Sinopsis
As the national debate on health care reform intensifies, there is increasing interest in how insurance coverage affects the medical care people receive. In "Falling Through the Safety Net", Joel Weissman and Arnold Epstein, the latter a member of Hillary Rodham Clinton's health care task force, evaluate what is currently known about how insurance status affects one's health and use of health services. The authors begin by setting forth a conceptual framework for the study of access to health care. They describe existing patterns of insurance coverage in the United States and examine the variations in utilization of health services and patient outcomes according to type (or lack) of insurance. Among the topics discussed are frequency of physician visits, admission to hospitals and length of hospital stay, "patient dumping", preventive care, prescription drug use, avoidable hospitalizations, Medicaid and nursing homes. The source of medical payment, the authors argue, has a substantial effect of the amount, location and quality of care received in the US health system. In a final section, the authors describe the history of attempts to develop national health insurance and provide a taxonomy of different sorts of insurance reform. They conclude by discussing criteria that can be used to determine the success of any reform package. This book should be of interest to professionals in health policy and management in both research and policy-making capacities.
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Críticas
"This book should provoke researchers and policy makers to think in a broad context about ways we can make health care more accessible and seek ways we can eliminate the problem of people being uninsured."--from the Foreword, by Hillary Rodham Clinton
Reseña del editor
Insurance coverage--its availability, cost, and impact on the medical care that Americans receive--is at the center of the national debate on health care reform. In Falling through the Safety Net Joel Weissman and Arnold Epstein, the latter domestic policy advisor for health care to the Clinton administration, offer a timely look at how insurance status affects a person's health and use of health services--and explain why the current system is in desperate need of reform.
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