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Preferences Over Equity In The Allocation Of Health Care Resources


Preferences Over Equity In The Allocation Of Health Care Resources
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Preferences Over Equity In The Allocation Of Health Care Resources


Preferences Over Equity In The Allocation Of Health Care Resources
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Author : Jeremiah Hurley
language : en
Publisher:
Release Date : 2010

Preferences Over Equity In The Allocation Of Health Care Resources written by Jeremiah Hurley and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010 with categories.


The equitable allocation of health care resources is a central goal in many health systems. Scholars from economics, political science, philosophy, ethics and other areas have offered many alternative conceptions of an equitable, or just, allocation of health care resources. In their seminal work, Yaari and Bar-Hillel (1984) were among the first to investigate people's preferences over alternative equity notions when allocating a fixed supply of resources. Our work builds on this tradition of using stated preference experiments to elicit individual preferences for equitable allocations of resources. We elicit preferences for the equitable allocation of two types of goods, a non-heatlh care good (apples) that can produce health effects and a health care good (pain relief pills). For a specific allocation problem we examine preferences over the following allocation principles: utilitarianism, maximin, relative need, equal split. Our study extends the existing literature in the following ways. It compares preferences under three information sets: (1) only information defining each principle; (2) only information on the quantitative allocations associated with each principle (but no information on which principle each allocation is associated with); (3) information on both the principles and the associated allocations. We compare preferences for the allocation of a non-health care health-affecting good and heatlh care. We include a qualitative component that explores the reasoning individuals used in selecting their referred equity principle. The survey was conducted in Hamilton, ON and includes both a university-based sample of students and staff as well as a community-based sample drawn from the city of Hamilton. We find that the most commonly selected principle is allocation according to relative need, but that the distribution of choices differs importantly depending on the information set available; we do not find statistical differences between the non-health care and health care goods; the qualitative component revealed that particpants generally understood the exercise and could articulate clear reasons for their choices, but that the underlying reasoing processes differed even among those making identical choices.



The Economics Of Resource Allocation In Health Care


The Economics Of Resource Allocation In Health Care
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Author : Andrea Klonschinski
language : en
Publisher: Routledge
Release Date : 2016-03-31

The Economics Of Resource Allocation In Health Care written by Andrea Klonschinski and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-03-31 with Business & Economics categories.


The question of how to allocate scarce medical resources has become an important public policy issue in recent decades. Cost-utility analysis is the most commonly used method for determining the allocation of these resources, but this book counters the argument that overcoming its inherent imbalances is simply a question of implementing methodological changes. The Economics of Resource Allocation in Health Care represents the first comprehensive analysis of equity weighting in health care resource allocation that offers a fundamental critique of its basic framework. It offers a critique of health economics, putting the discourse on economic evaluation into its broader socio-political context. Such an approach broadens the debate on fairness in health economics and ties it in with deeper-rooted problems in moral philosophy. Ultimately, this interdisciplinary study calls for the adoption of a fundamentally different paradigm to address the distribution of scarce medical resources. This book will be of interest to policy makers, health care professionals, and post-graduate students looking to broaden their understanding of the economics of the health care system.



Development Of A Questionnaire To Elicit Public Preferences Regarding Health Inequalities


Development Of A Questionnaire To Elicit Public Preferences Regarding Health Inequalities
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Author :
language : en
Publisher:
Release Date : 2001

Development Of A Questionnaire To Elicit Public Preferences Regarding Health Inequalities written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2001 with Social surveys categories.




Communities In Action


Communities In Action
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Author : National Academies of Sciences, Engineering, and Medicine
language : en
Publisher: National Academies Press
Release Date : 2017-04-27

Communities In Action written by National Academies of Sciences, Engineering, and Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-04-27 with Medical categories.


In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.



Strategic Costs And Preferences Revelation In The Allocation Of Resources For Medical Treatments


Strategic Costs And Preferences Revelation In The Allocation Of Resources For Medical Treatments
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Author : Laura Levaggi
language : en
Publisher:
Release Date : 2005

Strategic Costs And Preferences Revelation In The Allocation Of Resources For Medical Treatments written by Laura Levaggi and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2005 with categories.


This article examines the resource allocation process in the internal market for health care and argue that the observed allocation is the result of the maximisation procedure of different agents, whose behaviour might not be fully detected by the system and whose preferences might not even enter the decision tree. Internal markets for health care foresee a separation between the purchaser and the provider which generates asymmetry of information. In this paper we analyse the strategic behaviour of the provider that by misrepresenting its cost and reservation utility might shift the allocation of resources away from the purchaser's objectives. Although the fundamental importance of equity an efficiency considerations that has been the traditional focus of the literature on the allocation of resources does not want to be denied, this paper shows that the organisation of production is not a neutral instrument and more research should be devoted to studying these effects.



Interdisciplinary Perspectives On Fairness Equity And Justice


Interdisciplinary Perspectives On Fairness Equity And Justice
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Author : Meng Li
language : en
Publisher: Springer
Release Date : 2017-09-18

Interdisciplinary Perspectives On Fairness Equity And Justice written by Meng Li and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-09-18 with Psychology categories.


This volume brings together cutting-edge research from emerging and senior scholars alike representing a variety of disciplines that bears on human preferences for fairness, equity and justice. Despite predictions derived from evolutionary and economic theories that individuals will behave in the service of maximizing their own utility and survival, humans not only behave cooperatively, but in many instances, truly altruistically, giving to unrelated others at a cost to themselves. Humans also seem preoccupied like no other species with issues of fairness, equity and justice. But what exactly is fair and how are norms of fairness maintained? How should we decide, and how do we decide, between equity and efficiency? How does the idea of fairness translate across cultures? What is the relationship between human evolution and the development of morality? The collected chapters shed light on these questions and more to advance our understanding of these uniquely human concerns. Structured on an increasing scale, this volume begins by exploring issues of fairness, equity, and justice in a micro scale, such as the neural basis of fairness, and then progresses by considering these issues in individual, family, and finally cultural and societal arenas. Importantly, contributors are drawn from fields as diverse as anthropology, neuroscience, behavioral economics, bioethics, and psychology. Thus, the chapters provide added value and insights when read collectively, with the ultimate goal of enhancing the distinct disciplines as they investigate similar research questions about prosociality. In addition, particular attention is given to experimental research approaches and policy implications for some of society's most pressing issues, such as allocation of scarce medical resources and moral development of children. Thought-provoking and informative, Interdisciplinary Perspectives on Fairness, Equity, and Justice is a valuable read for public policy makers, anthropologists, ethicists, psychologists, neuroscientists, and all those interested in these questions about the essence of human nature.



Rationing And Resource Allocation In Healthcare


Rationing And Resource Allocation In Healthcare
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Author : Ezekiel Emanuel
language : en
Publisher: Oxford University Press
Release Date : 2018

Rationing And Resource Allocation In Healthcare written by Ezekiel Emanuel and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018 with Medical categories.


Budgets of governments and private insurances are limited. Not all drugs and services that appear beneficial to patients or physicians can be covered. Is there a core set of benefits that everyone should be entitled to? If so, how should this set be determined? Are fair decisions just impossible, if we know from the outset than not all needs can be met? While early work in bioethics has focused on clinical issues and a narrow set of principles, in recent years there has been a marked shift towards addressing broader population-level issues, requiring consideration of more demanding theories in philosophy, political science, and economics. At the heart of bioethics' new orientation is the goal of clarity on a complex set of questions in rationing and resource allocation. Rationing and Resource Allocation in Healthcare: Essential Readings provides key excerpts from seminal and pertinent texts and case studies about these topics, contextualized by original introductions. The volume is divided into three broad sections: Conceptual Distinctions and Ethical Theory; Rationing; and Resource Allocation. Containing the most important and classic articles surrounding the theoretical and practical issues related to rationing and how to allocate scare medical resources, this collection aims to assist and inform those who wish to be a part of bioethics' 21st century shift including practitioners and policy-makers, and students and scholars in the health sciences, philosophy, law, and medical ethics.



The Future Of Nursing 2020 2030


The Future Of Nursing 2020 2030
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Author : National Academies of Sciences Engineering and Medicine
language : en
Publisher:
Release Date : 2021-09-30

The Future Of Nursing 2020 2030 written by National Academies of Sciences Engineering and Medicine and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-09-30 with categories.


The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.



Handbook Of Healthcare Analytics


Handbook Of Healthcare Analytics
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Author : Tinglong Dai
language : en
Publisher: John Wiley & Sons
Release Date : 2018-07-30

Handbook Of Healthcare Analytics written by Tinglong Dai and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-07-30 with Business & Economics categories.


How can analytics scholars and healthcare professionals access the most exciting and important healthcare topics and tools for the 21st century? Editors Tinglong Dai and Sridhar Tayur, aided by a team of internationally acclaimed experts, have curated this timely volume to help newcomers and seasoned researchers alike to rapidly comprehend a diverse set of thrusts and tools in this rapidly growing cross-disciplinary field. The Handbook covers a wide range of macro-, meso- and micro-level thrusts—such as market design, competing interests, global health, personalized medicine, residential care and concierge medicine, among others—and structures what has been a highly fragmented research area into a coherent scientific discipline. The handbook also provides an easy-to-comprehend introduction to five essential research tools—Markov decision process, game theory and information economics, queueing games, econometric methods, and data science—by illustrating their uses and applicability on examples from diverse healthcare settings, thus connecting tools with thrusts. The primary audience of the Handbook includes analytics scholars interested in healthcare and healthcare practitioners interested in analytics. This Handbook: Instills analytics scholars with a way of thinking that incorporates behavioral, incentive, and policy considerations in various healthcare settings. This change in perspective—a shift in gaze away from narrow, local and one-off operational improvement efforts that do not replicate, scale or remain sustainable—can lead to new knowledge and innovative solutions that healthcare has been seeking so desperately. Facilitates collaboration between healthcare experts and analytics scholar to frame and tackle their pressing concerns through appropriate modern mathematical tools designed for this very purpose. The handbook is designed to be accessible to the independent reader, and it may be used in a variety of settings, from a short lecture series on specific topics to a semester-long course.



Oxford Textbook Of Global Public Health


Oxford Textbook Of Global Public Health
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Author : Roger Detels
language : en
Publisher: Oxford University Press
Release Date : 2017

Oxford Textbook Of Global Public Health written by Roger Detels and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with Medical categories.


Sixth edition of the hugely successful, internationally recognised textbook on global public health and epidemiology, with 3 volumes comprehensively covering the scope, methods, and practice of the discipline