MARC Record from marc_columbia

LEADER: 04110cam a2200481 a 4500
001 3979594
005 20221027012928.0
008 930408t19941994nju b 001 0 eng c
010 $a 93013425
020 $a1560001216 (cloth)
035 $a(OCoLC)28029448
035 $a(OCoLC)ocm28029448
035 $9AHU1162HS
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035 $a3979594
040 $aDNLM/DLC$cDLC$dDLC$dNNC-M
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050 00 $aRA395.A3$bM418 1994
060 00 $aWA 540 AA1 M4i 1994
082 00 $a362.1/0973$220
100 1 $aMechanic, David,$d1936-$0http://id.loc.gov/authorities/names/n78089013
245 10 $aInescapable decisions :$bthe imperatives of health reform /$cDavid Mechanic.
260 $aNew Brunswick, N.J. :$bTransaction Publishers,$c[1994], ©1994.
300 $axv, 296 pages ;$c24 cm
336 $atext$btxt$2rdacontent
337 $aunmediated$bn$2rdamedia
500 $aEssays adapted from previously published materials.
504 $aIncludes bibliographical references and index.
505 0 $aI. The Medical Care System in Disarray. 1. The American Medical Care System. 2. Sources of Countervailing Power in Medicine. 3. Professional Judgment and the Rationing of Medical Care -- II. Need for a New Paradigm. 4. Conceptions of Health. 5. Promoting Health and Independence. 6. Socioeconomic Status and Health -- III. Special Populations. 7. Adolescents at Risk. 8. Deinstitutionalization of the Mentally Ill: Efforts for Inclusion. 9. Health Care for an Aging Population -- IV. Conclusion. 10. Inescapable Decisions -- App. A. Medical Sociology: Some Tensions between Theory, Method, and Substance -- App. B. The Role of Sociology in Health Affairs.
520 $aInescapable 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.
520 8 $aThis incredibly complex system of care operates in an environment of heavy-handed rules and regulations and enormous waste of resources.
520 8 $aMechanic 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.
520 8 $aMechanic 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.
520 8 $aThe 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.
650 0 $aMedical policy$zUnited States.$0http://id.loc.gov/authorities/subjects/sh2008107275
650 0 $aSocial medicine$zUnited States.$0http://id.loc.gov/authorities/subjects/sh2008111833
650 0 $aHealth planning$zUnited States.$0http://id.loc.gov/authorities/subjects/sh2008105520
650 2 $aHealth Policy.$0https://id.nlm.nih.gov/mesh/D006291
650 2 $aDelivery of Health Care$xorganization & administration.$0https://id.nlm.nih.gov/mesh/D003695Q000458
650 2 $aSocial Medicine.$0https://id.nlm.nih.gov/mesh/D012936
651 2 $aUnited States.$0https://id.nlm.nih.gov/mesh/D014481
655 2 $aCollected Work.$0https://id.nlm.nih.gov/mesh/D020470
852 00 $boff,hsl$hRA395.A3$iM418 1994