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 82
Page viii
... problems , one that brings the disadvantaged into the mainstream of health concerns . This path - breaking book will be of wide in- terest to health care officials , policymakers , and professionals in so- cial welfare . ( Continued on ...
... problems , one that brings the disadvantaged into the mainstream of health concerns . This path - breaking book will be of wide in- terest to health care officials , policymakers , and professionals in so- cial welfare . ( Continued on ...
Page 4
... problems and new diseases will emerge , for as Rene Dubos ( 1959 ) reminded us , " fitness requires never - ending efforts of adaptation to the total environment , which is ever changing . " The emer- gence of other new diseases , such ...
... problems and new diseases will emerge , for as Rene Dubos ( 1959 ) reminded us , " fitness requires never - ending efforts of adaptation to the total environment , which is ever changing . " The emer- gence of other new diseases , such ...
Page 8
... problems ( Payer 1988 ) . New technology diffuses rapidly , often well before there is any systematic evidence of its value , and almost always before its cost - effectiveness is assessed . Culture is , of course , difficult to change ...
... problems ( Payer 1988 ) . New technology diffuses rapidly , often well before there is any systematic evidence of its value , and almost always before its cost - effectiveness is assessed . Culture is , of course , difficult to change ...
Page 10
... problems such as cancer , but the notable failures of such shotgun ap- proaches in contrast to more orderly scientific development would sug- gest that we might have considerable difficulty programming future scientific advances to our ...
... problems such as cancer , but the notable failures of such shotgun ap- proaches in contrast to more orderly scientific development would sug- gest that we might have considerable difficulty programming future scientific advances to our ...
Page 11
... problems that in the past would have been appropriate for the family or the church to deal with require human services interventions , including medical care . The boundaries of medicine have expanded enormously in recent decades ...
... problems that in the past would have been appropriate for the family or the church to deal with require human services interventions , including medical care . The boundaries of medicine have expanded enormously in recent decades ...
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 |