Research Catalog

Title

The Hippocratic predicament : affordability, access, and accountability in American medicine / Robert M. Kaplan.

Author

Kaplan, Robert M. (Robert Malcolm), 1947-

Publication

San Diego : Academic Press, ©1993.

Items in the Library & Off-site

Details

Description

x, 275 p. : ill.; 24 cm.

Summary

Summarizes the status of the US health care system and the emergence of research and methodologies, evaluating the effectiveness of health care. The book outlines the inception, development and results of the Oregon health care plan and proposes new health care policies to increase effectiveness.

Subject

• Medicaid
• Medical care > United States
• Medical care, Cost of > United States
• Medical policy > United States
• Cost control
• Medical policy
• Older people > Medical care > United States
• Cost Control
• Health Policy
• Health Priorities > economics
• Health Services Accessibility > economics
• cost control
• Older people > Medical care
• Cost control
• Medical care
• Medical care, Cost of
• Medical policy
• Gesundheitspolitik
• Gesundheitsökonomie
• Gezondheidszorg
• Economische aspecten
• United States
• USA

Bibliography (note)

• Includes bibliographical references (p. 251-263) and index.

Contents

What Is the Problem? -- Proposed Solutions -- A General Health Policy Model -- The Oregon Experiment -- Ethical Issues Raised by the Oregon Experiment -- Where Do We Go from Here? -- Ch. 1. Three Problems Contributing to the Crisis in American Health Care -- Common Misconceptions to Be Challenged -- The Medical Care Crisis at the University of California: A Case Study -- Guidelines and Models -- Cost Shifting -- Who Is Concerned about the Problem? -- The Hippocratic Predicament -- Summary -- Ch. 2. Look at Solutions -- Simple Solutions -- The Alphabet Soup of Policies to Control Costs -- Summary -- Ch. 3. Review of Current Proposals -- A Dozen Solutions -- The Current Major Alternatives -- Synthesis -- Current Active Proposals -- Summary -- Ch. 4. A General Health Policy Model for Setting Priorities in Health Policy -- Utility -- Is More Better? -- Apples versus Oranges -- Measurement of Health Status -- Comparisons across Diagnoses -- The Incremental Outcome Problem -- A General Health Policy Model -- Applying the Model: Step by Step -- Summary -- Ch. 5. Selected Applications of the General Health Policy Model -- Examples of Clinical Problems -- The Tight Control of Insulin Dependent Diabetes Mellitus -- Auranofin Treatment for Patients with Rheumatoid Arthritis -- Coronary Artery Bypass Grafts -- Adherence to Antihypertensive Medications -- The Neonatal Circumcision Controversy -- Screening for Breast Cancer -- Tobacco Tax -- Comparisons across Different Programs -- Summary -- Ch. 6. The Oregon Experiment -- Health Care Issues in Oregon -- Mechanism -- Health Services Commission -- Ranking Methodology -- Departure from the Model -- Alternative Methodology Subcommittee -- What Went Wrong? -- Clinical Contradictions -- Duration -- Summary -- Ch. 7. Problems and Concerns -- Technical Issues -- Ethical Concerns -- Targeting the Poor -- Will the System Change the Way Medicine Is Practiced? -- Other Legal and Ethical Challenges -- Criticisms of the Use of Preferences -- Department of Health and Human Services Rejection of Oregon Application -- Summary -- Ch. 8. Summary and Conclusions -- Can an Outcomes-Oriented Approach Succeed? -- Where Do We Go from Here? -- Appendix: Oregon Prioritized Health Services -- A User's Guide for Health Services Commission Working Document -- Prioritized Health Services List of May 1, 1991.

ISBN

• 0123973708
• 9780123973702

LCCN

92011085

OCLC

• ocm25788462
• 25788462
• SCSB-1978789

Owning Institutions

Princeton University Library