Abstract:
:The National Health Service (NHS) in England is not only a commissioner and provider of health care to the sick, but also offers certainty and peace of mind to all citizens--even those who do not use the health service in any year. However, due to the recent dominance of cost-effectiveness and cost-utility analysis as the central factors determining resource allocation decisions in the NHS, this second role--which we term its 'insurance value'--has increasingly become neglected. In this paper, we argue that this inattention is detrimental to the population at large. We explore some implications to the NHS of maximizing insurance value. These include requiring commissioners to take explicit account of how denial of service undermines peace of mind; requiring the National Institute for Health and Clinical Excellence (NICE) to calculate not just the health benefits, but also the peace of mind benefits of health technologies; and establishing a formal NHS 'insurance regulator' analogous to the Financial Ombudsman Service. Insurance value should be a guiding principle for NHS decision-makers.
journal_name
J Health Serv Res Policyjournal_title
Journal of health services research & policyauthors
Vaithianathan R,Lewis Gdoi
10.1258/jhsrp.2009.009024subject
Has Abstractpub_date
2010-07-01 00:00:00pages
171-3issue
3eissn
1355-8196issn
1758-1060pii
jhsrp.2009.009024journal_volume
15pub_type
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journal_title:Journal of health services research & policy
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journal_title:Journal of health services research & policy
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abstract:OBJECTIVES:To demonstrate the benefits of applying meta ethnography to the synthesis of qualitative research, by means of a worked example. METHODS:Four papers about lay meanings of medicines were arbitrarily chosen. Noblit and Hare's seven-step process for conducting a meta ethnography was employed: getting started; ...
journal_title:Journal of health services research & policy
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journal_title:Journal of health services research & policy
pub_type: 杂志文章
doi:10.1258/jhsrp.2008.008085
更新日期:2009-04-01 00:00:00
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更新日期:2011-04-01 00:00:00
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journal_title:Journal of health services research & policy
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更新日期:2016-10-01 00:00:00
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doi:10.1177/1355819614533675
更新日期:2014-10-01 00:00:00
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更新日期:2011-04-01 00:00:00
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更新日期:2018-10-01 00:00:00
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更新日期:2017-01-01 00:00:00
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更新日期:2008-04-01 00:00:00
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