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Health Policy Analysis: Chapters 10, 11 and 14

Health Policy Analysis: Chapters 10, 11 and 14. Nutchanart Bunthumporn Beth Faiman. Nutch’s slides start here . The Policy Process: Analysis of Values. Chapter 11 Concerned with the values of healthcare and healthcare professionals May or may not be considered in the political process.

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Health Policy Analysis: Chapters 10, 11 and 14

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  1. Health Policy Analysis: Chapters 10, 11 and 14 Nutchanart BunthumpornBeth Faiman

  2. Nutch’s slides start here 

  3. The Policy Process: Analysis of Values Chapter 11 Concerned with the values of healthcare and healthcare professionals May or may not be considered in the political process

  4. The Policy Process: Analysis of Values Fair access Priester (1992) suggested the US should give greatest emphasis to equity; defined as “adequate care” but “does not require access to all beneficial care” He felt that economic considerations have outweighed ethical ones

  5. The Policy Process: Analysis of Values Efficiency If lack of resources leads to “overlooked” individuals- this is key “Waste not, Want not” …. not always One person’s waste is another’s enhanced income Porter and Teisberg argued against “Zero- sum” All will get more collectively if waste is minimized

  6. The Policy Process: Analysis of Values Patient Privacy and Confidentiality Technology and patient record safety Informed Consent Do the CFR place a constraint on provider autonomy? Personal Responsibility Patient lifestyle leads to higher costs Patients should take responsibility for their behavior

  7. The Policy Process: Analysis of Values Malpractice Reform Should state and federal states “cap” the size of awards when they are excessive? Professional Ethics Consumer Sovereignty Cannon and Tanner (2005)- HC to all Richmond and Fein (2005)- equity

  8. The Policy Process: Analysis of Values Social Welfare Do interest groups represent the public? Values over economics; difficult in policy making Rationing Limiting care that is likely beneficial due to scarce resources Fair distributing of available resources Society determines decision-making, not corporations

  9. The Policy Process: Analysis of Values Process equity Outcome and process should be fair Influence on Society What are the long term effects of this emphasis of health? Direct-to-consumer advertising: $3-5B/ann Holy Fire (1996) Ethical Review conclusion

  10. Health Professional Leadership Health professionals must take an active role in leadership Perception of disinterestedness? Information Credibility Start locally Take Risks Governance

  11. Health Professional Leadership Planning alternatives HC is a field that will have high variability and should not be treated as science Communities: Manage not just individuals Enhance the professional’s role Train others, networking, practice leadership Conclusion

  12. Thank you!

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