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 viii
... 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 , more ...
... 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 , more ...
Page 7
... result in exaggerated assessments of fetal distress and may stimulate unnecessary and risky medical interventions . Typically , young physicians and nurses are no longer taught traditional auscultation , leading to total dependence on ...
... result in exaggerated assessments of fetal distress and may stimulate unnecessary and risky medical interventions . Typically , young physicians and nurses are no longer taught traditional auscultation , leading to total dependence on ...
Page 9
... result more cost - effective , and that fully curative technologies will substitute for less efficient halfway ap- proaches . Moreover , with increased technological capacities , it seems reasonable to anticipate that many commonly used ...
... result more cost - effective , and that fully curative technologies will substitute for less efficient halfway ap- proaches . Moreover , with increased technological capacities , it seems reasonable to anticipate that many commonly used ...
Page 11
... resulting from many causes and not sus- ceptible to a " magic bullet . " We need a health care system that is ... result of the erosion of the influence of religion , the family , and other major institutions . At present rates ...
... resulting from many causes and not sus- ceptible to a " magic bullet . " We need a health care system that is ... result of the erosion of the influence of religion , the family , and other major institutions . At present rates ...
Page 13
... result of physician intervention . A 5 percent termination rate relative to the modest aggregate time expended is perhaps one of the most cost - effective things a physician can do , but physician perception will be unduly influenced by ...
... result of physician intervention . A 5 percent termination rate relative to the modest aggregate time expended is perhaps one of the most cost - effective things a physician can do , but physician perception will be unduly influenced by ...
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 |