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 62
Page 9
... become more specific and targeted , and as a result more cost - effective , and that fully curative technologies will substitute for less efficient halfway ap- proaches . Moreover , with increased technological capacities , it seems ...
... become more specific and targeted , and as a result more cost - effective , and that fully curative technologies will substitute for less efficient halfway ap- proaches . Moreover , with increased technological capacities , it seems ...
Page 13
... , is an excellent reason to insure that young physicians become familiar with the principles of clinical epidemiology . In future years preventive and educational efforts will require both The American Medical Care System 13.
... , is an excellent reason to insure that young physicians become familiar with the principles of clinical epidemiology . In future years preventive and educational efforts will require both The American Medical Care System 13.
Page 15
... becomes even more apparent . The changing demography of the population poses a significant need for a national long - term care policy . In the absence of such a policy Medicaid has been the de facto federal long - term care program ...
... becomes even more apparent . The changing demography of the population poses a significant need for a national long - term care policy . In the absence of such a policy Medicaid has been the de facto federal long - term care program ...
Page 16
... become eligible for Medicaid , drawing resources away from other important Medicaid populations . The share of nursing home care financed by the federal government actually decreased from 53.4 percent in 1981 to 48.6 percent in 1988 ...
... become eligible for Medicaid , drawing resources away from other important Medicaid populations . The share of nursing home care financed by the federal government actually decreased from 53.4 percent in 1981 to 48.6 percent in 1988 ...
Page 17
... becomes chronically ill or disabled ; coverage of both home and nursing home care ; service to both patients and informal caregivers ; emphasis on support for independent functioning ; direct payment for necessary services ...
... becomes chronically ill or disabled ; coverage of both home and nursing home care ; service to both patients and informal caregivers ; emphasis on support for independent functioning ; direct payment for necessary services ...
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 |