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 75
Page xiii
... group pressures , and community break- down . I examine various community initiatives that may be helpful in reducing risk and building competence . The chapter on the mentally ill , written with David Rochefort of Northeastern ...
... group pressures , and community break- down . I examine various community initiatives that may be helpful in reducing risk and building competence . The chapter on the mentally ill , written with David Rochefort of Northeastern ...
Page xiv
... groups in- volved , it is difficult to develop a dialogue that allows the debate to constructively advance . The ... groups are thought- fully addressed as well . The irony is that in the process of making the system of care better for ...
... groups in- volved , it is difficult to develop a dialogue that allows the debate to constructively advance . The ... groups are thought- fully addressed as well . The irony is that in the process of making the system of care better for ...
Page 3
... group behavior , and explain many of the observable disparities in health status . Achieving more equal health outcomes requires a more equitable society in which all groups have a stake . The theme of this chapter is that while ...
... group behavior , and explain many of the observable disparities in health status . Achieving more equal health outcomes requires a more equitable society in which all groups have a stake . The theme of this chapter is that while ...
Page 14
... groups , and the like . These additional services are popular among some enrollees and at the margins may help explain why HMOs are chosen in multiple choice situations ( Mechanic , Ettel , and Davis 1990 ) . However , such supplemental ...
... groups , and the like . These additional services are popular among some enrollees and at the margins may help explain why HMOs are chosen in multiple choice situations ( Mechanic , Ettel , and Davis 1990 ) . However , such supplemental ...
Page 15
... group over eighty - five increased 174 percent , and a 110 percent increase is expected between 1980 and the end of the century ( Rice and Feldman 1983 ) . By the year 2000 , more than one - quarter of the expected elderly population of ...
... group over eighty - five increased 174 percent , and a 110 percent increase is expected between 1980 and the end of the century ( Rice and Feldman 1983 ) . By the year 2000 , more than one - quarter of the expected elderly population of ...
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 |