Strategic Costs And Preferences Revelation In The Allocation Of Resources For Medical Treatments
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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.
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.
Improving Health Care Delivery Through Multi Objective Resource Allocation
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Author : Jacqueline A. Griffin
language : en
Publisher:
Release Date : 2012
Improving Health Care Delivery Through Multi Objective Resource Allocation written by Jacqueline A. Griffin and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012 with Health services administration categories.
This dissertation addresses resource allocation problems that occur in both public and private health care settings with the objective of characterizing the tradeoffs that occur when simultaneously incorporating multiple objectives and developing methods to address these tradeoffs. We examine three resource allocation problems (i) strategic allocation of financial resources and limited staffing capacity for the mobile delivery of health care within African countries, (ii) real-time allocation of hospital beds to internal patient requests, and (iii) development of patient redirection policies in response to limited bed availability in units within a system of hospitals. For each problem we define models, each with a different methodology, and utilize the models to develop allocation strategies that account for multiple competing objectives and examine the performance of the strategies with computational studies. In Chapter 2, we model African health care delivery systems utilizing a mixed-integer program (MIP) which accounts for financial and personnel constraints as well as infrastructure quality. We characterize tradeoffs in effectiveness, efficiency, and equity resulting from four allocation strategies with computational experiments representing the variety of spatial patterns that occur throughout the continent. The main contributions include (i) the development of a model that incorporates spatial and infrastructure characteristics and allows for a study of equity in the delivery of care, rather than access to care, and (ii) the characterization of tradeoffs in the three objectives under a variety of settings. In Chapter 3, we model the real-time assignment of bed requests to available beds as a queueing system and a Markov decision process (MDP). Through the development of bed assignment algorithms and simulation experiments, we illustrate the value of implementing strategic bed assignment practices which balance the bed management objectives of timeliness and appropriateness of assignments. The main contributions of this section include (i) the development of new bed assignment algorithms which use stochastic optimization techniques and outperform algorithms which mimic processes currently used in practice and (ii) the definition of a model and methods for the control of a large complex system that includes flexible units, multiple patient types, and type-dependent routing. In Chapter 4, we model the impact of a patient redirection policy in a hospital unit as a Markov chain. Assuming preferences for patient redirection are aligned with costs, we examine the impact of incremental changes to redirection policies on the probability of the unit being completely occupied, the long-run average utilization, and the long-run average cost of redirection. The main contributions of this chapter include (i) the introduction of a model of patient redirection with multiple patient thresholds and patient preference constraints and (ii) the definition of necessary conditions for an optimal patient redirection policy that minimizes the average cost of redirection.
The Behavioral And Social Sciences
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Author : National Research Council
language : en
Publisher: National Academies Press
Release Date : 1988-02-01
The Behavioral And Social Sciences written by National Research Council 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 1988-02-01 with Science categories.
This volume explores the scientific frontiers and leading edges of research across the fields of anthropology, economics, political science, psychology, sociology, history, business, education, geography, law, and psychiatry, as well as the newer, more specialized areas of artificial intelligence, child development, cognitive science, communications, demography, linguistics, and management and decision science. It includes recommendations concerning new resources, facilities, and programs that may be needed over the next several years to ensure rapid progress and provide a high level of returns to basic research.
The Social Transformation Of American Medicine
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Author : Paul Starr
language : en
Publisher: Hachette UK
Release Date : 2008-08-06
The Social Transformation Of American Medicine written by Paul Starr and has been published by Hachette UK this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-08-06 with Medical categories.
Considered the definitive history of the American healthcare system, The Social Transformation of American Medicine examines how the roles of doctors, hospitals, health plans, and government programs have evolved over the last two and a half centuries. How did the financially insecure medical profession of the nineteenth century become a most prosperous one in the twentieth century? Why was national health insurance blocked? And why are corporate institutions taking over our medical care system today? Beginning in 1760 and coming up to the present day, renowned sociologist Paul Starr traces the decline of professional sovereignty in medicine, the political struggles over healthcare, and the rise of a corporate system. Updated with a new preface and an epilogue analyzing developments since the early 1980s, this new edition of The Social Transformation of American Medicine is a must-read for anyone concerned about the future of our fraught healthcare system.
What S In What S Out
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Author : Amanda Glassman
language : en
Publisher: Brookings Institution Press
Release Date : 2017-10-10
What S In What S Out written by Amanda Glassman and has been published by Brookings Institution Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-10-10 with Medical categories.
Vaccinate children against deadly pneumococcal disease, or pay for cardiac patients to undergo lifesaving surgery? Cover the costs of dialysis for kidney patients, or channel the money toward preventing the conditions that lead to renal failure in the first place? Policymakers dealing with the realities of limited health care budgets face tough decisions like these regularly. And for many individuals, their personal health care choices are equally stark: paying for medical treatment could push them into poverty. Many low- and middle-income countries now aspire to universal health coverage, where governments ensure that all people have access to the quality health services they need without risk of impoverishment. But for universal health coverage to become reality, the health services offered must be consistent with the funds available—and this implies tough everyday choices for policymakers that could be the difference between life and death for those affected by any given condition or disease. The situation is particularly acute in low- and middle income countries where public spending on health is on the rise but still extremely low, and where demand for expanded services is growing rapidly. What’s In, What’s Out: Designing Benefits for Universal Health Coverage argues that the creation of an explicit health benefits plan—a defined list of services that are and are not available—is an essential element in creating a sustainable system of universal health coverage. With contributions from leading health economists and policy experts, the book considers the many dimensions of governance, institutions, methods, political economy, and ethics that are needed to decide what’s in and what’s out in a way that is fair, evidence-based, and sustainable over time.
The Ideas And Influence Of Alan Williams
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Author : Anne Mason
language : en
Publisher: Radcliffe Publishing
Release Date : 2008
The Ideas And Influence Of Alan Williams written by Anne Mason and has been published by Radcliffe Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008 with Health care rationing categories.
BE REASONABLE: DO IT MY WAY! The sign on Alan Williams' desk revealed his sense of humour, a man who invited and relished debate, but always recognising that intellectual pursuits were a means to a practical end. Perhaps best known for his work within cost-benefit analysis, Alan Williams was a man of principles who developed guiding values in healthcare economics that embraced and encouraged active intellectual engagement and progression. He was concerned with the philosophical and ethical issues that underpin decision making and his courageous intellectual battles bore new ideas and revised ideology. This compilation of papers and further discussions arising from the Alan Williams tribute conference provides an analysis of the evolution and current status of key concepts in the field. It is highly recommended for health economics professionals and students.
Radiology In Global Health
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Author : Daniel J. Mollura
language : en
Publisher: Springer
Release Date : 2014-07-02
Radiology In Global Health written by Daniel J. Mollura and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-07-02 with Medical categories.
The World Health Organization stated that approximately two-thirds of the world’s population lacks adequate access to medical imaging. The scarcity of imaging services in developing regions contributes to a widening disparity of health care and limits global public health programs that require imaging. Radiology is an important component of many global health programs, including those that address tuberculosis, AIDS-related disease, trauma, occupational and environmental exposures, breast cancer screening, and maternal-infant health care. There is a growing need for medical imaging in global health efforts and humanitarian outreach, particularly as an increasing number of academic, government, and non-governmental organizations expand delivery of health care to disadvantaged people worldwide. To systematically deploy clinical imaging services to low-resource settings requires contributions from a variety of disciplines such as clinical radiology, epidemiology, public health, finance, radiation physics, information technology, engineering, and others. This book will review critical concepts for those interested in managing, establishing, or participating in a medical imaging program for resource-limited environments and diverse cross-cultural contexts undergoing imaging technology adaptation.
Using Surveys To Value Public Goods
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Author : Robert Cameron Mitchell
language : en
Publisher: Resources for the Future
Release Date : 1989
Using Surveys To Value Public Goods written by Robert Cameron Mitchell and has been published by Resources for the Future this book supported file pdf, txt, epub, kindle and other format this book has been release on 1989 with Business & Economics categories.
Provides decision makers, policy analysts, and social scientists, with a detailed discussion of a new techniques for the valuation of goods not traded in prevate markets.
Assessing Genetic Risks
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 1994-01-01
Assessing Genetic Risks written by Institute of 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 1994-01-01 with Medical categories.
Raising hopes for disease treatment and prevention, but also the specter of discrimination and "designer genes," genetic testing is potentially one of the most socially explosive developments of our time. This book presents a current assessment of this rapidly evolving field, offering principles for actions and research and recommendations on key issues in genetic testing and screening. Advantages of early genetic knowledge are balanced with issues associated with such knowledge: availability of treatment, privacy and discrimination, personal decision-making, public health objectives, cost, and more. Among the important issues covered: Quality control in genetic testing. Appropriate roles for public agencies, private health practitioners, and laboratories. Value-neutral education and counseling for persons considering testing. Use of test results in insurance, employment, and other settings.