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
... 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 ...
... 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 ...
Page xv
... major role in the morbidity the system encounters and the shape of health care services . Greater awareness of the issues can help us define more effective and more humane policies . PARTI The Medical Care System in Disarray 1 The ...
... major role in the morbidity the system encounters and the shape of health care services . Greater awareness of the issues can help us define more effective and more humane policies . PARTI The Medical Care System in Disarray 1 The ...
Page 9
... major 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 ...
... major 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 ...
Page 10
... major advances in noninvasive diagnostics , in the development of synthetic body parts , in miniaturization , in computerization , and in the collection and processing of medical information . I anticipate new vaccines , drugs ...
... major advances in noninvasive diagnostics , in the development of synthetic body parts , in miniaturization , in computerization , and in the collection and processing of medical information . I anticipate new vaccines , drugs ...
Page 11
... major causes of disease and disability are long - term chronic conditions resulting from many causes and not sus- ceptible to a " magic bullet . " We need a health care system that is responsive to the need for prevention and continuing ...
... major causes of disease and disability are long - term chronic conditions resulting from many causes and not sus- ceptible to a " magic bullet . " We need a health care system that is responsive to the need for prevention and continuing ...
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 |