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. |
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Page 7
... Capitated systems such as HMOs have had clear incentives to moderate use of expensive modalities , in contrast to fee- for - service medicine where there is more encouragement to be techni- cally aggressive in marginal situations ( Luft ...
... Capitated systems such as HMOs have had clear incentives to moderate use of expensive modalities , in contrast to fee- for - service medicine where there is more encouragement to be techni- cally aggressive in marginal situations ( Luft ...
Page 12
... capitated care a particularly likely solution , since physicians in HMOs work under strict time constraints and with cost containment efforts these pressures are likely to increase as well . Preventive educa- tional efforts even within ...
... capitated care a particularly likely solution , since physicians in HMOs work under strict time constraints and with cost containment efforts these pressures are likely to increase as well . Preventive educa- tional efforts even within ...
Page 14
... capitated programs , may face major obstacles in fee - for - service practice . If they truly are alternatives to some ... capitation or global budgets in the absence of other incentives and measures for quality assurance can result in ...
... capitated programs , may face major obstacles in fee - for - service practice . If they truly are alternatives to some ... capitation or global budgets in the absence of other incentives and measures for quality assurance can result in ...
Page 15
... capitation but then uses a complex set of incentives to enhance productivity and responsiveness within the capitation frame- work . For example , half of the physician's income might come from a core salary or capitation , while the ...
... capitation but then uses a complex set of incentives to enhance productivity and responsiveness within the capitation frame- work . For example , half of the physician's income might come from a core salary or capitation , while the ...
Page 36
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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 |