Prioritizing and rationing in health care – actual trends in the USA

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SBU Assessment

Presents a comprehensive, systematic assessment of available scientific evidence for effects on health, social welfare or disability. Full assessments include economic, social and ethical impact analyses. Experts participate in the work. and the reports are reviewed by independent experts.

Published: Report no: 111 E

Purpose of Assessment

The Swedish Council on Technology Assessment in Health Care arranged a conference to look at prioritizing and rationing within the greater context of the changes and trends in the United States. The proceedings of the conference reflect the concerns, perspectives, trends, and experiences in the USA as health care moves ever closer to processes for systematically setting priorities and rationing services.

Methods

Paper presentations, Panel discussions

Content of Report

The content of the report is reflected in the main chapter headings:

  1. Trends in Health Services in the US
  2. Health Care Financing in the US
  3. The US Experience: Rationing by Gatekeeping
  4. Rationing and Cost-Effectiveness – Who Shall Live?
  5. Ethical Implications of Priority Setting in US Health Care
  6. Rationing Medical Care – The Role of Practice Guidelines
  7. Medical Care for the Elderly and the Children in the United States
  8. Comments: Comparing the United States and Sweden
  9. Panel Discussion: What can Sweden Learn From the United States.

How to cite this report: SBU. Prioritizing and rationing in health care – actual trends in the USA. Stockholm: Swedish Council on Health Technology Assessment in Health Care (SBU); 1991. SBU report no 111E.

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