Controlling costs in health care is rarely something that can be
tackled in isolation. Cost control invariably interacts with issues
of quality and health care access. Thus, this diverse collection of
papers is concerned not just with costs but more importantly with
value. Both macro and micro concerns are covered. At the macro
level, health care reforms (and especially the 'marketisation' of
health care systems) receive some attention. Papers explore how
policy prescriptions get translated and modified during
implementation, and assess how these prescriptions impact on both
the incentive context and subsequent patterns of service delivery.
Resource allocation within bureaucratic health systems continues to
pose problems and these too are analysed with new solutions being
proposed. At the micro level, a number of contributors wrestle with
the difficulties of carrying out the economic evaluation of new
drugs and technologies. In each case, the wider theoretical and
practical implications of balancing costs and benefits are
explored. This collection should prove helpful to health care
policy specialists, managers and researchers interested in gaining
a feel for the real-world application of cost-focused health
services research.
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