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 53
Page xii
... disease and disabilities , but we have yet to develop a longitudinal approach to clinical care that is sufficiently sensitive to the course of disease in its psychosocial and community context . This collection of ten essays , organized ...
... disease and disabilities , but we have yet to develop a longitudinal approach to clinical care that is sufficiently sensitive to the course of disease in its psychosocial and community context . This collection of ten essays , organized ...
Page xiii
... disease , and mortality . In Part III , I turn to a consideration of three special populations : adolescents ... diseases , and other patterns that arise from their social milieu , family disorganization , peer group pressures , and ...
... disease , and mortality . In Part III , I turn to a consideration of three special populations : adolescents ... diseases , and other patterns that arise from their social milieu , family disorganization , peer group pressures , and ...
Page 3
... disease . In recognizing the health - producing potential of the health system , we must nevertheless keep in mind that macroforces set limits on the contributions of health services . Medical care cannot compensate for economic ...
... disease . In recognizing the health - producing potential of the health system , we must nevertheless keep in mind that macroforces set limits on the contributions of health services . Medical care cannot compensate for economic ...
Page 4
... disease , the scope of our knowledge , technologies , economic organization , patient expectations , and much more . Unexpected problems and new diseases will emerge , for as Rene Dubos ( 1959 ) reminded us , " fitness requires never ...
... disease , the scope of our knowledge , technologies , economic organization , patient expectations , and much more . Unexpected problems and new diseases will emerge , for as Rene Dubos ( 1959 ) reminded us , " fitness requires never ...
Page 9
... diseases remain unknown , and many of our interventions are what Lewis Thomas has called " half - way " technologies ( Thomas 1977 ) . Many have faith that with increased basic scientific knowledge our technological approaches will ...
... diseases remain unknown , and many of our interventions are what Lewis Thomas has called " half - way " technologies ( Thomas 1977 ) . Many have faith that with increased basic scientific knowledge our technological approaches will ...
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 |