Fads, Fallacies and Foolishness in Medical Care Management and Policy

Fads, Fallacies and Foolishness in Medical Care Management and Policy

eBook - 2007
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No one misses the onslaught of claims about reforming modern medical care. How doctors should be paid, how hospitals should be paid or governed, how much patients should pay when sick in co-payments, how the quality of care could be improved, and how governments and other buyers could better control the costs of care - all find expression in the explosion of medical care conference proceedings, op-eds, news bulletins, journal articles, and books. This collection of articles takes up a key set of what the author regards as particularly misleading fads and fashions - developments that produce a startling degree of foolishness in contemporary discussions of how to organize, deliver, finance, pay for and regulate medical care services in modern industrial democracies. The policy fads addressed include the celebration of explicit rationing as a major cost control instrument, the belief in a "basic package" of health insurance benefits to constrain costs, the faith that contemporary cross-national research can deliver a large number of transferable models, and the notion that broadening the definition of what is meant by health will constitute some sort of useful advance in practice. Contents: Fads and Fashions in Medical Care Management: Speedy Obsolescence; How Not to Think About Managed Care; Fads in Healthcare Policy; Policy Analysis Review: The Use and Abuse of Political Analysis in Economic Models of Healthcare; The Promise and Perils of Cross-National Policy Lessons; The Myth of Demographic Destiny, or, How Not to Think About the Impact of Aging on Medical Care Budgets. Key Features Each chapter critically reviews ideas that healthcare managers, policy makers, and students have read about in the literature of the past decade or more Each essay provides important examples of fads in the management and policy literature. In the case of management, the fads dissected include the faith in marketing managerial nostrums, the celebration of integrated delivery systems, and enthusiasm for nostrums like management by objective Includes a chapter devoted to the topic of "managed care" to illustrate just how confused and confusing this faddish notion was in the 1990s Readership: Graduate students in management, nursing, medicine, and social sciences; science researchers or writers; medical practitioners and lay persons.
Publisher: Hackensack, NJ ; London : World Scientific, c2007.
ISBN: 9789812566782
Branch Call Number: ELECTRONIC BOOK
Characteristics: 1 online resource (ix, 159 p.) : ill.
Additional Contributors: ebrary, Inc


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