The Economic Evolution of American Health Care : From Marcus Welby to Managed Care / David Dranove.

Format:

Book

Author/Creator:

Dranove, David, Author.

Language:

English

Subjects (All):

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.

Local Subjects:

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.

Physical Description:

1 online resource (220 p.)

Edition:

Core Textbook

Place of Publication:

Princeton, NJ : Princeton University Press, [2009]

Language Note:

In English.

Summary:

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.

Contents:

Front matter

Contents

Acknowledgments

Introduction

Part One. THE RISE OF MANAGED CARE

Part Two. THE MODERN HEALTH ECONOMY

Notes

Bibliography

Index

Notes:

Description based upon print version of record.

Description based on online resource; title from PDF title page (publisher's Web site, viewed 21. Dez 2019)

ISBN:

9781400814077

1400814073

9781400824687

1400824680

OCLC:

727647743