Policy Challenges in Modern Health Care

Policy Challenges in Modern Health Care

With contributions by: Rosemary A. Stevens, Norman Daniels, Richard Frank, Sherry Glied, David Hemenway, Lisa I. Iezzoni, Patricia Keenan, Lucian Leape, Bruce Link, Thomas McGuire, Michael Millenson, James Morone, Jo Phelan, James Robinson, Theda Skocpol, Alan Tarlov, Joel Teitelbaum, Kenneth Warner, David R. Williams, Sara Rosenbaum and Linda Aiken
Edited by: Lynn B. Rogut, James R. Knickman, David Mechanic and David Colby

Rutgers University Press | 2005

DOI: https://doi.org/10.36019/9780813541099

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About this book

Health care delivery in the United States is an enormously complex enterprise, and its $1.6 trillion annual expenditures involve a host of competing interests. While arguably the nation offers among the most technologically advanced medical care in the world, the American system consistently under performs relative to its resources. Gaps in financing and service delivery pose major barriers to improving health, reducing disparities, achieving universal insurance coverage, enhancing quality, controlling costs, and meeting the needs of patients and families.

Bringing together twenty-five of the nation’s leading experts in health care policy and public health, this book provides a much-needed perspective on how our health care system evolved, why we face the challenges that we do, and why reform is so difficult to achieve. The essays tackle tough issues including: socioeconomic disadvantage, tobacco, obesity, gun violence, insurance gaps, the rationing of services, the power of special interests, medical errors, and the nursing shortage.

Linking the nation’s health problems to larger political, cultural, and philosophical contexts, Policy Challenges in Modern Health Care offers a compelling look at where we stand and where we need to be headed.

Author information

David Mechanic is the director of the Institute for Health, Health Care Policy, and Aging Research at Rutgers University and the national program director of The Robert Wood Johnson Foundation Investigator Awards in Health Policy Research.

Lynn B. Rogut is deputy director of the Investigator Awards in Health Policy Research.

At The Robert Wood Johnson Foundation, David C. Colby is deputy director of the Health Care Group and senior program officer;

and James R. Knickman is vice president for Research and Evaluation.

Reviews

A marvelous collection of ideas and insights by first-rate scholars. This book lays a foundation for more creative and effective policy-making.

— Stephen M. Shortell, Dean and Blue Cross of California Professor of Health Policy and Management, Uni

Frontmatter Free access PDF PDF	i
CONTENTS Free access PDF PDF	v
PREFACE Free access PDF PDF	vii
ACKNOWLEDGMENTS Free access PDF PDF	xi
Introduction David Mechanic, Lynn B. Rogut, David C. Colby and James R. Knickman Access restricted Content is available PDF PDF	1
PART I. The Context of Health and Health Care Policy
CHAPTER 1. Morality, Politics, and Health Policy James A. Morone Access restricted Content is available PDF PDF	13
CHAPTER 2. Cross Pressures Theda Skocpol and Patricia Seliger Keenan Access restricted Content is available PDF PDF	26
CHAPTER 3. The Employer-Based Health Insurance System Sherry A. Glied Access restricted Content is available PDF PDF	37
CHAPTER 4. Entrepreneurial Challenges to Integrated Health Care James C. Robinson Access restricted Content is available PDF PDF	53
PART II. Promoting Population Health and Reducing Disparities
CHAPTER 5. Fundamental Sources of Health Inequalities Bruce G. Link and Jo C. Phelan Access restricted Content is available PDF PDF	71
CHAPTER 6. A Public Health Approach to Firearms Policy David Hemenway Access restricted Content is available PDF PDF	85
CHAPTER 7. Tobacco Policy in the United States Kenneth E. Warner Access restricted Content is available PDF PDF	99
CHAPTER 8. Patterns and Causes of Disparities in Health David R. Williams Access restricted Content is available PDF PDF	115
CHAPTER 9. Addressing Racial Inequality in Health Care Sara Rosenbaum and Joel Teitelbaum Access restricted Content is available PDF PDF	135
PART III. Improving Quality of Care
CHAPTER 10. Still Demanding Medical Excellence Michael L. Millenson Access restricted Content is available PDF PDF	151
CHAPTER 11. Preventing Medical Errors Lucian L. Leape Access restricted Content is available PDF PDF	162
CHAPTER 12. Improving Quality through Nursing Linda H. Aiken Access restricted Content is available PDF PDF	177
CHAPTER 13. Improving Medicare for Beneficiaries with Disabilities Lisa I. Iezzoni Access restricted Content is available PDF PDF	189
CHAPTER 14. Specialization, Specialty Organizations, and the Quality of Health Care Rosemary A. Stevens Access restricted Content is available PDF PDF	206
PART IV. Frameworks for Fairness in Health Care
CHAPTER 15. Integrating People with Mental Illness into Health Insurance and Social Services Richard G. Frank and Thomas G. Mcguire Access restricted Content is available PDF PDF	223
CHAPTER 16. Accountability for Reasonable Limits to Care Norman Daniels Access restricted Content is available PDF PDF	238
CONTRIBUTORS Access restricted Content is available PDF PDF	249
NAME INDEX Access restricted Content is available PDF PDF	255
SUBJECT INDEX Access restricted Content is available PDF PDF	263

Policy Challenges in Modern Health Care

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