Download Changing the U.S. Health Care System: Key Issues in Health by Ronald M. Andersen, Thomas H. Rice, Gerald F. Kominski PDF

By Ronald M. Andersen, Thomas H. Rice, Gerald F. Kominski

Discover in-depth the chances for public health and wellbeing and coverage reform. the second one variation of fixing the U.S. overall healthiness Care process is a completely revised and up-to-date compendium of the most up-tp-date suggestion on 3 key elements of well-being care policy-improving entry, controlling expenses, and making sure caliber. Written through a stellar panel of specialists within the box of future health care coverage, this moment version highlights the latest learn proper to well-being coverage concerns. This invaluable source additionally contains analyses of present overall healthiness care coverage demanding situations and offers a wide-range of possible ideas. additionally, the e-book comprises an outline of the possibilities within the becoming fields of public wellbeing and fitness and future health coverage.

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Extra info for Changing the U.S. Health Care System: Key Issues in Health Services Policy and Management (Jossey Bass Aha Press Series)

Example text

Perceived need is largely a social phenomenon that, when appropriately modeled, should itself be largely explainable by social characteristics (such as ethnicity or education) and health beliefs (health attitudes, knowledge about health care, and so on). Evaluated need represents professional judgment and objective measurement about a patient’s physical status and need for medical care (blood pressure readings, temperature, blood cell count, as well as diagnoses and prognoses for particular conditions the patient experiences).

5 million currently homeless, heterogeneous persons including families, runaway youths, the physically and mentally ill, and substance abusers. The homeless population experiences high rates of acute and chronic illness but has limited access to medical care as reflected by high inpatient utilization and low ambulatory service use relative to their high level of need. The medical care they do receive is limited in terms of availability, continuity, and comprehensiveness. The authors find the homeless particularly vulnerable in the policy arena because of the absence of strong advocates, tendencies by the public to accept large-scale homelessness as inevitable, and commonly held beliefs that the homeless are responsible for their status.

We have moved from assuming that adequate mechanisms of accountability existed in the health system to demanding proof that various levels within the health system are accountable for the decisions that are made regarding resource allocation. Routine reports to the public on the quality of health care are one response Introduction and Overview xxxix to concerns about accountability. This chapter describes the type of information that is currently being publicly released; it then discusses some of the methodological issues that arise in producing information for public release and summarizes what is known regarding use of information about quality when it comes to choice for consumers.

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