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 viii
... issues that en- courages fragmentation of services . The goal of a workable health system is now a national priority . Inescapable Decisions illustrates how to forge a bet- ter , more caring system that will be adaptive to future ...
... issues that en- courages fragmentation of services . The goal of a workable health system is now a national priority . Inescapable Decisions illustrates how to forge a bet- ter , more caring system that will be adaptive to future ...
Page xii
... a manner sensitive to clinical issues and patient needs . I argue that implicit rationing — that is , establishing budgetary limits within which health professionals must work — offers the most realistic , xii Inescapable Decisions.
... a manner sensitive to clinical issues and patient needs . I argue that implicit rationing — that is , establishing budgetary limits within which health professionals must work — offers the most realistic , xii Inescapable Decisions.
Page xiii
... issues , which makes services fragmen- tation inevitable . We suggest that if integration of services is a goal , as it should be , much stronger and coordinated initiatives are needed than those that usually prevail . Similar patterns ...
... issues , which makes services fragmen- tation inevitable . We suggest that if integration of services is a goal , as it should be , much stronger and coordinated initiatives are needed than those that usually prevail . Similar patterns ...
Page xiv
... issues of interest to the largest number of participants . But in addressing the most common generic issues affecting the generally healthy populations , it is relatively easy to overlook the special needs and difficulties of smaller ...
... issues of interest to the largest number of participants . But in addressing the most common generic issues affecting the generally healthy populations , it is relatively easy to overlook the special needs and difficulties of smaller ...
Page xv
... issues of class , race , gender , and ethnicity . Nor can we ignore the relations between the structures we develop and the arrange- ments of power , influence , and control in our society . In the appendix , I suggest that if we did ...
... issues of class , race , gender , and ethnicity . Nor can we ignore the relations between the structures we develop and the arrange- ments of power , influence , and control in our society . In the appendix , I suggest that if we did ...
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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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 |