Using Health Economics in Health Services

By: Ruth McDonald, Lynn McDonald

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Paperback | 1 July 2002 | Edition Number 1

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210 Pages

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21.59 x 13.97 x 1.12

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This title examines the impact of attempts to use "rational" health economic analyses on local decision-making in the National Health Service. It presents findings from an ethnographic study of one Health Authority and one Primary Care Group to present a picture of the processes and contexts of healthcare resource allocation at local level. co nclusion of the book is that it is extremely difficult to use "rational" solutions to resource allocation dilemmas at local level in the modern state. The adoption by local decision-makers of what appear to be non-rational coping strategies is essential to the maintenance of service delivery in the context of resource scarcity. Paradoxically, attempts to impose "rational" decision-making threaten to undermine the precarious stability of the very systems they seek to improve. In this sense, the pursuit of rationality may itself be an irrational act. This book is accessible to general readers as well as specialists in the field. It has been designed for use by students of health economics, health policy, public administration and health services management and will be of interest to practitioners and researchers in these fields.

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List of tables	p. viii
Series editor's introduction	p. ix
List of abbreviations	p. xi
Acknowledgements	p. xiii
Introduction and methods	p. 1
Rational decision-making and health economies	p. 8
The HA context: an overview	p. 41
Case study I: a cost-effectiveness analysis of cholesterol-lowering drugs	p. 77
Case study II: system-wide modelling of CHD services in Poppleton HA	p. 94
Case study III: statins, heart failure and chest pain in Baxby	p. 122
Towards understanding	p. 152
References	p. 170
Index	p. 179
Table of Contents provided by Syndetics. All Rights Reserved.

Using Health Economics in Health Services

At a Glance

Paperback

Shipping

How to return your order

Defective items

You Can Find This Book In

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