Sociology of health care reform: building on research and analysis to improve health care.
J Health Soc Behav
; 51 Suppl: S147-59, 2010.
Article
in En
| MEDLINE
| ID: mdl-20943579
ABSTRACT
Health reform efforts in the United States have focused on resolving some of the fundamental irrationalities of the system whereby costs and services utilization are often not linked to improved patient outcomes. Sociologists have contributed to these efforts by documenting the extent of problems and by confronting central questions around issues of accountability, reimbursement, and rationing that must be addressed in order to achieve meaningful reform that controls costs, expands access, and improves quality. Major reform rarely occurs without "paying off" powerful interests, a particularly difficult challenge in the context of a large and growing deficit. Central to achieving increased coverage and access, high quality, and cost control is change in reimbursement arrangements, increased accountability for both costs and outcomes, and criteria for rationing based on the evidence and accepted as legitimate by all stakeholders. Consensus about health reform requires trust. The traditional trust patients have in physicians provides an important base on which to build.
Full text:
1
Collection:
01-internacional
Health context:
11_ODS3_cobertura_universal
/
1_ASSA2030
/
2_ODS3
Database:
MEDLINE
Main subject:
Sociology, Medical
/
Health Care Costs
/
Health Care Reform
/
Delivery of Health Care
Aspects:
Determinantes_sociais_saude
Limits:
Humans
Country/Region as subject:
America do norte
Language:
En
Journal:
J Health Soc Behav
Year:
2010
Document type:
Article