Cambridge University Press 978-0-521-18380-2 - The Economics of Care Nick Bosanquet and Karol Sikora Frontmatter More information

The Economics of Cancer Care

This book examines the interaction of economics and the delivery of cancer care in the global context. It analyses the causes of tension between those paying for care, those providing the care and those marketing drugs and devices for cancer. The concept and requirement for rationing is examined in different economic environments. As cancer increases in incidence and prevalence, the economics becomes a far more important subject than ever before. Written by a leading health economist and oncologist, this is the first comprehensive book on the eco- nomics of cancer and is a must have for health professionals and policy makers alike.

Nick Bosanquet is Professor of Health Policy at Imperial College , UK, and is Special Advisor to the House of Commons Health Committee.

Karol Sikora is Visiting Professor of Cancer , Imperial College and Dean of the Brunel-Buckingham Medical School. He was formerly Chief of the WHO Cancer Programme.

We would like to thank Kate Bosanquet and Gill Miller for editorial assistance – much appreciated.

© in this web service Cambridge University Press www.cambridge.org Cambridge University Press 978-0-521-18380-2 - The Economics of Cancer Care Nick Bosanquet and Karol Sikora Frontmatter More information

The Economics of Cancer Care

Nick Bosanquet Professor of Health Policy Imperial College

Karol Sikora Dean, Brunel-Buckingham Medical School Visiting Professor of Cancer Medicine, Imperial College

© in this web service Cambridge University Press www.cambridge.org Cambridge University Press 978-0-521-18380-2 - The Economics of Cancer Care Nick Bosanquet and Karol Sikora Frontmatter More information

CAMBRIDGE UNIVERSITY PRESS Cambridge, New York, Melbourne, Madrid, Cape Town, Singapore, São Paulo, Delhi, Dubai, Tokyo, Mexico City

Cambridge University Press The Building, Cambridge CB2 8RU, UK

Published in the United States of America by Cambridge University Press, New York

www.cambridge.org Information on this title: www.cambridge.org/9780521183802

© Cambridge University Press 2006

This publication is in copyright. Subject to statutory exception and to the provisions of relevant collective licensing agreements, no reproduction of any part may take place without the written permission of Cambridge University Press.

First published 2006 First paperback edition 2010

A catalogue record for this publication is available from the British Library

ISBN 978-0-521-85007-0 Hardback ISBN 978-0-521-18380-2 Paperback

Cambridge University Press has no responsibility for the persistence or accuracy of URLs for external or third-party internet websites referred to in this publication, and does not guarantee that any content on such websites is, or will remain, accurate or appropriate.

Every effort has been made in preparing this book to provide accurate and up-to-date information that is in accord with accepted standards and practice at the time of publication. Although case histories are drawn from actual cases, every effort has been made to disguise the identities of the individuals involved. Nevertheless, the authors, editors, and publishers can make no warranties that the information contained herein is totally free from error, not least because clinical standards are constantly changing through research and regulation. The authors, editors, and publishers therefore disclaim all liability for direct or consequential damages resulting from the use of material contained in this book. Readers are strongly advised to pay careful attention to information provided by the manufacturer of any drugs or equipment that they plan to use.

© in this web service Cambridge University Press www.cambridge.org Cambridge University Press 978-0-521-18380-2 - The Economics of Cancer Care Nick Bosanquet and Karol Sikora Frontmatter More information

Contents

1 The challenge of cancer 1 2 Prevention 19 3 Screening 35 4 Diagnostics 59 5 Surgery 73 6 Radiotherapy 81 7 Chemotherapy 91 8 Moving towards the new model: international comparison 113 9 The new agenda 135 10 Cancer’s economic impact on society 159 11 Improving the patient experience 163

Sources consulted 175 Index 179

v

© in this web service Cambridge University Press www.cambridge.org