Includes bibliographical references (pages 175-182) and index.
CONTENTS NOTE
Text of Note
Our lives in whose hands? -- Justice, scarcity, and public accountability for limits -- The legitimacy problem and fair process -- Accountability for reasonableness -- Managing last-chance therapies -- Lung volume reduction surgery: a case study -- Making pharmacy benefits accountable for reasonableness -- Indirect limit setting: accountability for physician incentives -- Accountability for reasonableness in action: public sector mental health contracting -- An international learning curve -- Learning to share medical resources.
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SUMMARY OR ABSTRACT
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"The central idea for this book is that we lack consensus on principles for allocating resources and in the absence of such a consensus we must rely on a fair decision-making process for setting limits on health care. The authors characterize key elements of this process in a variety of health care contexts where such decisions are made - decisions about insurance coverage for new technologies, pharmacy benefit management, the design of physician incentives, contracting for mental health care by public agencies, etc. - and they connect the problem in the U.S. with the same problem in other countries. They provide a cogent analysis of the current situation, lucidly review the usual candidate solutions, and describe their own approach, which represents a clear advance in thinking. Their intended audience is international since the problem of limits cuts across types of health care systems whether or not they have universal coverage."--BOOK JACKET.