Constructive Conversations about Health: Policy and Values

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Marshall Marinker
Radcliffe Publishing, 2006 - 243 pagine
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Current health policy is required to respond to a constantly changing social and political environment characterised, particularly in Europe, by ageing populations, increased migration, and growing inequalities in health and services. With health systems under increasing strain there is a sense that we need to seek new means of determining health policy. Much political debate focuses on managerial issues such as the levels of health funding and the setting and missing of targets. Meanwhile our moral imperatives, our values and principles, go relatively unexamined. What are these values? Can we agree their validity and salience? How do we manage the paradox of competing goods? Can we find new ways of talking about, and resolving, our conflicting values and competing priorities in order to create sound, appropriate, and just health policies for the 21st Century? Written by leading health policy makers and academics from many countries, Constructive Conversations about Health examines in depth the underlying values and principles of health policy, and posits a more enlightened public and political discourse. The book will be invaluable for those involved in health policy making and governance, politicians, healthcare managers, researchers, ethicists, health and social affairs media, health rights and patient participation groups. 'The literature on health policy is vast. On offer are models of health services, economic theory, management theory, disquisitions on ethical principles, social analyses, literally thousands of publications. In a globalised and electronically networked world, this literature has already generated its own particular language, a policy jargon replete with terms that look deceptively familiar, terms that will be much in evidence in what now follows, terms whose meanings require our closest attention.' - Marshall Marinker.
 

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Sommario

Health policy and the constructive conversationalist Marshall Marinker
1
The value of values Marc Danzon
27
Health and wellbeing Ilona Kickbusch
31
Equity and justice Jennifer Prah Ruger
47
Choice Giovanni Moro
54
Democracy Per Carlsson and Peter Garpenby
63
Stewardship Constantino T Sakellarides
75
Evidence Derek Yach
91
Ethical considerations in health systems Julio Frenk
167
Justice and the allocation of healthcare Suzanne Rameix and Isabelle DurandZaleski X S
177
1
182
Health values and the politician
185
17
197
31
209
The future
212
41
222

Efficiency David J Hunter
97
Synergy Morton Warner
120
Sustainability Mihály Kökény
129
Interdependence Graham Lister
139
Creativity Miquel Porta
155
51
224
91
231
139
234
177
240
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