000			01614naa a2200181uu 4500
001			0041612172837
003			OSt
005			20190211171025.0
008			100416s2009 xx ||||gr |0|| 0 eng d
100	1		_aLANDWEHR, Claudia _939521
245	1	0	_aDeciding how to decide : _bthe case of health care rationing
260			_aMalden : _bWiley-Blackwell, _cSeptember 2009
520	3		_aOne 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	0	8	_tPublic Administration: An International Quarterly _g87, 3, p. 586-603 _dMalden : Wiley-Blackwell, September 2009 _xISSN 00333298 _w
942			_cS
998			_a20100416 _b1217^b _cDaiane
998			_a20100420 _b1557^b _cCarolina
999			_aConvertido do Formato PHL _bPHL2MARC21 1.1 _c32425 _d32425
041			_aeng