Using Health Economics in Health Services: Rationing Rationally? (State of Health) Pdf

Book Detail
Edition: 1
Release: 2002-09
Publisher: Open University Press
Binding: Hardcover
ISBN/ASIN: 033520984X
Format: hardcover, kindle, PDF, EPUB

Using Health Economics in Health Services pdf
Description

Using Health Economics in Health Services examines the impact of attempts to use 'rational' health economic analyses on local decision-making in the National Health Service. The book presents findings from an ethnographic study of one Health Authority and one Primary Care Group to present a rich picture of the processes and contexts of healthcare resource allocation at local level.

The conclusion 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.

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