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
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Page xii
... continue their preferred activities with as little disruption and discomfort as possible . An increasing component of medical work deals with chronic disease and disabilities , but we have yet to develop a longitudinal approach to ...
... continue their preferred activities with as little disruption and discomfort as possible . An increasing component of medical work deals with chronic disease and disabilities , but we have yet to develop a longitudinal approach to ...
Page 8
... continues unabated , however , encouraged by aggres- sive marketing by industries that manufacture and sell medical and hospital equipment and drugs ( Waitzkin 1983 ) , by economic incentives , and by public and professional support ...
... continues unabated , however , encouraged by aggres- sive marketing by industries that manufacture and sell medical and hospital equipment and drugs ( Waitzkin 1983 ) , by economic incentives , and by public and professional support ...
Page 11
... continuing care for the chroni- cally ill that maintains and enhances the ability to function . Changing Societal Structures Medical care has a broad role in modern societies , in part a result of the erosion of the influence of ...
... continuing care for the chroni- cally ill that maintains and enhances the ability to function . Changing Societal Structures Medical care has a broad role in modern societies , in part a result of the erosion of the influence of ...
Page 12
... continuing reinfor- cement for the emergent behavior changes ( Mechanic 1991a ; Mechanic and Aiken 1991 ; Leventhal et al . 1985 ) . A variety of techniques are available to assist physicians in achieving successful adherence to ...
... continuing reinfor- cement for the emergent behavior changes ( Mechanic 1991a ; Mechanic and Aiken 1991 ; Leventhal et al . 1985 ) . A variety of techniques are available to assist physicians in achieving successful adherence to ...
Page 15
... continues to be focused more on acute episodes and exacerbations of disease than on the longitudinal issues necessary to maximize function . Between 1960 and 1980 , persons in the age group over eighty - five increased 174 percent , and ...
... continues to be focused more on acute episodes and exacerbations of disease than on the longitudinal issues necessary to maximize function . Between 1960 and 1980 , persons in the age group over eighty - five increased 174 percent , and ...
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 |