Inescapable Decisions: The Imperatives of Health Reform
Transaction 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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Health Care for an Aging Population IV . 10. Inescapable Decisions Special Populations Conclusion Appendixes A. Medical Sociology : Some Tensions between Theory , Method , and Substance B. The Role of Sociology in Health Affairs Index ...
Mechanic shows that much of the neglect of sick and disadvantaged populations results from an approach to health and welfare issues that encourages fragmentation of services . The goal of a workable health system is now a national ...
... and population expectations have led us into our current fix . I examine how efforts to maintain a highly pluralistic privatized system resulted in a pattern of regulated micromanagement that amazes even those doctors and other ...
Because patient populations are heterogeneous , and many medical interventions are uncertain , the clinical decision - making process is iterative . An effective and sensible health care rationing scheme must take into account the need ...
But in addressing the most common generic issues affecting the generally healthy populations , it is relatively easy to ... but the proposed solutions for the majority of the population may not speak to the special needs of persons with ...
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Medical Sociology Some Tensions between Theory Method and Substance
The Role of Sociology in Health Affairs