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The American health care industry has undergone such dizzying transformations since the 1960's that many patients have lost confidence in a system they find too impersonal and ineffectual. Is their distrust justified and can confidence be restored? David Dranove, a leading health care economist, tackles these and other key questions in the first major economic and historical investigation of the field. Focusing on the doctor-patient relationship, he begins with the era of the independently practicing physician--epitomized by Marcus Welby, the beloved father figure/doctor in the 1960's television show of the same name--who disappeared with the growth of managed care. Dranove guides consumers in understanding the rapid developments of the health care industry and offers timely policy recommendations for reforming managed care as well as advice for patients making health care decisions. The book covers everything from start-up troubles with the first managed care organizations to attempts at government regulation to the mergers and quality control issues facing MCO's today. It also reflects on how difficult it is for patients to shop for medical care. Up until the 1970's, patients looked to autonomous physicians for recommendations on procedures and hospitals--a process that relied more on the patient's trust of the physician than on facts, and resulted in skyrocketing medical costs. Newly emerging MCO's have tried to solve the shopping problem by tracking the performance of care providers while obtaining discounts for their clients. Many observers accuse MCO's of caring more about cost than quality, and argue for government regulation. Dranove, however, believes that market forces can eventually achieve quality care and cost control. But first, MCO's must improve their ways of measuring provider performance, medical records must be made more complete and accessible (a task that need not compromise patient confidentiality), and patients must be willing to seek and act on information about the best care available. Dranove argues that patients can regain confidence in the medical system, and even come to trust MCO's, but they will need to rely on both their individual doctors and their own consumer awareness.
Delivery of Health Care -- economics -- United States. --- Delivery of Health Care -- trends -- United States. --- Managed care plans (Medical care) -- Economic aspects -- United States. --- Managed Care Programs -- economics -- United States. --- Managed Care Programs -- trends -- United States. --- Medical economics -- United States. --- Public health -- Economic aspects -- United States.
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The Science and Business of Drug Discovery is written for those who want to learn about the biopharmaceutical industry and its products whatever their level of technical knowledge. Its aim is to demystify the jargon used in drug development, but in a way that avoids over simplification and the resulting loss of key information. Each of the nineteen chapters is illustrated with figures and tables which clarify some of the more technical points being made. Also included is a drug discovery case history which draws the relevant material together into a single chapter. In recognizing that it is difficult to navigate through the many external resources dealing with drug development, the book has been written to guide the reader towards the most appropriate information sources, including those listed in the two appendices. The following topics are covered: Different types of drugs: from small molecules to stem cells Background to chemistry of small and large molecules Historical background to drug discovery, pharmacology and biotechnology The drug discovery pipeline: from target discovery to marketed medicine Commercial aspects of drug discovery Challenges to the biopharmaceutical industry and its responses Material of specific interest to technology transfer executives, recruiters and pharmaceutical translators About the Author Dr. Edward D. Zanders has over twenty years’ experience as a scientist and research manager in both a major pharmaceutical company and in smaller biotechnology organizations. He has been responsible for a number of drug discovery programs for diseases such as asthma and rheumatoid arthritis and has been involved in research management at a senior level. He has also published extensively on subjects ranging from biochemistry and immunology to computer-aided drug design; more recently he has written about the application of online networking to drug discovery. In 2004 he founded PharmaGuide Ltd, a training and consultancy company that delivers courses on the drug discovery industry to various professional groups including technology transfer executives, recruiters and technical translators. It is through delivering these courses that he has been able to develop his own way of conveying complex information about drug discovery to non scientists, while at the same time being able to communicate with PhD level scientists at their level of expertise.
Health Care Sector. --- Medical care -- Economic aspects. --- Regenerative medicine -- Economic aspects. --- Regenerative Medicine. --- Tissue engineering -- Economic aspects. --- Drug development --- Pharmaceutical industry --- Investigative Techniques --- Chemistry, Pharmaceutical --- Pharmacology --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Chemistry --- Natural Science Disciplines --- Biological Science Disciplines --- Disciplines and Occupations --- Drug Discovery --- Health & Biological Sciences --- Business & Economics --- Pharmacy, Therapeutics, & Pharmacology --- Industries --- Drug industry --- Drug trade --- Development of drugs --- Drugs --- New drug development --- Development --- Medicine. --- Pharmacology. --- Biomedicine. --- Pharmacology/Toxicology. --- Biomedicine general. --- Medicine industry --- Medicines industry --- Prescription medicine industry --- Chemical industry --- Pharmacy --- Toxicology. --- Clinical sciences --- Medical profession --- Human biology --- Life sciences --- Medical sciences --- Pathology --- Physicians --- Chemicals --- Medicine --- Poisoning --- Poisons --- Toxicology --- Health Workforce --- Biomedicine, general. --- Drug effects --- Medical pharmacology --- Chemotherapy --- Physiological effect
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A major problem in health economics is how to give a value to changes in health. This is the first book to examine all the money measures that are used in such evaluations. Changes in health might be caused by medical treatments, by public safety programmes and by anti-pollution programmes, and the cost-benefit analysis of such programmes involves the use of money measures. The author defines the properties of these money measures, examining them in both a certain and a risky world. He evaluates available empirical approaches for the assessment of the value of health changes, and considers measures such as quality-adjusted life years (qalys) and healthy-years equivalents (hyes). This book raises the important question of whether we are willing to pay the costs for our health care system. It will be of interest to advanced students of health economics and related disciplines, and will also be useful for professionals working on projects that affect human health.
Medical economics. --- Medical care --- Cost effectiveness. --- Economics [Medical ] --- Economie médicale --- Geneeskunde--Economische aspecten --- Gezondheid--Economische aspecten --- Gezondheidseconomie --- Gezondheidszorg--Economische aspecten --- Health economics --- Health--Economic aspects --- Hygiene--Economic aspects --- Hygiène--Aspects économiques --- Hygiëne--Economische aspecten --- Medical care--Economic aspects --- Medical economics --- Medicine--Economic aspects --- Médecine--Aspects économiques --- Santé--Aspects économiques --- Soins médicaux--Aspects économiques --- 351.77 --- -Medical economics --- Economics, Medical --- Health --- Hygiene --- Medicine --- Delivery of health care --- Delivery of medical care --- Health care --- Health care delivery --- Health services --- Healthcare --- Medical and health care industry --- Medical services --- Personal health services --- Public health --- 351.77 Openbare gezondheidszorg.--zie ook {?614.1/7} en {628}. --- Openbare gezondheidszorg.--zie ook {?614.1/7} en {628}. --- Cost effectiveness --- Economic aspects --- Soins médicaux --- Economie de la santé --- Coût-efficacité --- Openbare gezondheidszorg.--zie ook {?614.1/7} en {628} --- Medical care - Cost effectiveness. --- Health Care Economics and Organizations. --- Business, Economy and Management --- Economics --- Health Care Economics and Organizations --- economics.
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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.
Bewijsgebaseerde geneeskunde --- EBM (Medicine) --- Economics [Medical ] --- Economie médicale --- Etat et médicine --- Evidence-based healthcare --- Evidence-based medicine --- Evidenzbasierte Medizin --- Geneeskunde en staat --- Geneeskunde op basis van bewijs --- Geneeskunde--Economische aspecten --- Geneeskunde--Overheidsbeleid --- Geneeskunde--Regeringspolitiek --- Gezondheid--Economische aspecten --- Gezondheidsbeleid --- Gezondheidseconomie --- Gezondheidszorg--Economische aspecten --- Gezondheidszorg--Overheidsbeleid --- Gezondheidszorg--Regeringspolitiek --- Health economics --- Health policy --- Health--Economic aspects --- Hygiene--Economic aspects --- Hygiène--Aspects économiques --- Hygiëne--Economische aspecten --- Medical care--Economic aspects --- Medical care--Government policy --- Medical economics --- Medical policy --- Medicina basada en la evidencia --- Medicina basata su prove di efficacia --- Medicine and state --- Medicine--Economic aspects --- Médecine basée sur des preuves --- Médecine basée sur la preuve --- Médecine basée sur le niveau de preuve --- Médecine basée sur les preuves --- Médecine factuelle --- Médecine fondée sur des preuves --- Médecine fondée sur les données probantes --- Médecine fondée sur les faits --- Médecine--Aspects économiques --- Médecine--Politique gouvernementale --- Médicine et état --- Policy [Medical ] --- Politique de santé --- Politique médicale --- Politique sanitaire --- Protection sanitaire --- Public health--Government policy --- Santé [Politique de ] --- Santé publique--Politique gouvernementale --- Santé--Aspects économiques --- Soins médicaux--Aspects économiques --- Soins médicaux--Politique gouvernementale --- Staat en geneeskunde --- State and medicine --- Medical policy. --- Medical economics. --- Evidence-based medicine. --- Economics, Medical --- Health --- Hygiene --- Medical care --- Medicine --- Health care policy --- Policy, Medical --- Public health --- Public health policy --- Economic aspects --- Government policy --- Science and state --- Social policy --- Clinical medicine --- Systematic reviews (Medical research) --- Decision making --- Health planning --- Methods --- Health care rationing
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