sculpher, Matthew Sutton, Peter C. Smith, Adrian Towse, Aki Tsuchiya, Alan H. Williams.


EBOOK: Restructuring the Medical Profession: The Intraprofessional Relations of GPs and Hospital Consultants

EBOOK: Restructuring the Medical Profession: The Intraprofessional Relations of GPs and Hospital Consultants

Author: Juan Baeza

Publisher: McGraw-Hill Education (UK)

Published: 2005-11-16

Total Pages: 197

ISBN-13: 0335224113

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What is the relationship between general practitioners (GPs) and hospital consultants in the United Kingdom? How does government health policy impact upon GPs and hospital consultants? What influence does the medical profession have upon policy makers in the United Kingdom? The medical profession occupies a dominant position within the British health care system and as such is able to influence the development and implementation of health policy. The main division within the medical profession lies between general practitioners and hospital consultants. This book provides a comprehensive analysis of British health policy over the past twenty-five years. Drawing on data from case studies, it provides empirical evidence of the impact of recent health policies upon the National Health Service (in general) and the medical profession (in particular). The case studies provide an analysis of the impact of the 1991 NHS reforms, as well as examining the ongoing influence of the post 1999 NHS reforms upon these intraprofessional relations. What emerges is that the relationship between GPs and hospital consultants is transforming from a collegial to a more managerial relationship. This book sheds light on the resulting development of intraprofessional relations between GPs and hospital consultants within the NHS. Restructuring the Medical Profession is key reading for undergraduate and postgraduate students, researchers and professionals in the fields of social policy and health policy. It is also of interest to health service practitioners, health service researchers and health policy makers.