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Individual responsibility for what? A conceptual framework for exploring the suitability of private financing in a publicly funded health-care system.

Tinghög, Gustav; Carlsson, Per and Lyttkens, Carl Hampus LU (2010) In Health Economics, Policy and Law 5(2). p.201-223
Abstract
Policymakers in publicly funded health-care systems are frequently required to make intricate decisions on which health-care services to include or exclude from the basic health-care package. Although it seems likely that the concept of individual responsibility is an essential feature of such decisions, it is rarely explicitly articulated or evaluated in health policy. This paper presents a tentative conceptual framework for exploring when health-care services contain characteristics that facilitate individual responsibility through private financing. Six attributes for exploring the suitability of private financing for specific health-care commodities are identified: (i) it should enable individuals to value the need and quality both... (More)
Policymakers in publicly funded health-care systems are frequently required to make intricate decisions on which health-care services to include or exclude from the basic health-care package. Although it seems likely that the concept of individual responsibility is an essential feature of such decisions, it is rarely explicitly articulated or evaluated in health policy. This paper presents a tentative conceptual framework for exploring when health-care services contain characteristics that facilitate individual responsibility through private financing. Six attributes for exploring the suitability of private financing for specific health-care commodities are identified: (i) it should enable individuals to value the need and quality both before and after utilization; (ii) it should be targeted toward individuals with a reasonable level of individual autonomy; (iii) it should be associated with low levels of positive externalities; (iv) it should be associated with a demand sufficient to generate a private market; (v) it should be associated with payments affordable for most individuals; and finally, (vi) it should be associated with 'lifestyle enhancements' rather than 'medical necessities'. The tentative framework enables exploration of individual responsibility connected to health care as a heterogeneous group of commodities, and allows policymakers to make decisions on rationing by design rather than default. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Health Economics, Policy and Law
volume
5
issue
2
pages
201 - 223
publisher
Cambridge University Press
external identifiers
  • WOS:000293187200004
  • Scopus:77955925116
ISSN
1744-134X
DOI
10.1017/S174413310999017X
language
English
LU publication?
yes
id
dc67d5bc-a214-4245-bf06-706aa45e3aaf (old id 1516935)
date added to LUP
2009-12-22 10:18:36
date last changed
2017-01-01 08:06:34
@article{dc67d5bc-a214-4245-bf06-706aa45e3aaf,
  abstract     = {Policymakers in publicly funded health-care systems are frequently required to make intricate decisions on which health-care services to include or exclude from the basic health-care package. Although it seems likely that the concept of individual responsibility is an essential feature of such decisions, it is rarely explicitly articulated or evaluated in health policy. This paper presents a tentative conceptual framework for exploring when health-care services contain characteristics that facilitate individual responsibility through private financing. Six attributes for exploring the suitability of private financing for specific health-care commodities are identified: (i) it should enable individuals to value the need and quality both before and after utilization; (ii) it should be targeted toward individuals with a reasonable level of individual autonomy; (iii) it should be associated with low levels of positive externalities; (iv) it should be associated with a demand sufficient to generate a private market; (v) it should be associated with payments affordable for most individuals; and finally, (vi) it should be associated with 'lifestyle enhancements' rather than 'medical necessities'. The tentative framework enables exploration of individual responsibility connected to health care as a heterogeneous group of commodities, and allows policymakers to make decisions on rationing by design rather than default.},
  author       = {Tinghög, Gustav and Carlsson, Per and Lyttkens, Carl Hampus},
  issn         = {1744-134X},
  language     = {eng},
  number       = {2},
  pages        = {201--223},
  publisher    = {Cambridge University Press},
  series       = {Health Economics, Policy and Law},
  title        = {Individual responsibility for what? A conceptual framework for exploring the suitability of private financing in a publicly funded health-care system.},
  url          = {http://dx.doi.org/10.1017/S174413310999017X},
  volume       = {5},
  year         = {2010},
}