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. |
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Page xii
... political science , health policy , pediatrics , and psychiatry . By bringing them together , I not only make them readily accessible to the social science and health audience but also present them in a way that offers a broader and ...
... political science , health policy , pediatrics , and psychiatry . By bringing them together , I not only make them readily accessible to the social science and health audience but also present them in a way that offers a broader and ...
Page xiv
... political compromises take place in efforts to achieve a reasonable consensus , great care must be taken to insure that the needs of smaller , less visible , and less powerful groups are thought- fully addressed as well . The irony is ...
... political compromises take place in efforts to achieve a reasonable consensus , great care must be taken to insure that the needs of smaller , less visible , and less powerful groups are thought- fully addressed as well . The irony is ...
Page 4
... politics , and how we manage new developments in science and technology . Effectiveness depends both on the content of what health professionals do and the financial and organizational frameworks within which their work is embedded ...
... politics , and how we manage new developments in science and technology . Effectiveness depends both on the content of what health professionals do and the financial and organizational frameworks within which their work is embedded ...
Page 10
... politics will allow it — as evidenced recently by Congress's intimidation of the National Institutes of Health when the NIH decided to phase out its research program on the artificial heart . It is difficult to imagine the American ...
... politics will allow it — as evidenced recently by Congress's intimidation of the National Institutes of Health when the NIH decided to phase out its research program on the artificial heart . It is difficult to imagine the American ...
Page 18
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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 |