Health Care Coverage Determinations: An International Comparative Study

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McGraw-Hill International, Dec 1, 2004 - Medical - 277 pages
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"A ground breaking set of case studies about how [health care] coverage decisions are made"
Robert A. Berenson M.D. Senior Fellow at the Urban Institute, Washington D.C. and former Director of the Center for Health Plans and Providers of the Medicare program

Developed countries are facing rapidly rising health care costs and one of the major factors driving health care cost growth is the continual development and diffusion of new, generally more expensive, health care technologies.

This book contains:
* A description of the institutions, procedures and criteria used by eight countries for assessing technologies for public insurance coverage
* An analysis of the role of interest groups, and of the public interest, in these decision making processes
* An examination of how particular technologies are treated differently by different countries, and why

Based upon research from Australia, Canada, Germany, The Netherlands, Spain, Switzerland, the United States of America and the United Kingdom, the contributors argue that although each of these countries is committed to evidence-based scientific assessment of technologies, in fact adoption of technologies is significantly affected by political considerations, and in particular by the influence of interest groups. Moreover, it offers recommendations as to how technology assessment for coverage policy can be improved to serve better the public interest.

Health Care Coverage Determinations is essential reading for health policy makers, managers, researchers and students with an interest in health economics, health care provision and the politics affecting health care legislation.

Contributors: Liliana Bulfone, Tanisha Carino, Peter C. Coyte, Anna García-Altés, Colleen M. Flood, Stefan Greß, Felix Gurtner, Anthony Harris, Timothy Stoltzfus Jost, Eric Nauenberg, Christopher Newdick, Dea Niebuhr, Guillaume Roduit, Heinz Rothgang, Frans F.H. Rutten, Dominique Sprumont, Juergen Wasem.

  

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Contents

Chapter 01
1
Chapter 02
25
Chapter 03
57
Chapter 04
88
Chapter 05
115
Chapter 06
132
Chapter 07
158
Chapter 08
180
Chapter 09
207
Chapter 11
256
Index
267
Copyright

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