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. |
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Page 3
... situations of deprivation impoverish human lives , incite conflict and violence , contribute to deleterious per- sonal and group behavior , and explain many of the observable disparities in health status . Achieving more equal health ...
... situations of deprivation impoverish human lives , incite conflict and violence , contribute to deleterious per- sonal and group behavior , and explain many of the observable disparities in health status . Achieving more equal health ...
Page 7
... to moderate use of expensive modalities , in contrast to fee- for - service medicine where there is more encouragement to be techni- cally aggressive in marginal situations ( Luft 1987 ) . The American Medical Care System 7.
... to moderate use of expensive modalities , in contrast to fee- for - service medicine where there is more encouragement to be techni- cally aggressive in marginal situations ( Luft 1987 ) . The American Medical Care System 7.
Page 8
The Imperatives of Health Reform David Mechanic. cally aggressive in marginal situations ( Luft 1987 ) . The introduction of new technologies continues unabated , however , encouraged by aggres- sive marketing by industries that ...
The Imperatives of Health Reform David Mechanic. cally aggressive in marginal situations ( Luft 1987 ) . The introduction of new technologies continues unabated , however , encouraged by aggres- sive marketing by industries that ...
Page 14
... situations ( Mechanic , Ettel , and Davis 1990 ) . However , such supplemental services , which may be highly cost - effective in capitated programs , may face major obstacles in fee - for - service practice . If they truly are ...
... situations ( Mechanic , Ettel , and Davis 1990 ) . However , such supplemental services , which may be highly cost - effective in capitated programs , may face major obstacles in fee - for - service practice . If they truly are ...
Page 21
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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 |