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 77
Page xii
... physicians and considers the argument that physicians are increasingly proletarianized , a contention commonly made . I argue that while physician autonomy is being eroded in certain areas , medicine as a cultural paradigm is more ...
... physicians and considers the argument that physicians are increasingly proletarianized , a contention commonly made . I argue that while physician autonomy is being eroded in certain areas , medicine as a cultural paradigm is more ...
Page 5
... physician payment rewards technical and invasive procedures far more handsomely than it rewards thoughtful decision making , sensitive communication , and ef- forts to educate and promote health . Recent work on a resource - based ...
... physician payment rewards technical and invasive procedures far more handsomely than it rewards thoughtful decision making , sensitive communication , and ef- forts to educate and promote health . Recent work on a resource - based ...
Page 7
... physicians and nurses are no longer taught traditional auscultation , leading to total dependence on instruments for electronic monitoring , and new practitioners have little experience in acquiring basic clinical skills , a particular ...
... physicians and nurses are no longer taught traditional auscultation , leading to total dependence on instruments for electronic monitoring , and new practitioners have little experience in acquiring basic clinical skills , a particular ...
Page 9
... physicians ( Eisenberg 1991 ) , but not as much or as quickly as many people assume . There are those who believe that the chances of modifying priorities are much better at the level at which research and development ( R & D ) ...
... physicians ( Eisenberg 1991 ) , but not as much or as quickly as many people assume . There are those who believe that the chances of modifying priorities are much better at the level at which research and development ( R & D ) ...
Page 11
... Physicians deal with many patients whose visits are motivated by feelings of depression , anxiety , worry , and social isolation . Depression and other adverse psychological states increase perceptions of ill health , disability , and ...
... Physicians deal with many patients whose visits are motivated by feelings of depression , anxiety , worry , and social isolation . Depression and other adverse psychological states increase perceptions of ill health , disability , and ...
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 |