Synopses & Reviews
How do you go about choosing between health insurance plans . . . selecting a hospital. . .choosing a doctor? These are just some of the difficult decisions certain to have a profound impact on your physical, emotional, and financial well-being for years to come.
This comprehensive guide shows you how to make knowledgeable choices--how to get everything you require from our nation's $600 billion a year health care system. Health Care Services in the 1990s provides life-or-death information about ambulatory care, long-term care, and mental health services. Learn about the changing roles of physicians and dentists. . .insurance vs. pre-paid plans. . .how hospitals and physicians get current addresses, contact information, and toll-free telephone numbers of agencies capable of anwersing questions about specific needs and situations. health care system, and proceeds with the active role of the consumer as a partner in the system, protecting and promoting one's own health. The book also describes ways in which the systeM&Apos;s resources can be most advantageous when the consumer is not in bad health. The book progresses with a detailed exploration of the major components of the system, and analyzes functions such as ambulatory care, the choice of a hospital and its services, long term care, the nursing home, and mental health services. The major providers of care (the physicians, dentists, and other relevant providers) and how to work with them are discussed. Consumer approaches to health insurance, governmental health care programs, and financial considerations are also addressed. The quality of health care from the consumer viewpoint and protection of consumer rights inherent in the system is another aspect covered in this valuable book. Alternatives to the traditional health care system are also provided.
Review
Increasingly complex health care technology, the rapid development of medical knowledge, and changes in the structure and financing of the entire health service system all complicate well-informed decision making. Striving to make deciding a little less onerous by collocating basic information and advice, Williams and Guerra begin their guide to the health care galaxy by describing the role consumers should assume in promoting their own health. In subsequent chapters, they offer extensive explanations of care-giving institutions, professional health care providers, paying for health services through health insurance and governmental programs, financing and reimbursement, assessing and ensuring the quality of care received, and alternatives to mainstream medicine. In addition to answering questions, they urge each individual to consider the important decisions he or she will likely need to make concerning his or her health care.Booklist
Synopsis
This practical consumer's guide is designed to help the consumer face and manage the tremendous challenges of the American health care system. It offers useful information and reference material that is essential to both understanding the structure and functions of the system, and actively protecting one's financial and medical well-being by becoming a better consumer. Numerous opportunities exist for an individual consumer to gain health advancements from the nation's excellent and rich health care resources, and this guide can help the reader obtain these advantages by demonstrating the best approach to the system. The reader will become well informed about the most essential information of the complex health care system, and will learn how to protect oneself when at risk in the midst of health care options, alternatives, and choices.
About the Author
SANDRA J. GUERRA is the Clayton Foundation Administrator at the Salk Institute for Biological Studies, La Jolla, California.
Table of Contents
Preface
Your Role in Health Care
Being Informed: Understanding the System
Taking Charge: Promoting Your Own Health
Be the Best that You Can
Protecting Your Life: Where Care Is Given
Ambulatory Care: Backbone of the System
The Hospital: Big Risks, Big Rewards
Long-Term Care: Many Choices, Many Opportunities; Mental Health: A Real Challenge
The Powers That Be: Who Gives Care?
Your Physician: A Key Player
Dentists: Real Success, Fading Future
The Supporting Cast: Other Important Providers
Paying The Bill: Health Insurance
Health Insurance: What It Is, How It Works; Managed Care: Lower Cost, More Restrictions
Paying The Bill: Governmental Programs
Medicare: A Partial Help
The Uninsured and Underinsured: Squeezed and in Trouble
Financing and Reimbursement: Who Gets Paid And How
National Health Expenditures
Payments to Professionals and Institutions
The Quality of Care
Measuring and Assuring the Quality of Care
Your Rights as a Consumer
Alternatives To Traditional Medicine
New Approaches To Special Situations
Bypassing Traditional Resources
Epilogue
Appendix A: Sources of Information
Appendix B: Toll-Free Numbers
Appendix C: State Medical Boards, Medicare Carriers, and PROS
Index