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 89
Page viii
... costs can- not be brought under control without a budgetary ceiling . Such limitations offer the most realistic , appropriate , and nonintrusive way to allocate ser- vices . Mechanic shows that much of the neglect of sick and ...
... costs can- not be brought under control without a budgetary ceiling . Such limitations offer the most realistic , appropriate , and nonintrusive way to allocate ser- vices . Mechanic shows that much of the neglect of sick and ...
Page xii
... costs will never be brought under control without a budgetary ceiling . Although I favor a Canadian - like plan , I find such an approach unlikely in the United States context , as I explain in the first essay , and so I discuss other ...
... costs will never be brought under control without a budgetary ceiling . Although I favor a Canadian - like plan , I find such an approach unlikely in the United States context , as I explain in the first essay , and so I discuss other ...
Page xiv
... costs , and the associated ascendancy of economics and finance in discussions of health care , have significantly narrowed how we frame health care issues and the context of the health care debate . Yet , as we look to the future , it ...
... costs , and the associated ascendancy of economics and finance in discussions of health care , have significantly narrowed how we frame health care issues and the context of the health care debate . Yet , as we look to the future , it ...
Page 7
... cost - effectiveness , balanc- ing , and rationing . 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 ...
... cost - effectiveness , balanc- ing , and rationing . 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 ...
Page 8
... cost , depreciation was defined in terms of current replacement costs , giving hospitals considerable incentive for fur- ther expansion . In addition , 2 percent of reimbursable costs was added under Medicare for what was viewed as ...
... cost , depreciation was defined in terms of current replacement costs , giving hospitals considerable incentive for fur- ther expansion . In addition , 2 percent of reimbursable costs was added under Medicare for what was viewed as ...
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 |