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Wounded Profession: American Medicine Enters the Age of Managed Careby Arnold Birenbaum
Synopses & Reviews
This important new study explores how American health care evolved in the 1990s, as well as the changes in public support and policy. Birenbaum examines where the interests of consumers and professionals have dovetailed and where they differ. He considers the health care systeM&Apos;s future and suggested ways the system must be adjusted to provide better and wider coverage at reasonable costs. This volume is essential reading for scholars, students, and professionals in the medical field, as well as general readers concerned with health care issues.
The 90s saw the country moving toward a realization that health care had become unaffordable—or an enormous financial burden for people with otherwise adequate incomes. Health care providers and consumers alike worried that the problem was becoming uncontrollable. Doctors saw their autonomy and control eroded, employers saw their costs rising significantly, the costs began shifting to employees, and alternative approaches to cost containment were explored.
Book News Annotation:
In this study of the evolution of US healthcare in the 1990s, Birenbaum (pediatrics, Albert Einstein College of Medicine) discusses the rise of, and backlash to, health maintenance organizations; other managed care organizations; the changing doctor-patient relationship due to managed care and information technology; policy issues; and suggestions for reform in post-9/11 America. The Oregon Health Plan, cited as a model of fair resource allocation for the poor, has since been critically downsized. Annotation (c)2003 Book News, Inc., Portland, OR (booknews.com)
This important study explores how American health care evolved in the 1990s, as well as the changes in public support and policy. Birenbaum examines where the interests of consumers and professionals have dovetailed and where they differ. He considers the health care system's future and suggested ways the system must be adjusted to provide better and wider coverage at reasonable costs.
About the Author
ARNOLD BIRENBAUM is Professor in the Pediatrics Department of the Albert Einstein College of Medicine and Associate Director of the Rose F. Kennedy University Center for Excellence in Developmental Disability Education, Research, and Service.
Table of Contents
Health Care on the National Agenda
What's Behind the Changing Doctor-Patient Relationship
Driving Down Costs and Professional Autonomy
The Reorganization of Health Care Delivery
Managed Care and the Profession's Tarnished Jewels in the Crown--Academic Health Centers
Doctors Respond to the Dark Side of Managed Care
How Managed Care Is Shaping Medical Practice
Hopes for Reform
The Future of American Medicine
What Our Readers Are Saying
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