Rationing and health care reform: Not a question of if, but when

Journal of the American College of Radiology

Volumn 8, Issue 12, 2011, Pages 830-837

  Kelly, Aine Marie ^a   Cronin, Paul ^a  

^a UNIVERSITY OF MICHIGAN HEALTH SYSTEM   (United States)

Author keywords

comparative effectiveness; cost containment; cost control; evidence based imaging; health care rationing; Health care reform; rationing

Indexed keywords

CLINICAL DECISION MAKING; COMPARATIVE EFFECTIVENESS; CONSUMER; COST EFFECTIVENESS ANALYSIS; EVIDENCE BASED MEDICINE; HEALTH CARE COST; HEALTH CARE ORGANIZATION; HEALTH CARE PLANNING; HEALTH CARE POLICY; HEALTH CARE SYSTEM; HEALTH INSURANCE; HEALTH SERVICE; HUMAN; KIDNEY TRANSPLANTATION; MEDICARE; REVIEW;

EID: 84928096525     PISSN: 15461440     EISSN: 1558349X     Source Type: Journal    
DOI: 10.1016/j.jacr.2011.02.022     Document Type: Review

References (36)

1. S.E. Strauss, P. Glasziou, and R.B. Haynes Introduction RW Evidence based medicine: how to practice and teach EBM 3rd ed. 2005 Churchill Livingstone Edinburgh, UK 1 12
2. D.L. Sackett, W.M. Rosenberg, J.A. Gray, R.B. Haynes, and W.S. Richardson Evidence based medicine: what it is and what it isn't BMJ 312 1996 71 72
3. D.O. Meltzer, and A.S. Detsky The real meaning of rationing JAMA 304 2010 2292 2293
4. R.H. Brook What if physicians actually had to control medical costs? JAMA 304 2010 1489 1490
5. National Institutes for Health and Clinical Excellence Home page http://www.nice.org.uk Accessed October 22, 2010
6. D. Mechanic Dilemmas in rationing health care services: the case for implicit rationing BMJ 310 1995 1655 1659
7. D.M. Fox, and H.M. Leichter Rationing care in Oregon: the new accountability Health Aff (Millwood) 10 1991 7 27
8. D. Hadorn The Oregon priority-setting exercise: cost-effectiveness and the rule of rescue, revisited Med Decis Making 16 1996 117 119
9. M.C. Weinstein, and J.A. Skinner Comparative effectiveness and health care spendingimplications for reform N Engl J Med 362 2010 460 465
10. E.S. Fisher, J.P. Bynum, and J.S. Skinner Slowing the growth of health care costslessons from regional variation N Engl J Med 360 2009 849 852
11. C. Schoen, K. Davis, and S.R. Collins Building blocks for reform: achieving universal coverage with private and public group health insurance Health Aff (Millwood) 27 2008 646 657 (Pubitemid 351770230)
12. L. Fleck Public deserves honest debate on rationing Manage Care 19 2010 34 36 39
13. K. Kellermann Care without coverage: too little too late http://www.iom.edu/∼/media/Files/Report%20Files/2003/Care-Without-Coverage- Too-Little-Too-Late/Uninsured2FINAL.pdf Accessed October 22, 2010
14. A.S. Detsky, S.R. Stacey, and C. Bombardier The effectiveness of a regulatory strategy in containing hospital costs The Ontario experience, 1967-1981 N Engl J Med 309 1983 151 159 (Pubitemid 13069525)
15. M. Angell The truth about the drug companies http://www.nybooks.com/ articles/archives/2004/jul/15/the-truth-about-the-drug-companies/?page=1 Accessed October 22, 2010
16. G. Claxton How private insurance works: a primer http://www.kff.org/ insurance/upload/How-Private-Insurance-Works-A-Primer-Report.pdf Accessed October 22, 2010
17. E.J. Emanuel, and V.R. Fuchs Who really pays for health care? The myth of "shared responsibility." JAMA 299 2008 1057 1059 (Pubitemid 351347063)
18. A.M. Kelly, P. Cronin, and R.C. Carlos Introduction to value-based insurance design J Am Coll Radiol 5 2008 1118 1124
19. US House of Representatives Patient Protection and Affordable Care Act http://docs.house.gov/energycommerce/ppacacon.pdf Accessed on October 22, 2010
20. World Health Organization World health statistics 2010 http://www.who.int/whosis/whostat/EN-WHS10-Full.pdf Accessed October 22, 2010
21. M.T. Beinfeld, and G.S. Gazelle Diagnostic imaging costs: are they driving up the costs of hospital care? Radiology 235 2005 934 939 (Pubitemid 40695892)
22. E.S. Fisher, D.E. Wennberg, T.A. Stukel, D.J. Gottlieb, F.L. Lucas, and E.L. Pinder The implications of regional variations in Medicare spending Part 1: the content, quality, and accessibility of care Ann Intern Med 138 2003 273 287 (Pubitemid 36205924)
23. E.S. Fisher, D.E. Wennberg, T.A. Stukel, D.J. Gottlieb, F.L. Lucas, and E.L. Pinder The implications of regional variations in Medicare spending Part 2: health outcomes and satisfaction with care Ann Intern Med 138 2003 288 298 (Pubitemid 36205925)
24. M.A. Dinan, L.H. Curtis, and B.G. Hammill Changes in the use and costs of diagnostic imaging among Medicare beneficiaries with cancer, 1999-2006 JAMA 303 2010 1625 1631
25. K. Rowan Rising costs of medical imaging spur debate J Natl Cancer Inst 100 2008 1665 1667
26. L.T. Kohn, J.M. Corrigan, and M.S. Donaldson To err is human: building a safer health system 2000 National Academy Press Washington, DC
27. C.C. Blackmore Defining quality in radiology J Am Coll Radiol 4 2007 217 223 (Pubitemid 46483247)
28. J.B. Battles Quality and safety by design Qual Saf Health Care 15 suppl 2006 i1 i3 (Pubitemid 46009821)
29. N.R. Dunnick, K.E. Applegate, and R.L. Arenson The inappropriate use of imaging studies: a report of the 2004 Intersociety Conference J Am Coll Radiol 2 2005 401 406 (Pubitemid 40725694)
30. M.C. Weinstein, J.E. Siegel, M.R. Gold, M.S. Kamlet, and L.B. Russell Recommendations of the Panel on Cost-Effectiveness in Health and Medicine JAMA 276 1996 1253 1258 (Pubitemid 26337709)
31. P.J. Neumann, and M.C. Weinstein Legislating against use of cost-effectiveness information N Engl J Med 363 2010 1495 1497
32. Centers for Disease Control and Prevention Public health and aging: trends in agingUnited States and worldwide http://www.cdc.gov/mmwr/preview/ mmwrhtml/mm5206a2.htm Accessed October 22, 2010
33. P.P. Reese, A.L. Caplan, R.D. Bloom, P.L. Abt, and J.H. Karlawish How should we use age to ration health care? Lessons from the case of kidney transplantation J Am Geriatr Soc 58 2010 1980 1986
34. L.M. Fleck Just caring: in defense of limited age-based healthcare rationing Camb Q Healthc Ethics 19 2010 27 37
35. G. Persad, A. Wertheimer, and E.J. Emanuel Principles for allocation of scarce medical interventions Lancet 373 2009 423 431
36. L.M. Brubaker, E. Picano, D.J. Breen, L. Marti-Bonmati, and R.C. Semelka Health care systems of developed non-U.S. nations: strengths, weaknesses, and recommendations for the United Statesobservations from internationally recognized imaging specialists AJR Am J Roentgenol 196 2011 W30 W36