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 49
Page 5
... percent and 154 percent . As Hsiao and his associates noted , " invasive procedures are typically compensated at more than double the rate of evaluation and management services , when both consume the same resource inputs " ( p . 881 ) ...
... percent and 154 percent . As Hsiao and his associates noted , " invasive procedures are typically compensated at more than double the rate of evaluation and management services , when both consume the same resource inputs " ( p . 881 ) ...
Page 6
... percent and 32 percent of use was inappropriate ( Chassin et al . 1987 ) . Many other technologies and interventions have been criticized as useless or worse . Consider , for example , the widespread adoption in the 1970s of intrapartum ...
... percent and 32 percent of use was inappropriate ( Chassin et al . 1987 ) . Many other technologies and interventions have been criticized as useless or worse . Consider , for example , the widespread adoption in the 1970s of intrapartum ...
Page 8
... percent of reimbursable costs was added under Medicare for what was viewed as necessary capital enhancement and for - profit hospitals were additionally guaranteed a substantial return on equity capital as an allowable cost ( Stevens ...
... percent of reimbursable costs was added under Medicare for what was viewed as necessary capital enhancement and for - profit hospitals were additionally guaranteed a substantial return on equity capital as an allowable cost ( Stevens ...
Page 13
... percent of patients given counseling for one or two minutes during a routine consultation , reinforced by a four - page pamphlet on how to give up smoking , stopped smoking within one month following the intervention and were abstinent ...
... percent of patients given counseling for one or two minutes during a routine consultation , reinforced by a four - page pamphlet on how to give up smoking , stopped smoking within one month following the intervention and were abstinent ...
Page 15
... 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 36 million will be older than age ...
... 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 36 million will be older than age ...
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 |