The Hippocratic predicament: affordability, access, and accountability in American medicine
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
San Diego u.a.
Academic Press
1993
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| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | X, 275 S. |
| ISBN: | 0123973708 |
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| 245 | 1 | 0 | |a The Hippocratic predicament |b affordability, access, and accountability in American medicine |c Robert M. Kaplan |
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Datensatz im Suchindex
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|---|---|
| adam_text | Contents
Preface / ix
Overview and Executive Summary / 1
What Is the Problem? / 2
Proposed Solutions / 2
A General Health Policy Model / 3
The Oregon Experiment / 5
Ethical Issues Raised by the Oregon Experiment / 7
Where Do We Go from Here? / 9
Conclusions / 11
Three Problems Contributing to the Crisis in American
HealthCare / 13
Common Misconceptions to Be Challenged / 15
The Medical Care Crisis at the University of California: A Case Study / 20
Guidelines and Models / 21
Cost Shifting / 28
Who Is Concerned about the Problem? / 35
The Hippocratic Predicament / 39
Summary / 40
v
vi / Contents
A Look at Solutions / 41
Simple Solutions / 42
The Alphabet Soup of Policies to Control Costs / 50
Summary / 57
Review of Current Proposals / 59
A Dozen Solutions / 59
The Current Major Alternatives / 68
Synthesis / 72
Current Active Proposals / 73
Summary / 78
A General Health Policy Model for Setting Priorities in
Health Policy / 79
Utility / 80
Is More Better? / 80
Apples versus Oranges / 81
Measurement of Health Status / 82
Comparisons across Diagnoses—The Incremental Outcome Problem / 82
A General Health Policy Model / 84
Applying the Model: Step by Step / 87
Summary / 101
Selected Applications of the General Health
Policy Model / 103
Examples of Clinical Problems / 104
The Tight Control of Insulin Dependent Diabetes Mellitus / 106
Auranofin Treatment for Patients with Rheumatoid Arthritis / 107
Coronary Artery Bypass Grafts / 109
Contents / vii
Adherence to Antihypertensive Medications / 111
The Neonatal Circumcision Controversy / 114
Screening for Breast Cancer / 116
Tobacco Tax / 123
Comparisons across Different Programs / 128
Summary / 128
The Oregon Experiment / 129
Health Care Issues in Oregon / 129
Mechanism / 131
Health Services Commission / 132
Ranking Methodology / 132
Departure from the Model—Alternative Methodology Subcommittee / 149
What Went Wrong? / 151
Clinical Contradictions / 151
Duration / 154
Summary / 155
Problems and Concerns / 157
Technical Issues / 157
Ethical Concerns / 168
Targeting the Poor / 1 72
Will the System Change the Way Medicine Is Practiced? / 1 74
Other Legal and Ethical Challenges / 1 75
Criticisms of the Use of Preferences / 1 79
Department of Health and Human Services Rejection of Oregon
Application / 179
Summary / 180
Summary and Conclusions / 181
Can an Outcomes Oriented Approach Succeed? / 182
viii / Contents
Where Do We Go from Here? / 185
Conclusions / 187
Oregon Prioritized Health Services / 189
A User s Guide for Health Services Commission Working Document / 189
Prioritized Health Services List of May 1, 1991 / 191
References / 251
Index / 265
|
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| spelling | Kaplan, Robert M. 1947- Verfasser (DE-588)124506208 aut The Hippocratic predicament affordability, access, and accountability in American medicine Robert M. Kaplan San Diego u.a. Academic Press 1993 X, 275 S. txt rdacontent n rdamedia nc rdacarrier Economische aspecten gtt Gezondheidszorg gtt Personnes âgées - Soins médicaux - États-Unis Politique sanitaire - États-Unis Soins médicaux - Coût - États-Unis Gesundheitswesen Wirtschaft Cost Control United States Health Policy United States Health Priorities economics United States Health Services Accessibility economics United States Medical care United States Medical care, Cost of United States Medical policy United States Gesundheitspolitik (DE-588)4113743-7 gnd rswk-swf Gesundheitsökonomie (DE-588)4130935-2 gnd rswk-swf USA USA (DE-588)4078704-7 gnd rswk-swf USA (DE-588)4078704-7 g Gesundheitspolitik (DE-588)4113743-7 s Gesundheitsökonomie (DE-588)4130935-2 s DE-604 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=005305497&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Kaplan, Robert M. 1947- The Hippocratic predicament affordability, access, and accountability in American medicine Economische aspecten gtt Gezondheidszorg gtt Personnes âgées - Soins médicaux - États-Unis Politique sanitaire - États-Unis Soins médicaux - Coût - États-Unis Gesundheitswesen Wirtschaft Cost Control United States Health Policy United States Health Priorities economics United States Health Services Accessibility economics United States Medical care United States Medical care, Cost of United States Medical policy United States Gesundheitspolitik (DE-588)4113743-7 gnd Gesundheitsökonomie (DE-588)4130935-2 gnd |
| subject_GND | (DE-588)4113743-7 (DE-588)4130935-2 (DE-588)4078704-7 |
| title | The Hippocratic predicament affordability, access, and accountability in American medicine |
| title_auth | The Hippocratic predicament affordability, access, and accountability in American medicine |
| title_exact_search | The Hippocratic predicament affordability, access, and accountability in American medicine |
| title_full | The Hippocratic predicament affordability, access, and accountability in American medicine Robert M. Kaplan |
| title_fullStr | The Hippocratic predicament affordability, access, and accountability in American medicine Robert M. Kaplan |
| title_full_unstemmed | The Hippocratic predicament affordability, access, and accountability in American medicine Robert M. Kaplan |
| title_short | The Hippocratic predicament |
| title_sort | the hippocratic predicament affordability access and accountability in american medicine |
| title_sub | affordability, access, and accountability in American medicine |
| topic | Economische aspecten gtt Gezondheidszorg gtt Personnes âgées - Soins médicaux - États-Unis Politique sanitaire - États-Unis Soins médicaux - Coût - États-Unis Gesundheitswesen Wirtschaft Cost Control United States Health Policy United States Health Priorities economics United States Health Services Accessibility economics United States Medical care United States Medical care, Cost of United States Medical policy United States Gesundheitspolitik (DE-588)4113743-7 gnd Gesundheitsökonomie (DE-588)4130935-2 gnd |
| topic_facet | Economische aspecten Gezondheidszorg Personnes âgées - Soins médicaux - États-Unis Politique sanitaire - États-Unis Soins médicaux - Coût - États-Unis Gesundheitswesen Wirtschaft Cost Control United States Health Policy United States Health Priorities economics United States Health Services Accessibility economics United States Medical care United States Medical care, Cost of United States Medical policy United States Gesundheitspolitik Gesundheitsökonomie USA |
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