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Unter dem Eindruck der Kostenentwicklung im Gesundheitswesen gewinnen oko nomische Uberlegungen im Gesundheitswesen zunehmend an Bedeutung. Die Notwendigkeit, den Gesundheitszustand effektiv und efftzient zu verbessem, ruft nach einer Auswahl wirkungsvoller Verfahren aufgrund objektivierbarer Kriterien. In der heudgen Situation kann die friiher geauBerte Ansicht, daB Geld keine Rolle spielen durfe, wo Gesundheit und das menschliche Wohlbefinden auf dem Spiel stehen, nicht mehr langer aufrechterhalten werden, da sie bei beschrankten Mitteln unweigerlich zu Ungleichheiten in der Behandlung...

In the past two decades public debate about the risks, benefits, and safety associated with drugs has intensified. Public disputes over risks are brought to court when individuals seek compensation for health problems attributed to a pharmaceutical product. The issue reaches legislatures and regulatory agencies when consumer advocates seek to influence the standards of drug usage. Front-page news tends to focus on accidents or other risk events with drugs. Drug risk and drug safety have become an important political issue. Drug regulat ory agencies have been instituted, and their...

Modern drugs are invented according to medical needs, making use of the latest innovations in technology. They are sophisticated, efficacious, and costly, but are they effective? Are they superior to existing - and cheaper - alternatives, and is this superiority reflected in increased cost-effectiveness? Are they socially more beneficial? These questions, and those related to the intriguing search for better quality of life, are addressed in this book by experts from the fields of medicine, epidemiology, economics, sociology and the pharmaceutical industry. The book describes the...