Policy Tools for Allocative Efficiency of Health Services.
Title:
Policy Tools for Allocative Efficiency of Health Services.
Author:
Liu, X.
ISBN:
9789240681125
Personal Author:
Physical Description:
1 online resource (166 pages)
Contents:
CONTENTS -- TABLES, FIGURES, BOXES -- FOREWORD -- ACKNOWLEDGEMENTS -- 1. HEALTH SERVICE POLICY AND EFFICIENCY -- Policy and the need for evidence -- Ideal resources allocation -- Allocative efficiency of health interventions -- Policy tools for improving allocative efficiency -- Organization of this study -- 2. HEALTH RESOURCES PLANNING -- Budgeting input for public provision -- Funding inputs for private provision -- Strengthening medical education -- Strengthening health facilities -- Grant incentives for medical professionals to work in underserved areas -- Funding the production of cost-effective products -- Managing capital and technology -- Certificate-of-Need -- Capital cap -- Capital moratorium -- Technology regulation -- 3. ECONOMIC INCENTIVES FOR PROVIDERS -- Fee-for-service -- Capitation -- Salary -- Daily payment -- Case payment -- Line budget -- Global budget -- Performance-related pay -- Rate setting -- Fee structuring -- Separating dispensing from prescribing -- Payer integration -- 4. ECONOMIC INCENTIVES FOR USERS -- User fees -- Cost sharing -- Total utilization -- Mix of interventions -- Cost containment -- Equity -- Health outcomes -- Summary -- 5. DEFINING BENEFIT PACKAGES -- Rationing -- Defining essential interventions -- Essential packages of services -- Essential drug lists -- 6. INFORMING PROVIDERS -- Medical practice guidelines -- Prescription formulary -- Utilization review -- 7. MANAGED CARE -- Definition and practice -- Evidence -- Utilization and cost -- Quality and health outcome -- Summary -- 8. SUMMARY OF POLICY TOOLS -- Tool summary -- Observations -- Combinations of policy tools -- Participating in medical decisions -- 9. TOWARDS A POLICY TOOLKIT -- Controlling intervention inputs -- Managing intervention provision -- Purchasing interventions -- Toolkit construction -- 10. RECOMMENDATIONS FOR POLICY AND RESEARCH.
Capacity strengthening -- Policy-oriented actions -- ANNEX: PRINCIPLES FOR TOOL DEVELOPMENT -- REFERENCE LIST -- INDEX -- A -- B -- C -- D -- E -- F -- G -- H -- I -- J -- L -- M -- N -- O -- P -- Q -- R -- S -- T -- U -- V -- W -- Y -- Z.
Abstract:
Health care should be provided efficiently, given the potential gains for patients and the population and the high cost of some kinds of care. Emphasizing the most cost-effective services can in principle attain the greatest health gains. Policies are implemented through tools available to policy makers, particularly those in government who can influence not only public expenditure and service delivery but also how private insurers and providers allocate resources among diseases and individuals. Example's of tools that nudge a health system toward greater value for money, while respecting fairness and the wishes of taxpayers, patients and health workers, include specifying coverage by insurance or public provision, promoting or limiting medical procedures, and methods of contracting for service delivery and paying providers. Policy Tools reviews an enormous research literature for evidence that particular policies can improve how efficiently health services are delivered, aiming not only at what policies to recommend but at what it takes to make them effective.
Local Note:
Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2017. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.
Genre:
Electronic Access:
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