Gavin Mooney - Böcker

This book mounts a critique of current health economics and provides a better way of looking at the economics of health and health care. It argues that health economics has been too dominated by the economics of health care and has largely ignored the impact of poverty, inequality, poor housing, and lack of education on health. It is suggested that some of the structural issues of economies, particularly the individualism of neo liberalism which is becoming more and more pervasive across the globe, need to be addressed in health economics. The author instead proposes a form of collective decision making through communitarianism, placing value on participation in public life and on institutions, such as health care. It is envisaged this form of decision making can be used at the local, national or global levels. For the last, this would mean a major revamp of global institutions like the World Bank and the IMF. Examples of the impact of the new paradigm on health policy in general but also more specifically on priority setting and equity are included.

A century ago, health services absorbed few resources and provided little benefit. Since then, advances in medical knowledge and techniques have escalated both the benefits and the costs. The affordability of health services is being questioned in even the richest countries, and the economic aspects of health policy have become ever more intrusive.Australia is no exception, with its health system now absorbing 19% of all government tax revenue. Familiarity with economic issues - such as how to assess health outcomes, how to assign resources efficiently and what financial arrangements will promote equity as well as efficiency - is essential to understanding health policy. This is especially so at a time when the economics of health care are being internationally re-examined, with new forms of competition, challenges to public ownership and case-mix funding of hospitals under scrutiny, and a re-evaluation of the benefits of pharmaceuticals and new technologies underway.Economics and Australian Health Policy offers this understanding to readers with and without formal economic training. It starts with an introduction to both the economic way of thinking about health systems, and the context in which those economic questions are raised - the structure of the Australian health system, its culture and its patterns of financial flows. It then describes and appraises from an economic perspective the major components of the system and the policy issues which arise.This collection has been specially commissioned to address both Australia's most pressing policy issues and the needs of public health and health economic policy-makers, academics, commentators and students. The list of contributors reads like a who's who in Australian health economics, who have been encouraged, clearly successfully, to write accessibly yet with authority and conviction.

Gives an understanding of the economic theory underlying health economics, supplemented with practical case study material to show how the theory has been applied.

Evidence-based medicine is defined as the conscientious explicit and judicious use of current best evidence in making decisions about the care of individual patients. This superb collection will take a critical view of this concept and examine the economic implications of its imposition.

Evidence based medicine is defined as the conscientious explicit and judicious use of current best evidence in making decisions about the care of individual patients. This superb collection takes a critical view of this concept and examines the economic implications of its imposition.

This work charts the progress of changing values in medical and healthcare decision-making, particularly as a result of economic pressures, and the role of clinical ethics in determining what courses of action and treatment medical and healthcare professionals should pursue. It evaluates the concepts involved in ethical decision-making, such as risk and need, and whose values are relevant to which decisions and looks at the changing emphasis of medicine and the relevance of value judgments in clinical decisions. This stimulating work incorporates a number of different perspectives, disciplines, cultures and nationalities to provide a multi-disciplinary, international approach. In addition to medical and economic issues, the book also discusses philosophical and legal aspects.

This book is about equity in health and health care. It explores why, despite being seen as an important goal, health equity has not made more progress within countries and globally, and what needs to change for there to be greater success in delivering fairness. An international team of eminent experts from primarily the field of health economics describe how equity in health and health care might develop over the next decade. They examine existing and past barriers to promoting equity, citing case examples, and covering issues including access to health services and inequalities between and within countries. The analyses are detailed, but the issues are approached in an accessible fashion, highlighting the factors of common international relevance. This book provides a manifesto for achieving health equity for the future. It will be essential reading for health and social policy makers, and health academics nationally and internationally.

Gives an understanding of the economic theory underlying health economics, supplemented with practical case study material to show how the theory has been applied.

Why, despite vast resources being expended on health and health care, is there still so much ill health and premature death? Why do massive inequalities in health, both within and between countries, remain? In this devastating critique, internationally renowned health economist Gavin Mooney places the responsibility for these problems firmly at the door of neoliberalism.Mooney analyses how power is exercised both in health-care systems and in society more generally. In doing so, it reveals how too many vested interests hinder efficient and equitable policies to promote healthy populations, while too little is done to address the social determinants of health. Instead, Mooney argues, health services and health policy more generally should be returned to the communities they serve.Taking in a broad range of international case studies - from the UK to the US, South Africa to Cuba - this provocative book places issues of power and politics in health care systems centre stage, making a compelling case for the need to re-evaluate how we approach health care globally.

Why, despite vast resources being expended on health and health care, is there still so much ill health and premature death? Why do massive inequalities in health, both within and between countries, remain? In this devastating critique, internationally renowned health economist Gavin Mooney places the responsibility for these problems firmly at the door of neoliberalism.Mooney analyses how power is exercised both in health-care systems and in society more generally. In doing so, it reveals how too many vested interests hinder efficient and equitable policies to promote healthy populations, while too little is done to address the social determinants of health. Instead, Mooney argues, health services and health policy more generally should be returned to the communities they serve.Taking in a broad range of international case studies - from the UK to the US, South Africa to Cuba - this provocative book places issues of power and politics in health care systems centre stage, making a compelling case for the need to re-evaluate how we approach health care globally.