Author : Joseph L. Verheijde
Publisher : Springer Science & Business Media
Page : 231 pages
File Size : 16,60 MB
Release : 2006-01-07
Category : Medical
ISBN : 1402041853
This book traces the growth of managed care as a mechanism for curbing excessive growth in health costs, and the controversies that have risen around for-profit health care. Also examined are decentralization in US health care, and the absence of comprehensive health care planning, access rules, and minimum health care benefit standards. Finally, the author proposes a framework for improving access to quality, affordable health care in a competitive market environment.
Author : Institute of Medicine
Publisher : National Academies Press
Page : 497 pages
File Size : 43,69 MB
Release : 1997-05-21
Category : Medical
ISBN : 0309055342
How do communities protect and improve the health of their populations? Health care is part of the answer but so are environmental protections, social and educational services, adequate nutrition, and a host of other activities. With concern over funding constraints, making sure such activities are efficient and effective is becoming a high priority. Improving Health in the Community explains how population-based performance monitoring programs can help communities point their efforts in the right direction. Within a broad definition of community health, the committee addresses factors surrounding the implementation of performance monitoring and explores the "why" and "how to" of establishing mechanisms to monitor the performance of those who can influence community health. The book offers a policy framework, applies a multidimensional model of the determinants of health, and provides sets of prototype performance indicators for specific health issues. Improving Health in the Community presents an attainable vision of a process that can achieve community-wide health benefits.
Author : G.J. Agich
Publisher : Springer Science & Business Media
Page : 294 pages
File Size : 43,78 MB
Release : 2012-12-06
Category : Philosophy
ISBN : 9400978316
Medicine is a complex social institution which includes biomedical research, clinical practice, and the administration and organization of health care delivery. As such, it is amenable to analysis from a number of disciplines and directions. The present volume is composed of revised papers on the theme of "Responsibility in Health Care" presented at the Eleventh Trans Disciplinary Symposium on Philosophy and Medicine, which was held in Springfield, illinois on March 16-18, 1981. The collective focus of these essays is the clinical practice of medicine and the themes and issues related to questions of responsibility in that setting. Responsibility has three related dimensions which make it a suitable theme for an inquiry into clinical medicine: (a) an external dimension in legal and political analysis in which the State imposes penalties on individuals and groups and in which officials and governments are held accountable for policies; (b) an internal dimension in moral and ethical analysis in which individuals take into account the consequences of their actions and the criteria which bear upon their choices; and (c) a comprehensive dimension in social and cultural analysis in which values are ordered in the structure of a civilization ([8], p. 5). The title "Responsibility in Health Care" thus signifies a broad inquiry not only into the ethics of individual character and actions, but the moral foundations of the cultural, legal, political, and social context of health care generally.
Author : Karen Grandstrand Gervais
Publisher : Georgetown University Press
Page : 392 pages
File Size : 48,80 MB
Release : 1999
Category : Medical
ISBN : 9780878407194
Through twenty case studies that illustrate a wide range of ethical challenges, this book explores the goals, methods, and practices of managed care, and offers practical guidance for addressing the ethical and policy issues inherent in such a system.
Author : Allen G. Herkimer
Publisher : Jones & Bartlett Learning
Page : 494 pages
File Size : 29,76 MB
Release : 1986
Category : Business & Economics
ISBN : 9780871893925
Health Administration
Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 1448 pages
File Size : 25,74 MB
Release : 2001
Category : Medical
ISBN : 9780834217263
This thoroughly revised and updated book provides a strategic and operational resource for use in planning and decision-making. The Handbook enables readers to fine-tune operation strategies by providing updates on critical managed care issues, insights to the complex managed care environment, and methods to gain and maintain cost-efficient, high quality health services. With 30 new chapters, it includes advice from managers in the field on how to succeed in every aspect of managed care including: quality management, claims and benefits administration, and managing patient demand. The Handbook is considered to be the standard resource for the managed care industry.
Author : Committee on Quality Assurance and Accreditation Guidelines for Managed Behavioral Health Care
Publisher : National Academies Press
Page : 395 pages
File Size : 29,95 MB
Release : 1997-05-05
Category : Medical
ISBN : 0309523680
Managed care has produced dramatic changes in the treatment of mental health and substance abuse problems, known as behavioral health. Managing Managed Care offers an urgently needed assessment of managed care for behavioral health and a framework for purchasing, delivering, and ensuring the quality of behavioral health care. It presents the first objective analysis of the powerful multimillion-dollar accreditation industry and the key accrediting organizations. Managing Managed Care draws evidence-based conclusions about the effectiveness of behavioral health treatments and makes recommendations that address consumer protections, quality improvements, structure and financing, roles of public and private participants, inclusion of special populations, and ethical issues. The volume discusses trends in managed behavioral health care, highlighting the emerging role of the purchaser. The committee explores problems of overlap and fragmentation in the delivery of behavioral health care and discusses the issue of access, a special concern when private systems are restricted and public systems overburdened. Highly applicable to the larger health care system, this volume will be of particular interest to all stakeholders in behavioral health--federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.
Author : United States. Congress. Senate. Special Committee on Aging
Publisher :
Page : 872 pages
File Size : 33,92 MB
Release : 1997
Category : Medical
ISBN :
Author : United States. General Accounting Office
Publisher :
Page : 36 pages
File Size : 23,5 MB
Release : 1997
Category : Managed care plans (Medical care)
ISBN :
Author : Stephen Moss
Publisher : DIANE Publishing
Page : 72 pages
File Size : 37,95 MB
Release : 1997-06
Category : Medical
ISBN : 9780788140358
Intended to provide guidance to those in State AOD (alcohol & other drug treatment) & Medicaid agencies who will be undertaking essential roles as planners & managers of managed care contracts. The guidelines & recommendations presented in this document were developed by a panel of experts from States that are already well advanced in developing State managed care plans for AOD clients. Contents: managed care overview; access to treatment; comprehensiveness of treatment; financial considerations; & consumer protections. Glossary & bibliography. Organizational readiness checklist.
