Inescapable Decisions: The Imperatives of Health ReformTransaction Publishers - 296 pages "Inescapable Decisions" examines the disarray in the American health care system and proposes major corrective strategies. Mechanic shows that the high-technology interventionist type of medicine commonly practiced in the United States has lost its sense of priorities and balance. Expensive and sometimes dangerous procedures of unknown efficacy are used excessively and often inappropriately, while many basic preventive and primary care services remain unavailable to those who need them the most. This incredibly complex system of care operates in an environment of heavy-landed rules and regulations and enormous waste of resources. |
From inside the book
Results 1-5 of 48
Page xii
... areas , medicine as a cultural paradigm is more powerful than ever and that medical perspec- tives continue to dominate many aspects of American life . In the third essay , I pick up on an earlier theme to consider how to constrain ...
... areas , medicine as a cultural paradigm is more powerful than ever and that medical perspec- tives continue to dominate many aspects of American life . In the third essay , I pick up on an earlier theme to consider how to constrain ...
Page 7
... areas . Clinicians are more guided by their experiences than by abstract studies and often feel confident on the basis of particular instances when the procedures used have been helpful . Our systems of payment typically make it economi ...
... areas . Clinicians are more guided by their experiences than by abstract studies and often feel confident on the basis of particular instances when the procedures used have been helpful . Our systems of payment typically make it economi ...
Page 10
... areas , and that some new technologies will be cost - saving . Overall , however , I anticipate many more expensive halfway measures that add small increments to health at large cost . Many chronic conditions , such as cardiovascular ...
... areas , and that some new technologies will be cost - saving . Overall , however , I anticipate many more expensive halfway measures that add small increments to health at large cost . Many chronic conditions , such as cardiovascular ...
Page 13
... area in which a clinical in contrast to an epidemiological perspective is deceptively discouraging . A very brief counseling session with a physician can decrease the rate of patient smoking . Five percent of patients given counseling ...
... area in which a clinical in contrast to an epidemiological perspective is deceptively discouraging . A very brief counseling session with a physician can decrease the rate of patient smoking . Five percent of patients given counseling ...
Page 17
... areas that substitution of formal services for informal care is most likely to occur . Effective long - term care policy will require the capacity to target for services groups that would have a high risk of institutionalization without ...
... areas that substitution of formal services for informal care is most likely to occur . Effective long - term care policy will require the capacity to target for services groups that would have a high risk of institutionalization without ...
Contents
3 | |
Sources of Countervailing Power in Medicine | 53 |
Professional Judgment and the Rationing of Medical Care | 69 |
Conceptions of Health | 101 |
Promoting Health and Independence | 119 |
Socioeconomic Status and Health | 137 |
Adolescents at Risk | 153 |
Deinstitutionalization of the Mentally Ill Efforts for Inclusion | 165 |
Health Care for an Aging Population | 213 |
Inescapable Decisions | 229 |
Medical Sociology Some Tensions between Theory Method and Substance | 249 |
The Role of Sociology in Health Affairs | 275 |
Index | 291 |
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Common terms and phrases
administrative alternative American Anton Marty approach Assertive Community Treatment assess basic benefits capitation chronic clinical constraints context costs coverage Dane County decisions deinstitutionalization depends disabilities disease doctors economic effects efforts elderly expenditures federal focus Goffman groups Health Affairs health care rationing health care system health insurance Health Maintenance Organizations health services health system HMOs homeless illness behavior implicit rationing important incentives increased individual influence inpatient institutions interventions issues less limited long-term major managed competition Marty mass media measures Mechanic Medicaid Medical Sociology Medicare medicine mental health mental hospitals mentally ill nursing home organization patients payment percent persons physicians political population potential practice problems procedures professional review organizations programs psychiatric public mental rates reform reimbursement relatively reported require responsibility risk role sector studies substantially survey symptoms technologies tion treatment typically uninsured
References to this book
A Call to Be Whole: The Fundamentals of Health Care Reform Barbara J. Sowada No preview available - 2003 |
Choice, Behavioral Economics, and Addiction Rudolph Eugene Vuchinich,Nick Heather Limited preview - 2003 |