This 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.
- Assessing 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