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This work provides a guide to how economics can be used to manage scarcity of resources in health services. It outlines the principles of economics in a non-technical manner, before going on to address the issues of how to apply the principles in day to day health services management.
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.
A clearly written and well structured textbook, providing an introduction to decision making and priority setting, this title brings together theories, practice and evidence from a wide range of disciplines.
World-leading health economist Cam Donaldson defends NHS-type systems on the same basis as their detractors: economic efficiency. However, protecting government funding of health care is not enough: scarcity has to be managed. Donaldson goes on to show how we can get more out of our systems by addressing issues of value for money. In particular, he demonstrates what has been achieved through health care reform but questions how much more this can deliver relative to getting serious about priority setting. The issues addressed in the book have global relevance and this accessible book will therefore appeal to the public, health professionals and health policy specialists.
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.
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.
Commissioning is now a key task for health and social care - and yet policy aspirations often outstrip the infrastructure needed to support commissioners as they take difficult decisions about future services and to make commissioning a career of choice for future leaders. While commissioning was important under New Labour, it seems set to be even more fundamental now as commissioners think about future services in an era of austerity. Against this background, this is the first comprehensive text on a key area of management practice , exploring what commissioning is, where it has come from and where it might be taking us. With a wide range of leading contributors from fields including health care, social care, local government , the book takes students, practitioners and managers through key stages of the commissioning cycle as well as addressing cross-cutting themes such as the economics of commissioning, user involvement and commissioning in an era of personalisation. It is essential reading for everyone involved in the planning and delivery of health and social care - for social policy students, health and social care practitioners, managers and policy makers alike.
Iteration rules product development, but it isn't enough to produce dramatic results. This book champions Radical Product Thinking, a systematic methodology for building visionary, game-changing products. In the last decade, we've learned to harness the power of iteration to innovate faster—we've invested in a fast car, but our ability to set a clear destination and navigate to it hasn't kept up. When we iterate without a clear vision or strategy, our products become bloated, fragmented, and driven by irrelevant metrics. They catch “product diseases” that often kill innovation. Radical Product Thinking (RPT) gives organizations a repeatable model for building world-changing products. The key? Being vision-driven instead of iteration-led. R. Dutt guides readers through the five elements of the methodology (vision, strategy, prioritization, execution and measurement, and culture) to develop a clear process for translating vision into reality, and turning RPT skills into muscle memory. This book offers refreshing solutions to the shortcomings of our current model for product development; be prepared to toss out everything you know about a good vision and learn how to measure progress to create revolutionary products. The best part? You don't have to be a natural-born visionary to produce extraordinary results.
Volume 4 considers the configuration of the broader healthcare eco-system. It examines the tight connection between sustainable healthcare, sustainable communities, and sustainable ecologies - and the organizational and inter-organizational approaches being applied to advance overall sustainability.
Cancer control is the term applied to the development of integrated population-based approaches to reduce the incidence and mortality from cancer and to minimize its impact on affected individuals and on the community. It covers a spectrum of prevention, early diagnosis, optimal treatment, and supportive and palliative care. It emphasizes the application of new knowledge gained through research to achieve current best practice. Cancer control has become a political priority in many countries in recent years, with the evolution of both national and regional cancer control strategic plans. The integrated nature of cancer control, involving a wide spectrum of health care professionals, researchers, and health managers and planners, is reflected in this multi-disciplinary text, which is the first in this rapidly developing field.