edited by Lynn B. Rogut, James R. Knickman, David Colby and David Mechanic contributions by 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, Linda Aiken, Rosemary A. Stevens, Norman Daniels, Richard Frank, Sherry Glied, David Hemenway and Lisa I. Iezzoni
Rutgers University Press, 2005 eISBN: 978-0-8135-8177-4 | Cloth: 978-0-8135-3577-7 | Paper: 978-0-8135-3578-4 Library of Congress Classification RA395.A3P588 2004 Dewey Decimal Classification 362.10973
ABOUT THIS BOOK | AUTHOR BIOGRAPHY | REVIEWS | TOC
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 BIOGRAPHY
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
TABLE OF CONTENTS
Contents
Preface
Alvin Tarlov
Acknowledgments
Introduction
David Mechanic, Lynn B. Rogut, David C. Colby, James R. Knickman
Part One The Context of Health and Health Care Policy
One Morality, Politics, and Health Policy
James A. Morone
Two Cross Pressures: The Contemporary Politics of Health Reform
Theda Skocpol and Patricia Seliger Keenan
Three The Employer-Based Health Insurance System: Mistake or Cornerstone?
Sherry A. Glied
Four Entrepreneurial Challenges to Integrated Health Care
James C. Robinson
Part Two Promoting Population Health and Reducing Disparities
Five Fundamental Sources of Health Inequalities
Bruce G. Link and Jo C. Phelan
Six A Public Health Approach to Firearms Policy
David Hemenway
Seven Tobacco Policy in the United States: Lessons for the Obesity Epidemic
Kenneth E. Warner
Eight Patterns and Causes of Disparities in Health
David R. Williams
Nine Addressing Racial Inequality in Health Care
Sara Rosenbaum and Joel Teitelbaum
Part Three Improving Quality of Care
Ten Still Demanding Medical Excellence
Michael L. Millenson
Eleven Preventing Medical Errors
Lucian L. Leap
Twelve Improving Quality through Nursing
Linda H. Aiken
Thirteen Improving Medicare for Beneficiaries with Disabilities
Lisa I. Iezzoni
Fourteen Specialization, Specialty Organizations, and the Quality of Health Care
Rosemary A. Stevens
Part Four Frameworks for Fairness in Health Care
Fifteen Integrating People with Mental Illness into Health Insurance and Social Services
Richard G. Frank and Thomas G. McGuire
Sixteen Accountability for Reasonable Limits to Care: Can We Meet the Challenges?
Norman Daniels
Contributors
Index
edited by Lynn B. Rogut, James R. Knickman, David Colby and David Mechanic contributions by 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, Linda Aiken, Rosemary A. Stevens, Norman Daniels, Richard Frank, Sherry Glied, David Hemenway and Lisa I. Iezzoni
Rutgers University Press, 2005 eISBN: 978-0-8135-8177-4 Cloth: 978-0-8135-3577-7 Paper: 978-0-8135-3578-4
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 BIOGRAPHY
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
TABLE OF CONTENTS
Contents
Preface
Alvin Tarlov
Acknowledgments
Introduction
David Mechanic, Lynn B. Rogut, David C. Colby, James R. Knickman
Part One The Context of Health and Health Care Policy
One Morality, Politics, and Health Policy
James A. Morone
Two Cross Pressures: The Contemporary Politics of Health Reform
Theda Skocpol and Patricia Seliger Keenan
Three The Employer-Based Health Insurance System: Mistake or Cornerstone?
Sherry A. Glied
Four Entrepreneurial Challenges to Integrated Health Care
James C. Robinson
Part Two Promoting Population Health and Reducing Disparities
Five Fundamental Sources of Health Inequalities
Bruce G. Link and Jo C. Phelan
Six A Public Health Approach to Firearms Policy
David Hemenway
Seven Tobacco Policy in the United States: Lessons for the Obesity Epidemic
Kenneth E. Warner
Eight Patterns and Causes of Disparities in Health
David R. Williams
Nine Addressing Racial Inequality in Health Care
Sara Rosenbaum and Joel Teitelbaum
Part Three Improving Quality of Care
Ten Still Demanding Medical Excellence
Michael L. Millenson
Eleven Preventing Medical Errors
Lucian L. Leap
Twelve Improving Quality through Nursing
Linda H. Aiken
Thirteen Improving Medicare for Beneficiaries with Disabilities
Lisa I. Iezzoni
Fourteen Specialization, Specialty Organizations, and the Quality of Health Care
Rosemary A. Stevens
Part Four Frameworks for Fairness in Health Care
Fifteen Integrating People with Mental Illness into Health Insurance and Social Services
Richard G. Frank and Thomas G. McGuire
Sixteen Accountability for Reasonable Limits to Care: Can We Meet the Challenges?
Norman Daniels
Contributors
Index
ABOUT THIS BOOK | AUTHOR BIOGRAPHY | REVIEWS | TOC