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 37
Page viii
... preventive and primary care ser- vices remain unavailable to those who need them the most . This incredibly complex ... preventing illness and limiting disabilities are needed for both communities and individuals . He maintains that ...
... preventive and primary care ser- vices remain unavailable to those who need them the most . This incredibly complex ... preventing illness and limiting disabilities are needed for both communities and individuals . He maintains that ...
Page xii
... preventing illness and maximizing function so that individuals who are sick can continue their preferred activities with as little disruption and discomfort as possible . An increasing component of medical work deals with chronic ...
... preventing illness and maximizing function so that individuals who are sick can continue their preferred activities with as little disruption and discomfort as possible . An increasing component of medical work deals with chronic ...
Page 4
... prevention and community health . This does not imply denigra- tion of the extraordinary developments that advances in science and technology have made possible . It requires , however , that these be applied within a broader framework ...
... prevention and community health . This does not imply denigra- tion of the extraordinary developments that advances in science and technology have made possible . It requires , however , that these be applied within a broader framework ...
Page 6
... preventing death and neurological damage . Numerous randomized controlled trials have failed to show any benefit relative to the traditional method of auscultation , but fetal monitoring is now almost universal ( Shy , Larson et al ...
... preventing death and neurological damage . Numerous randomized controlled trials have failed to show any benefit relative to the traditional method of auscultation , but fetal monitoring is now almost universal ( Shy , Larson et al ...
Page 9
... prevention and behavior and health . Life - styles and social risk factors affect health , longevity , and function far more than those on which the biomedical establishment focuses . However plausible this position may appear , it has ...
... prevention and behavior and health . Life - styles and social risk factors affect health , longevity , and function far more than those on which the biomedical establishment focuses . However plausible this position may appear , it has ...
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 |
Other editions - View all
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 |