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The American health care industry has undergone such dizzying transformations since the 1960's that many patients have lost confidence in a system they find too impersonal and ineffectual. Is their distrust justified and can confidence be restored? David Dranove, a leading health care economist, tackles these and other key questions in the first major economic and historical investigation of the field. Focusing on the doctor-patient relationship, he begins with the era of the independently practicing physician--epitomized by Marcus Welby, the beloved father figure/doctor in the 1960's television show of the same name--who disappeared with the growth of managed care. Dranove guides consumers in understanding the rapid developments of the health care industry and offers timely policy recommendations for reforming managed care as well as advice for patients making health care decisions. The book covers everything from start-up troubles with the first managed care organizations to attempts at government regulation to the mergers and quality control issues facing MCO's today. It also reflects on how difficult it is for patients to shop for medical care. Up until the 1970's, patients looked to autonomous physicians for recommendations on procedures and hospitals--a process that relied more on the patient's trust of the physician than on facts, and resulted in skyrocketing medical costs. Newly emerging MCO's have tried to solve the shopping problem by tracking the performance of care providers while obtaining discounts for their clients. Many observers accuse MCO's of caring more about cost than quality, and argue for government regulation. Dranove, however, believes that market forces can eventually achieve quality care and cost control. But first, MCO's must improve their ways of measuring provider performance, medical records must be made more complete and accessible (a task that need not compromise patient confidentiality), and patients must be willing to seek and act on information about the best care available. Dranove argues that patients can regain confidence in the medical system, and even come to trust MCO's, but they will need to rely on both their individual doctors and their own consumer awareness.
Delivery of Health Care -- economics -- United States. --- Delivery of Health Care -- trends -- United States. --- Managed care plans (Medical care) -- Economic aspects -- United States. --- Managed Care Programs -- economics -- United States. --- Managed Care Programs -- trends -- United States. --- Medical economics -- United States. --- Public health -- Economic aspects -- United States.
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A professor of medicine reveals how technology like wireless internet, individual data, and personal genomics can be used to save lives.
Sociology of health --- Biomedical Technology --- Health Communication --- Hygiene generally. Personal health and hygiene --- Information resources management --- Medical informatics --- 613 --- Clinical informatics --- Health informatics --- Medical information science --- Information science --- Medicine --- Corporations --- Information resource management --- Information systems management --- IRM (Information resources management) --- Management --- Management information systems --- Data processing --- Medical Informatics Applications --- Delivery of Health Care --- Diffusion of Innovation --- Internet --- trends --- Data processing. --- Delivery of Health Care - trends
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Biomedische technologische evaluatie --- Economics [Medical ] --- Economie médicale --- Evaluation technologique biomédicale --- Geneeskunde [Sociale ] --- Geneeskunde--Economische aspecten --- Gezondheid--Economische aspecten --- Gezondheidseconomie --- Gezondheidszorg--Economische aspecten --- Health economics --- Health--Economic aspects --- Hygiene--Economic aspects --- Hygiène--Aspects économiques --- Hygiëne--Economische aspecten --- Maladies -- Sociologie --- Medical care--Economic aspects --- Medical care--Social aspects --- Medical economics --- Medical sociology --- Medicine [Social ] --- Medicine--Economic aspects --- Medicine--Social aspects --- Medische sociologie --- Médecine -- Sociologie --- Médecine sociale --- Médecine--Aspects économiques --- Santé -- Sociologie --- Santé publique -- Sociologie --- Santé--Aspects économiques --- Social medicine --- Sociale geneeskunde --- Sociologie [Medische ] --- Sociologie de la maladie --- Sociologie de la médecine --- Sociologie de la santé --- Sociologie médicale --- Soins médicaux--Aspects économiques --- Technology assessment [Biomedical ] --- Medical economics. --- Medical technology --- Social medicine. --- Delivery of Health Care --- Technology Assessment, Biomedical. --- Moral and ethical aspects. --- Social aspects. --- trends --- Social aspects --- Moral and ethical aspects --- Medical care --- Trends --- United States --- Medical technology - Social aspects. --- Medical technology - Moral and ethical aspects. --- Delivery of Health Care - trends - United States.
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Femmes en medecine --- Vrouwen in de geneeskunde --- Women in medicine --- Women's Health Services --- Delivery of Health Care --- Women --- Health Policy --- trends --- Health Manpower. --- Women. --- Health Occupations. --- Delivery of Health Care. --- Désherbage --- Community-Based Distribution --- Contraceptive Distribution --- Delivery of Healthcare --- Dental Care Delivery --- Distribution, Non-Clinical --- Distribution, Nonclinical --- Distributional Activities --- Healthcare --- Healthcare Delivery --- Healthcare Systems --- Non-Clinical Distribution --- Nonclinical Distribution --- Delivery of Dental Care --- Health Care --- Health Care Delivery --- Health Care Systems --- Activities, Distributional --- Activity, Distributional --- Care, Health --- Community Based Distribution --- Community-Based Distributions --- Contraceptive Distributions --- Deliveries, Healthcare --- Delivery, Dental Care --- Delivery, Health Care --- Delivery, Healthcare --- Distribution, Community-Based --- Distribution, Contraceptive --- Distribution, Non Clinical --- Distributional Activity --- Distributions, Community-Based --- Distributions, Contraceptive --- Distributions, Non-Clinical --- Distributions, Nonclinical --- Health Care System --- Healthcare Deliveries --- Healthcare System --- Non Clinical Distribution --- Non-Clinical Distributions --- Nonclinical Distributions --- System, Health Care --- System, Healthcare --- Systems, Health Care --- Systems, Healthcare --- Health Professions --- Health Occupation --- Health Profession --- Occupation, Health --- Occupations, Health --- Profession, Health --- Professions, Health --- Occupations --- Woman --- Women's Groups --- Group, Women's --- Groups, Women's --- Women Groups --- Women's Group --- Health Workforce --- Manpower, Health --- Manpower, Health Occupations --- Health Occupations Manpower --- Workforce, Health --- Health --- Health Occupations --- Health Personnel --- Medicine --- Deselectie --- manpower --- supply & distribution --- Health manpower --- Health occupations --- DELIVERY OF HEALTH CARE --- Girls --- Girl --- Health manpower. --- Health occupations. --- DELIVERY OF HEALTH CARE. --- Delivery of health care. --- Health Manpower --- Delivery of Health Care - trends
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