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Book Cover
E-book
Author Heirich, Max

Title Rethinking Health Care : Innovation and Change in America
Published Milton : Routledge, 1998
©1998

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Description 1 online resource (465 pages)
Contents Cover -- Half Title -- Title -- Copyright -- Contents -- Acknowledgements -- Introduction: The Deepening Crisis -- Health Care's Contribution to Long Term Economic Tensions -- Why Have Previous Reform Efforts Failed? -- How Might We Proceed Differently? -- Chapter 1: Understanding How We Got Here: Creating a Health-Care Industry -- International Developments Influence the Emergence of Modern Medical Science -- Innovations in Funding Health Care -- New International Developments Change the Context for American Problem Solving -- A New Postwar International Role for the U.S. Has Implications for the Economy and Health Care -- Institutionalizing "Fringe Benefits": Third-Party Payers for Health Insurance -- A New Federal Player: The Supreme Court -- Court Decisions, Politics, and the Civil Rights Movement -- Legislative Response: Medicare and Medicaid -- The Emergence of a Health-Care Industry -- Chapter 2: First Efforts at Cost Control -- Major International Political and Economic Developments of the 1960s and 1970s -- Trends in America -- The Impact of Health Cost Inflation on the Economy -- A Shift in Power and Efforts at Price Control -- Capitation: HMOs -- Assessing Health-Care Reforms of the 1970s -- Chapter 3: Health-Care Innovation in a Rapidly Changing World Economy -- New International Developments Affecting Directions for Health-Care Change -- Changes in America: Realigning Working Coalitions in the 1980s -- Implications for Health Care: New Reform Strategies -- How Effective Were These Innovations? -- Chapter 4: The 1990s: Efforts at More Basic Reform in a New World Order -- Focusing Attention on Health Problems -- Health Policy Issues of the 1990s -- The Pepper Commission -- The Debate Takes Shape -- From Policy Discussion to Political Advocacy -- Can Any of the Proposals Solve the Dilemma?
Chapter 5: Contending Strategies for Reform: Underlying Principles, Unanticipated Consequences, and Unmet Problems -- Single-Payer Plans -- Market Competition -- Managed Competition -- Comparing the Three Approaches -- Could Any of These Contending Strategies Work? -- Chapter 6: Origins of New Health-Care Perspectives -- International Developments that Changed the Context for Problem-Solving -- National Developments -- Emergence of a Generational Perspective in the 1960s -- Emergence of a Counterculture -- Evolving Questions and Approaches to Health -- Chapter 7: Holistic Health -- What is Holistic Health? -- Holistic Health Comes to the Attention of National Policy Makers -- Developing a Base at the State Level -- Problems with Holistic Health -- A New Look at Alternative Medicine -- Lessons from the Holistic Health Movement that are Useful for Current Health Planning -- Chapter 8: Prevention and Health Promotion: Industry, the Government, and Foundations Innovate -- Early Prevention Efforts -- Renewed Efforts -- Focusing on Worksites -- Community Health Inititatives -- Taking on the Tobacco Industry -- Public Response to Preventive Health Themes -- Criticisms of the Prevention Model -- Lessons from the Preventive Health or Wellness Movement for Current Health-Care Planning, -- Chapter 9: Understanding the Ecology of Health and Disease -- New Directions in Medical Science: The Ecology of the Human Body -- Changes in the Biological and Social Environment that Affect Health -- Changes in the Global Physical Environment that Affect Health -- The Emergence of International Environmental Health Approaches -- Criticisms of an Ecological Approach to Health Care -- Ecological Lessons for Current Health Planning, -- Chapter 10: Reapproaching Health: Next Steps -- Shifting the Emphasis to Health Care -- Getting Care Where It Is Most Needed
Demedicalizing Life Experiences -- Shifting the Emphasis of Health Care Toward Lower Technology and More Ecologically Sophisticated Care -- Improving the Health of the Planet -- Chapter 11: Reapproaching Problems of Cost -- Constraints -- Reframing the Problem -- A New Organizing Principle: Flexible Collaboration in a Redivided Health-Care Market -- Central Problems We Must Face -- Finding Additional Sources of Funding -- A Summary of the Larger Strategy Proposed for Cost Control -- Chapter 12: Reapproaching Problems of Access -- Improving Access to Care -- Subsidizing Low-Income Populations -- Moving Toward Universal Access to Care -- A Summary: Strategies for Dealing with Cost and Access -- In Conclusion -- Appendix: Tables -- Chapter Notes -- References -- Index
Notes Publisher supplied metadata and other sources
Form Electronic book
ISBN 9781000238044
1000238040