Inescapable decisions: the imperatives of health reform
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 someti...
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
New Brunswick u.a.
Transaction Publ.
1994
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Zusammenfassung: | 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-handed rules and regulations and enormous waste of resources. Mechanic argues for a transformation of the medical paradigm, including how health affairs are addressed. Strategies for preventing illness and limiting disabilities are needed for both communities and individuals. He maintains that health care costs cannot be brought under control without a budgetary ceiling. Such limitations offer the most realistic, appropriate, and nonintrusive way to allocate services. Mechanic shows that much of the neglect of sick and disadvantaged populations results from an approach to health and welfare issues that encourages fragmentation of services. The goal of a workable health system is now a national priority. Inescapable Decisions illustrates how to forge a better, more caring system that will be adaptive to future problems, one that brings the disadvantaged into the mainstream of health concerns. This path-breaking book will be of wide interest to health care officials, policymakers, and professionals in social welfare. |
| Beschreibung: | XV, 296 S. |
| ISBN: | 1560001216 |
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| 520 | 3 | |a 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-handed rules and regulations and enormous waste of resources. Mechanic argues for a transformation of the medical paradigm, including how health affairs are addressed. Strategies for preventing illness and limiting disabilities are needed for both communities and individuals. He maintains that health care costs cannot be brought under control without a budgetary ceiling. Such limitations offer the most realistic, appropriate, and nonintrusive way to allocate services. Mechanic shows that much of the neglect of sick and disadvantaged populations results from an approach to health and welfare issues that encourages fragmentation of services. The goal of a workable health system is now a national priority. Inescapable Decisions illustrates how to forge a better, more caring system that will be adaptive to future problems, one that brings the disadvantaged into the mainstream of health concerns. This path-breaking book will be of wide interest to health care officials, policymakers, and professionals in social welfare. | |
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Datensatz im Suchindex
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| adam_text | Contents
Acknowledgments ix
Introduction xi
I. The Medical Care System in Disarray
1. The American Medical Care System 3
2. Sources of Countervailing Power in Medicine 53
3. Professional Judgment and the Rationing of Medical Care 69
n. Need for a New Paradigm
4. Conceptions of Health 101
5. Promoting Health and Independence 119
6. Socioeconomic Status and Health 137
III. Special Populations
7. Adolescents at Risk 153
8. Deinstitutionalization of the Mentally III:
Efforts for Inclusion 165
9. Health Care for an Aging Population 213
IV. Conclusion
10. Inescapable Decisions 229
Appendixes
A. Medical Sociology:
Some Tensions between Theory, Method, and Substance 249
B. The Role of Sociology in Health Affairs 275
Index 291
|
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| spelling | Mechanic, David 1936- Verfasser (DE-588)133183009 aut Inescapable decisions the imperatives of health reform David Mechanic New Brunswick u.a. Transaction Publ. 1994 XV, 296 S. txt rdacontent n rdamedia nc rdacarrier 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-handed rules and regulations and enormous waste of resources. Mechanic argues for a transformation of the medical paradigm, including how health affairs are addressed. Strategies for preventing illness and limiting disabilities are needed for both communities and individuals. He maintains that health care costs cannot be brought under control without a budgetary ceiling. Such limitations offer the most realistic, appropriate, and nonintrusive way to allocate services. Mechanic shows that much of the neglect of sick and disadvantaged populations results from an approach to health and welfare issues that encourages fragmentation of services. The goal of a workable health system is now a national priority. Inescapable Decisions illustrates how to forge a better, more caring system that will be adaptive to future problems, one that brings the disadvantaged into the mainstream of health concerns. This path-breaking book will be of wide interest to health care officials, policymakers, and professionals in social welfare. Gezondheidszorg gtt Hervormingen gtt Gesundheitswesen Delivery of Health Care organization & administration United States Collected Works Health Care Reform United States Collected Works Health Services Administration United States Collected Works Health care reform United States Health planning United States Medical policy United States Social medicine United States Reform (DE-588)4115716-3 gnd rswk-swf Gesundheitswesen (DE-588)4020775-4 gnd rswk-swf USA USA (DE-588)4078704-7 gnd rswk-swf USA (DE-588)4078704-7 g Gesundheitswesen (DE-588)4020775-4 s Reform (DE-588)4115716-3 s DE-604 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=006521856&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Mechanic, David 1936- Inescapable decisions the imperatives of health reform Gezondheidszorg gtt Hervormingen gtt Gesundheitswesen Delivery of Health Care organization & administration United States Collected Works Health Care Reform United States Collected Works Health Services Administration United States Collected Works Health care reform United States Health planning United States Medical policy United States Social medicine United States Reform (DE-588)4115716-3 gnd Gesundheitswesen (DE-588)4020775-4 gnd |
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| title | Inescapable decisions the imperatives of health reform |
| title_auth | Inescapable decisions the imperatives of health reform |
| title_exact_search | Inescapable decisions the imperatives of health reform |
| title_full | Inescapable decisions the imperatives of health reform David Mechanic |
| title_fullStr | Inescapable decisions the imperatives of health reform David Mechanic |
| title_full_unstemmed | Inescapable decisions the imperatives of health reform David Mechanic |
| title_short | Inescapable decisions |
| title_sort | inescapable decisions the imperatives of health reform |
| title_sub | the imperatives of health reform |
| topic | Gezondheidszorg gtt Hervormingen gtt Gesundheitswesen Delivery of Health Care organization & administration United States Collected Works Health Care Reform United States Collected Works Health Services Administration United States Collected Works Health care reform United States Health planning United States Medical policy United States Social medicine United States Reform (DE-588)4115716-3 gnd Gesundheitswesen (DE-588)4020775-4 gnd |
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