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 58
Page xiv
... relatively easy to overlook the special needs and difficulties of smaller but especially vulnerable populations . It is also easy to ignore potential initiatives that don't readily fall within the traditional health paradigm . The ...
... relatively easy to overlook the special needs and difficulties of smaller but especially vulnerable populations . It is also easy to ignore potential initiatives that don't readily fall within the traditional health paradigm . The ...
Page 3
... relatively stable and resilient . Despite all the changes , the system maintains an individual as compared with a community perspective , an emphasis on aggressive intervention , and a focus on cures and more narrow biomedical concerns ...
... relatively stable and resilient . Despite all the changes , the system maintains an individual as compared with a community perspective , an emphasis on aggressive intervention , and a focus on cures and more narrow biomedical concerns ...
Page 5
... relative to the resource - based relative value was 18 percent . The comparable figures for insertion of a pacemaker or for repair on an inguinal hernia were 232 percent and 154 percent . As Hsiao and his associates noted , " invasive ...
... relative to the resource - based relative value was 18 percent . The comparable figures for insertion of a pacemaker or for repair on an inguinal hernia were 232 percent and 154 percent . As Hsiao and his associates noted , " invasive ...
Page 6
... relative to the traditional method of auscultation , but fetal monitoring is now almost universal ( Shy , Larson et al . 1987 ) . Defenders of the technology have believed that its value is more evident with premature infants , but a ...
... relative to the traditional method of auscultation , but fetal monitoring is now almost universal ( Shy , Larson et al . 1987 ) . Defenders of the technology have believed that its value is more evident with premature infants , but a ...
Page 9
... relatively inexpensive , should induce efficiency and cost savings . But translating an increased capacity for efficiency into cost savings is a managerial and organizational process , and the introduction of computerization in business ...
... relatively inexpensive , should induce efficiency and cost savings . But translating an increased capacity for efficiency into cost savings is a managerial and organizational process , and the introduction of computerization in business ...
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 |