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About this product
Product Identifiers
PublisherOxford University Press, Incorporated
ISBN-10019514936X
ISBN-139780195149364
eBay Product ID (ePID)21038295979
Product Key Features
Number of Pages208 Pages
LanguageEnglish
Publication NameSetting Limits Fairly : Can We Learn to Share Medical Resources?
SubjectEthics, Health Care Issues, General
Publication Year2002
TypeTextbook
AuthorNorman Daniels, James Sabin
Subject AreaHealth & Fitness, Medical
FormatHardcover
Dimensions
Item Height0.8 in
Item Weight16.3 Oz
Item Length9.4 in
Item Width6.5 in
Additional Product Features
Intended AudienceScholarly & Professional
LCCN2001-047458
Reviews"In the next decade, every country will face very hard choices about how to allocate scarce medical resources. There is no consensus about what substative principles should be used to establish priorities for allocations. Instead, we will need fair procedures. Debate will focus on whatthose procedures should be. Daniels and Sabin's accountability for reasonableness and illuminating case studies will be invaluable in furthering that debate."--the New England Journal of Medicine, Ezekiel J. Emanuel, M.D., Ph.D., "...offers a detailed procedural approach to limit setting where primarily the question of legitimacy is settled."--Nursing Ethics, "In the next decade, every country will face very hard choices about how to allocate scarce medical resources. There is no consensus about what substative principles should be used to establish priorities for allocations. Instead, we will need fair procedures. Debate will focus on what those procedures should be. Daniels and Sabin's accountability for reasonableness and illuminating case studies will be invaluable in furthering that debate."--the NewEngland Journal of Medicine, Ezekiel J. Emanuel, M.D., Ph.D."...keeps the reader engaged and helps the understanding of the criteria."--Doody's"...offers a detailed procedural approach to limit setting where primarily the question of legitimacy is settled."--Nursing Ethics, "...offers a detailed procedural approach to limit setting where primarilythe question of legitimacy is settled."--Nursing Ethics, "In the next decade, every country will face very hard choices about howto allocate scarce medical resources. There is no consensus about whatsubstative principles should be used to establish priorities for allocations.Instead, we will need fair procedures. Debate will focus on what thoseprocedures should be. Daniels and Sabin's accountability for reasonableness andilluminating case studies will be invaluble in furthering that debate."--the NewEngland Journal of Medicine, Ezekiel J. Emanuel, M.D., Ph.D.
Dewey Edition21
Dewey Decimal362.1/042
Table Of Content1. Our Lives in Whose Hands?2. Justice, Scarcity, and Public Accountability for Limits3. The Legitimacy Problem and Fair Process4. Accountability for Reasonableness5. Managing Last Chance Therapies6. Lung Volume Reduction Surgery: A Case Study7. Making Pharmacy Benefits Accountable for Reasonableness8. Indirect Limit Setting: Accountability for Physician Incentives9. Accountability for Reasonableness in Action: Public Sector Contracting for Mental Health Care10. An International Learning Curve11. Learning to Share Medical Resources
SynopsisThe 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., The central discussion in this book is that we lack consensus on the principles for allocating resources; in the absence of such a consensus we must rely on a fair decision-making process for setting limits on health care. The authors provide a convincing analysis of the current situation, reviewing the present situation and then go on to describe their own approach, which represents a clear advance in thinking. The problem of setting fair limits on medical resources is one that cuts across many types of health care systems. This book is therefore intended for an international audience.