LEADER 04598nam 2200757 a 450 001 9910965569203321 005 20251017110202.0 010 $a9786610195947 010 $a9781280195945 010 $a1280195940 010 $a9780309598200 010 $a0309598206 010 $a9780585085586 010 $a0585085587 035 $a(CKB)110986584751312 035 $a(SSID)ssj0000106666 035 $a(PQKBManifestationID)11133704 035 $a(PQKBTitleCode)TC0000106666 035 $a(PQKBWorkID)10109566 035 $a(PQKB)10423797 035 $a(MiAaPQ)EBC3376628 035 $a(Au-PeEL)EBL3376628 035 $a(CaPaEBR)ebr10056904 035 $a(CaONFJC)MIL19594 035 $a(OCoLC)923265251 035 $a(Perlego)4738914 035 $a(DNLM)757963 035 $a(BIP)101193 035 $a(EXLCZ)99110986584751312 100 $a19930507d1993 uy 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt 182 $cc 183 $acr 200 10$aAssessing health care reform /$fCommittee on Assessing Health Care Reform Proposals ; Marilyn J. Field, Kathleen N. Lohr, and Karl D. Yordy, editors 205 $a1st ed. 210 $aWashington, D.C. $cNational Academy Press$d1993 215 $avi, 76 p 300 $aBibliographic Level Mode of Issuance: Monograph 311 08$a9780309049269 311 08$a0309049261 320 $aIncludes bibliographical references (p. 73-76). 327 $aAssessing Health Care Reform -- Copyright -- Contents -- Preamble -- Extending Access to Health Care -- BARRIERS TO ACCESS -- FINANCIAL ACCESS -- Principles -- Practical Implications -- Assessing Access Provisions of Reform Proposals -- MORE THAN FINANCIAL ACCESS -- Containing Health Care Costs -- COSTS IN CONTEXT -- ELEMENTS OF A STRATEGY -- Specific Elements -- Elements Not Mentioned -- MOVING FROM GENERAL TO SPECIFIC POLICIES -- Administrative Costs-and Benefits -- Tax Caps and Geographic Variations in Health Care Costs -- Patient Cost Sharing and Special Problems -- Core and Supplemental Benefits -- Risk Selection versus Cost Containment -- Assuring the Quality of Care -- DEFINING QUALITY -- QUALIFY MEASUREMENT AND IMPROVEMENT -- Major Targets -- Criteria for a Strategy -- Individual and System Perspectives -- Roles and Responsibilities -- System Problems -- CLINICAL PRACTICE GUIDELINES -- SPECIFIC IMPLICATIONS -- Financing Reform -- Improving the Infrastructure for Effective Change -- GOVERNANCE AND ADMINISTRATION -- HUMAN AND PHYSICAL CAPITAL -- Human Capital -- Physical Capital -- KNOWLEDGE DEVELOPMENT -- Databases, Surveys, and Information Technologies -- Privacy and Confidentiality of Sensitive Personal Health Data -- Health Services, Outcomes, and Effectiveness Research -- Technology Assessment -- PUBLIC HEALTH POLICIES AND PROGRAMS -- OTHER INFRASTRUCTURE ISSUES -- Programs for Special Populations -- Tort Reform -- Public/Consumer Education -- Conclusion -- References. 330 $aThis book establishes a framework for assessing health care reform proposals and their implementation. It helps clarify objectives, identifies issues to be addressed in proposals, distinguishes between short- and long-term expectations and achievements, and directs attention to important but sometimes neglected questions about the organization and provision of health care services. In addition, the volume presents a discussion and analysis of issues essential to achieving fundamental goals of health care reform: to maintain and improve health and well-being, to make basic health coverage universal, and to encourage the efficient use of limited resources. The book is a useful resource for anyone developing or assessing options for reform. 606 $aMedical care$zUnited States$xFinance 606 $aMedical care$zUnited States$xCost control 606 $aMedical care$zUnited States$xQuality control 606 $aHealth services accessibility$zUnited States 606 $aHealth care reform$zUnited States 615 0$aMedical care$xFinance. 615 0$aMedical care$xCost control. 615 0$aMedical care$xQuality control. 615 0$aHealth services accessibility 615 0$aHealth care reform 676 $a362.1/0973 701 $aField$b Marilyn J$g(Marilyn Jane)$01804195 701 $aLohr$b Kathleen N.$f1941-$01806075 701 $aYordy$b Karl D$01806076 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910965569203321 996 $aAssessing health care reform$94355034 997 $aUNINA