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Sociology of health care reform: building on research and analysis to improve health care.
Mechanic, David; McAlpine, Donna D.
Afiliação
  • Mechanic D; Rutgers, The State University of New Jersey, Institute for Health, Health Care Policy and Aging Research, New Brunswick, NJ 08901, USA. mechanic@rci.rutgers.edu
J Health Soc Behav ; 51 Suppl: S147-59, 2010.
Article em 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.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Sociologia Médica / Custos de Cuidados de Saúde / Reforma dos Serviços de Saúde / Atenção à Saúde Limite: Humans País/Região como assunto: America do norte Idioma: En Ano de publicação: 2010 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Sociologia Médica / Custos de Cuidados de Saúde / Reforma dos Serviços de Saúde / Atenção à Saúde Limite: Humans País/Região como assunto: America do norte Idioma: En Ano de publicação: 2010 Tipo de documento: Article