Your search for: subjects:"Medical Care United States"

This book focuses on how a distinctly American product--managed care--got its start, how it works, and what needs to be adjusted in the future. As Birenbaum makes clear, this book is about social change. It is about doctors contracting with health maintenance organizations (HMOs) and being subject ...

This book focuses on how a distinctly American product--managed care--got its start, how it works, and what needs to be adjusted in the future. As Birenbaum makes clear, this book is about social change. It is about doctors contracting with health maintenance organizations (HMOs) and being subject to their rules; about the limited access to specialty care; and about the frugal use of hospital admissions and stays. Consumers and providers have had mixed experiences in these health-delivery systems. Birenbaum, a health-policy analyst, has created a synthesis of research studies and analyses of trends to chronicle these developments and to suggest remedies to correct the most unjust aspects of managed care.

HEALTH POLICY provides a rare glimpse into frank exchanges that occurred between proponents of quite different solutions to the dilemma of health care reform. These discussions, which took place during a critical period in U.S. health policy formation, 1994-1996, shed new light on the nature of ...

HEALTH POLICY provides a rare glimpse into frank exchanges that occurred between proponents of quite different solutions to the dilemma of health care reform. These discussions, which took place during a critical period in U.S. health policy formation, 1994-1996, shed new light on the nature of health care reform, the political process, and realistic choices.

The Army Medical Department is planning now to ensure that the Army will have the required medical capabilities in 2025. As part of this planning, it conducted Medical Technology Workshop 1999 to investigate technologies for future medical concepts and capabilities. Besides gleaning insights from ...

The Army Medical Department is planning now to ensure that the Army will have the required medical capabilities in 2025. As part of this planning, it conducted Medical Technology Workshop 1999 to investigate technologies for future medical concepts and capabilities. Besides gleaning insights from both the functional and Technology perspectives into such areas medical informatics, combat service support, and biological and chemical defense, RAND analysts in this report also identify areas warranting further investigation. The authors also discuss methods of improving future workshops.

Adolescents are an underserved group in terms of health care. Poor and minority youth are particularly shortchanged in our current system. In view of the high incidence of many medical and psychological syndromes associated with poverty and discrimination, this situation is paradoxical. This book ...

Adolescents are an underserved group in terms of health care. Poor and minority youth are particularly shortchanged in our current system. In view of the high incidence of many medical and psychological syndromes associated with poverty and discrimination, this situation is paradoxical. This book examines both common and unique health issues associated with a number of different groups - African-American, Latino, Native American, Asian-American, and Hawaiian - and explores the role of traditional and nontraditional treatments for each. The chapters represent a compendium of the most up-to-date studies summarized by leading researchers and include specific recommendations for improving health care services, which will prove valuable to providers and those concerned with public policy. The authors conclude that unless greater attention and resources are devoted to these youth, the consequences will continue to be dire, both for the groups involved and for society as a whole.

Health care reform has become one of the most prevalent topics in recent policy discourse within and across nations. In the 1990s, common features of the health care arena elevated the importance of bargaining relationships among large, sophisticated entities as the dominant mode of decision-making ...

Health care reform has become one of the most prevalent topics in recent policy discourse within and across nations. In the 1990s, common features of the health care arena elevated the importance of bargaining relationships among large, sophisticated entities as the dominant mode of decision-making, fundamentally challenging the traditional dominance of the medical profession, which had been grounded in individualized "agency" relationships between providers and patients. These developments have played out in varying ways around the globe. Carolyn Hughes Tuohy looks at the experiences of the United States, Britain, and Canada, offering an international comparative study of public policy systems, as well as a recent history of the evolution of each national health care system. L What drives change in health care systems? Why do certain changes occur in some nations and not in others? Tuohy argues that the answer lies in understanding the "accidents" of history that have shaped national systems at critical moments and in the distinctive "logics" of these systems. Her study carefully delineates both the common logic of the health care arena, deriving from micro-economic characteristics and technological change, and the particular logics of national systems, put in place by specific episodes of policy change. She goes on to explore how in the wake of these episodes, the mixed market in the United States, hierarchical corporatism in Britain, and the single-payer system in Canada determined the subsequent direction and pace of change in all three countries. Finally, Tuohy provides suggestions to guide the strategic judgments that decision-makers must make within the health care system of each country. Accidental Logics uniquely departs from the descriptive literature currently available by presenting an extensive review of the evidence regarding the evolution of the health care arenas in the United States, Britain, and Canada, integrated within an explanatory framework. It is essential up-to-date reading for political scientists working in comparative politics and public policy, health policy analysts, government agency officials, and students in political science, health policy, and administration programs.