...) feasible alternatives, including, but not limited to, comfort care, hospice care and pain control. (Reprinted in Humphry and Clement 1998: 349–356)13 According to legal scholars, a competent decision of this magnitude should rest on the notion of decisional capacity as discussed earlier (Ap...

...-scale health reform efforts continue to fail in the American political landscape. This article presents a normative theory for analyzing federal health policy decision making in the United States. This theory states that values and norms, particularly their level of generality, and the social agreement...

... to this policy issue. This article uses experience from Washington State’s Basic Health Plan to examine the enrollment choices of low-income families in a state-subsidized voluntary insurance plan offered through managed care organizations. We hypothesize that the decision to enroll, which encompasses...

.... In this article I focus on an alternative: Who shall decide how to ration health care, and how shall this be done to respect autonomy, pluralism, liberalism, and fairness? I explore three processes for making rationing decisions: cost-utility analysis, informed democratic decision making, and applications...

... context, formal citizen participation in decision making might be incompatible with social rights and present an incongruous and antagonistic pairing of executive and popular sources of authority. Copyright © 1999 by Duke University Press 1999 References Bartholomew , Amy . 1993...

...Barnett R. Parker; Karen Johnson Lassner The delivery of primary health care (PHC) services is now recognized as a crucial element in the development of low-income regions. Effective delivery of these services requires the ability to solve a variety of policy decision problems. Research has...

...Cathy Charles; Suzanne DeMaio Lay participation in health care decision making has attracted increasing interest in Canada, with numerous provincial government reports advocating this initiative. Interest stems from a number of factors. Among them is a growing recognition that patient preferences...

...Barnett R. Parker Policy problems in the health and public sectors are quickly assuming a new level of complexity. Thus, the health/public sector analyst is being confronted with the task of identifying, formulating, evaluating, and making choices among larger and more complicated sets of decision...

...Martin A. Strosberg Copyright © 1979 by the Dept. of Health Administration, Duke University 1979 Richard E. Neustadt and Harvey E. Fineberg. The Swine Flu Affair: Decision-Making on a Slippery Disease Book Reviews The Swine Flu Affair:Decision-Making on a Slippery Disease...

... information to improve program decisions. Copyright © 1980 by the Dept. of Health Administration, Duke University 1980 Research Note Decision Making Strategy Utilizing Priority Setting and Program Data Patricia Haeuser, The University of Wisconsin-Milwaukee...

...James A. Morone Drew Altman, Richard Greene, and Harvey Sapolsky, Health Planning and Regulation: The Decision Making Process (Ann Arbor: Health Administration Press, 1981), 246 pp., $22.50 paperback Copyright © 1982 by the Department of Health Administration, Duke University Press 1982...

... of public health for economic benefits, this policy approach fails to correspond to moral values and legal precedents respecting individual autonomy. This paper proposes an alternative policy approach, one which requires such regulatory decisions to be justified on grounds of social necessity. Copyright ©...

... Administration, Duke University 1977 Research Note Health Services Research for Decision-Makers: The Use of The Delphi Technique to Determine Health Priorities Ira Moscovice, Patricia Armstrong, Stephen Shortell, and Roger Bennett, University of washington...

... the devolution of decision-making authority upon consumers and their agents that is occurring today and that seems likely to continue as competitive forces become stronger and opportunities for meaningful consumer choice increase. What we are witnessing is the simultaneous deprofessionalization...

...Joshua Parsons Cohen; Elly Stolk; Maartje Niezen There are three known criteria that underlie drug reimbursement decisions: therapeutic value, cost-effectiveness, and burden of disease. However, evidence from recent reimbursement decisions in several jurisdictions points to residual, unexplained...

... patient and physician autonomy in decision making, setting health care boundaries, and the tensions among competing social values. Generally, participants resisted interference with the patient-physician relationship and believed strongly in the freedom of patient and physician to control individual...

...Timothy Stoltzfus Jost Mark A. Hall. Making Medical Spending Decisions: The Law, Ethics, and Economics of Rationing Mechanisms. New York: Oxford University Press, 1997. 300 pp. $35.00 cloth. Copyright © 1998 by Duke University Press 1998...

... the relationship and optimize the decision-making process. The consolation for patients in the loss of decisional control and bureaucratic impersonality, Schneider argues, is a formalization of patient rights and administrative due process. Ironically, however, “rights exac...

... Agenda on Health Care to Making Decisions in Congress Frank R. Baumgartner Jeffery C. Talbert Texas A&M University President Clinton will forever receive...