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  1. The Oregon experiment : The role of cost-benefit analysis in the allocation of medicaid funds.

    Article - En anglais

    The state of Oregon decided to cover all potentially eligible Medicaid citizens to 100% of poverty.

    Previously, Oregon had covered persons up to 67% of poverty.

    In order to keep overall program costs in check, Oregon decided to limit the number of services that its Medicaid program would cover.

    Oregon's normative choice was to contain program costs by covering all eligible persons up to 100% of poverty, while at the same time uniformly limiting access to certain services for everyone in the overall group of eligible persons.

    The state developed a prioritization list of medical services and priced the components on the list.

    The amount of money ultimately available for the Medicaid program was a political decision informed by data about the cost of different services and influenced by the priorities set through an independent process of priority-setting.

    Physicians were asked to determine what works medically, how well it works, and what benefits accrue to patients.

    Recognizing that physician perspectives on efficacy might vary from patients'perspectives on valuation of benefits, Oregon's planners developed a method for valuing medical outcomes that stemmed from particular medical interventions.

    This blend of medical fact and value to patients allowed for comparing valuations by introducing cost considerations.

    Condition-treatment (CT) pairs linked a medical condition with one or more courses of treatment. (...)

    Mots-clés Pascal : Protection sociale, Aide financière, Pauvreté, Statut socioéconomique, Programme sanitaire, Santé, Economie santé, Analyse coût efficacité, Homme, Politique sanitaire, Système santé, Oregon, Etats Unis, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Welfare aids, Financial assistance, Poverty, Socioeconomic status, Sanitary program, Health, Health economy, Cost efficiency analysis, Human, Health policy, Health system, Oregon, United States, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0432493

    Code Inist : 002B30A01B. Création : 19/12/1997.