Sociology of Health Care Reform

Building on Research and Analysis to Improve Health Care

Dados Bibliográficos

ID2316353
AutoresDavid Mechanic (Rutgers, The State University of New Jersey, [email protected]), Donna D Mcalpine (University of Minnesota), Donna Mcalpine (0000-0002-1855-6272, University of Minnesota System)
Ano2010
Volume51
Fascículo1_suppl
PáginasS147-S159
Data de publicação2010-03-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoJournal of Health and Social Behavior (JOURNAL)
Identificadores do periódicoISSN: 0022-1465 • E-ISSN: 2150-6000
EditoraSAGE Publications Inc (PUBLISHER)
DOI10.1177/0022146510383497
PMID20943579
OpenAlexW2142268820
IdiomaEN
Citações recebidas23
Referências citadas39

Health reform efforts in the United States have focused on resolving some of the fundamental irrationalities of the system whereby costs and services utilization are often not linked to improved patient outcomes. Sociologists have contributed to these efforts by documenting the extent of problems and by confronting central questions around issues of accountability, reimbursement, and rationing that must be addressed in order to achieve meaningful reform that controls costs, expands access, and improves quality. Major reform rarely occurs without 'paying off ' powerful interests, a particularly difficult challenge in the context of a large and growing deficit. Central to achieving increased coverage and access, high quality, and cost control is change in reimbursement arrangements, increased accountability for both costs and outcomes, and criteria for rationing based on the evidence and accepted as legitimate by all stakeholders. Consensus about health reform requires trust. The traditional trust patients have in physicians provides an important base on which to build

Accountability · Actuarial science · Business · Context (archaeology) · Economic growth · Economics · Health care · Health care reform · Order (exchange) · Political science · Public economics · Public relations · Quality (philosophy) · Rationing · Reimbursement · Finance · Health Systems, Economic Evaluations, Quality of Life · Healthcare Policy and Management · Law · Primary Care and Health Outcomes · Public Administration · Health Policy