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Assessing health care reform / Committee on Assessing Health Care Reform Proposals ; Marilyn J. Field, Kathleen N. Lohr, and Karl D. Yordy, editors.

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Format:
Book
Author/Creator:
Institute of Medicine (U.S.). Committee on Assessing Health Care Reform Proposals.
Contributor:
Field, Marilyn J. (Marilyn Jane)
Lohr, Kathleen N., 1941-
Yordy, Karl D.
Language:
English
Subjects (All):
Medical care--United States--Finance.
Medical care.
Medical care--United States--Cost control.
Medical care--United States--Quality control.
Health services accessibility--United States.
Health services accessibility.
Health care reform--United States.
Health care reform.
Physical Description:
vi, 76 p.
Edition:
1st ed.
Place of Publication:
Washington, D.C. : National Academy Press, 1993.
Language Note:
English
Summary:
This book establishes a framework for assessing health care reform proposals and their implementation. It helps clarify objectives, identifies issues to be addressed in proposals, distinguishes between short- and long-term expectations and achievements, and directs attention to important but sometimes neglected questions about the organization and provision of health care services. In addition, the volume presents a discussion and analysis of issues essential to achieving fundamental goals of health care reform: to maintain and improve health and well-being, to make basic health coverage universal, and to encourage the efficient use of limited resources. The book is a useful resource for anyone developing or assessing options for reform.
Contents:
Assessing Health Care Reform
Copyright
Contents
Preamble
Extending Access to Health Care
BARRIERS TO ACCESS
FINANCIAL ACCESS
Principles
Practical Implications
Assessing Access Provisions of Reform Proposals
MORE THAN FINANCIAL ACCESS
Containing Health Care Costs
COSTS IN CONTEXT
ELEMENTS OF A STRATEGY
Specific Elements
Elements Not Mentioned
MOVING FROM GENERAL TO SPECIFIC POLICIES
Administrative Costs-and Benefits
Tax Caps and Geographic Variations in Health Care Costs
Patient Cost Sharing and Special Problems
Core and Supplemental Benefits
Risk Selection versus Cost Containment
Assuring the Quality of Care
DEFINING QUALITY
QUALIFY MEASUREMENT AND IMPROVEMENT
Major Targets
Criteria for a Strategy
Individual and System Perspectives
Roles and Responsibilities
System Problems
CLINICAL PRACTICE GUIDELINES
SPECIFIC IMPLICATIONS
Financing Reform
Improving the Infrastructure for Effective Change
GOVERNANCE AND ADMINISTRATION
HUMAN AND PHYSICAL CAPITAL
Human Capital
Physical Capital
KNOWLEDGE DEVELOPMENT
Databases, Surveys, and Information Technologies
Privacy and Confidentiality of Sensitive Personal Health Data
Health Services, Outcomes, and Effectiveness Research
Technology Assessment
PUBLIC HEALTH POLICIES AND PROGRAMS
OTHER INFRASTRUCTURE ISSUES
Programs for Special Populations
Tort Reform
Public/Consumer Education
Conclusion
References.
Notes:
Bibliographic Level Mode of Issuance: Monograph
Includes bibliographical references (p. 73-76).
ISBN:
9786610195947
9781280195945
1280195940
9780309598200
0309598206
9780585085586
0585085587
OCLC:
923265251

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