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Deciding how to decide : (Record no. 32425)

000 -LEADER
fixed length control field 01614naa a2200181uu 4500
001 - CONTROL NUMBER
control field 0041612172837
003 - CONTROL NUMBER IDENTIFIER
control field OSt
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20190211171025.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 100416s2009 xx ||||gr |0|| 0 eng d
999 ## - SYSTEM CONTROL NUMBERS (KOHA)
Koha Dewey Subclass [OBSOLETE] PHL2MARC21 1.1
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title eng
100 1# - MAIN ENTRY--PERSONAL NAME
Personal name LANDWEHR, Claudia
9 (RLIN) 39521
245 10 - TITLE STATEMENT
Title Deciding how to decide :
Remainder of title the case of health care rationing
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Malden :
Name of publisher, distributor, etc. Wiley-Blackwell,
Date of publication, distribution, etc. September 2009
520 3# - SUMMARY, ETC.
Summary, etc. One of the challenges awaiting health care systems around the world is the containment of expenses in the face of exploding costs for new drugs and treatments. In most countries, the allocation of health care has not been politicized so far and the problem is still treated as a purely regulative one. However, there is increasing interest in the procedures used for priority-setting. The paper argues that while normative standards for their evaluation are desirable, more attention should be paid to institutional factors and their effects. I identify two demands on decision-making—discursiveness and coordinativeness—from which I derive four ideal-typical procedures. By way of international comparison, corresponding empirical cases are analysed. I conclude with considerations on whether efficient and publicly accepted decisions over the allocation of health care are possible and, if yes, by means of what type of procedures and in what forum(s) they can be taken.
773 08 - HOST ITEM ENTRY
Title Public Administration: An International Quarterly
Related parts 87, 3, p. 586-603
Place, publisher, and date of publication Malden : Wiley-Blackwell, September 2009
International Standard Serial Number ISSN 00333298
Record control number
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Periódico
998 ## - LOCAL CONTROL INFORMATION (RLIN)
-- 20100416
Operator's initials, OID (RLIN) 1217^b
Cataloger's initials, CIN (RLIN) Daiane
998 ## - LOCAL CONTROL INFORMATION (RLIN)
-- 20100420
Operator's initials, OID (RLIN) 1557^b
Cataloger's initials, CIN (RLIN) Carolina

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