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 89
Page vii
... Populations 7. Adolescents at Risk 153 8. Deinstitutionalization of the Mentally Ill : Efforts for Inclusion 165 9. Health Care for an Aging Population 213 IV . Conclusion 10. Inescapable Decisions 229 Appendixes A. Medical Sociology ...
... Populations 7. Adolescents at Risk 153 8. Deinstitutionalization of the Mentally Ill : Efforts for Inclusion 165 9. Health Care for an Aging Population 213 IV . Conclusion 10. Inescapable Decisions 229 Appendixes A. Medical Sociology ...
Page viii
... populations results from an approach to health and welfare issues that en- courages fragmentation of services . The goal of a workable health system is now a national priority . Inescapable Decisions illustrates how to forge a bet- ter ...
... populations results from an approach to health and welfare issues that en- courages fragmentation of services . The goal of a workable health system is now a national priority . Inescapable Decisions illustrates how to forge a bet- ter ...
Page xii
... 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 health ...
... 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 health ...
Page xiii
... populations are heterogeneous , and many medical interventions are uncertain , the clinical decision - making process is ... population flows from our way of dealing with health and welfare issues , which makes services fragmen- tation ...
... populations are heterogeneous , and many medical interventions are uncertain , the clinical decision - making process is ... population flows from our way of dealing with health and welfare issues , which makes services fragmen- tation ...
Page xiv
... populations , it is relatively easy to overlook the special needs and difficulties of smaller but especially ... population may not speak to the special needs of persons with physical disabilities , mental illness , developmental ...
... populations , it is relatively easy to overlook the special needs and difficulties of smaller but especially ... population may not speak to the special needs of persons with physical disabilities , mental illness , developmental ...
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 |