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[Prioritisation in health care: learning from international experiences]
1Institut für Ethik und Geschichte der Medizin, Universität Tübingen. georg.marckmann@uni-tuebingen.de
Summary
Several countries have developed health care priority-setting methods over 20 years ago. This paper reviews their experiences with resource allocation and cost-containment strategies for potential application in Germany.
Area of Science:
- Health Policy and Management
- Public Health
- Health Economics
Context:
- Growing discrepancy between medical demand and financial resources necessitates health care limits.
- International experience in healthcare priority setting spans over two decades.
- Public discourse and national committees are key to developing prioritization methods.
Purpose:
- To provide an overview of international experiences in health care priority setting.
- To analyze methods used in Norway, Sweden, the Netherlands, the UK, and Oregon.
- To draw conclusions for the German health care system based on international practices.
Summary:
- Countries like Norway, Sweden, the Netherlands, the UK, and Oregon have established methods for health care priority setting.
- Priorities are often implemented through practice guidelines and clinical indications for medical interventions.
- Implicit cost-containment measures, such as prospective reimbursement systems, are also widely used.
Impact:
- Offers valuable insights for Germany's approach to resource allocation in healthcare.
- Highlights the importance of explicit and implicit strategies in managing scarce health care resources.
- Informs policy decisions regarding the sustainable and equitable provision of health services.
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