Inescapable Decisions: The Imperatives of Health Reform"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 viii
Strategies for preventing illness and limiting disabilities are needed for both communities and individuals . He maintains that health care costs cannot be brought under control without a budgetary ceiling . Such limitations offer the ...
Strategies for preventing illness and limiting disabilities are needed for both communities and individuals . He maintains that health care costs cannot be brought under control without a budgetary ceiling . Such limitations offer the ...
Page xii
I believe that we must increasingly turn our attention to devising strategies at both the community and individual levels for preventing illness and maximizing function so that individuals who are sick can continue their preferred ...
I believe that we must increasingly turn our attention to devising strategies at both the community and individual levels for preventing illness and maximizing function so that individuals who are sick can continue their preferred ...
Page xiii
I examine current research that shows that health is truly a social phenomenon and very much influenced by individuals ' sense of social well - being . I explore the need for a broader strategy to promote health and prevent illness and ...
I examine current research that shows that health is truly a social phenomenon and very much influenced by individuals ' sense of social well - being . I explore the need for a broader strategy to promote health and prevent illness and ...
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Contents
The American Medical Care System | 3 |
Sources of Countervailing Power in Medicine | 53 |
Professional Judgment and the Rationing of Medical Care | 69 |
Conceptions of Health | 101 |
| 119 | |
| 137 | |
| 153 | |
| 165 | |
| 213 | |
Inescapable Decisions | 229 |
Medical Sociology Some Tensions between Theory Method and Substance | 249 |
The Role of Sociology in Health Affairs | 275 |
| 291 | |
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administrative alternative American approach appropriate assessments associated basic become behavior benefits capitation chronic clinical comparable concept concerns context continue costs coverage decisions deinstitutionalization depends difficult disabilities disease economic effects efforts elderly example expensive experience Financing future groups health care health insurance hospitals important incentives increased individual influence institutions interest interventions involved issues less limited long-term major managed Marty measures Mechanic Medicaid Medicare medicine mental health mentally ill organization patients percent period persons physicians political population possible practice prevention problems procedures professional programs questions rates rationing reform relatively reported require responsibility result risk role situations social sociology structure studies substantially suggest survey symptoms technologies tion treatment types typically United varying
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Bibliographic information
| Title | Inescapable Decisions: The Imperatives of Health Reform |
| Author | David Mechanic |
| Publisher | Transaction Publishers |
| ISBN | 1412826225, 9781412826228 |
| Length | 296 pages |
| Export Citation | BiBTeX EndNote RefMan |