Irrationality in Health Care

Irrationality in Health Care

" Drawing on behavioral economics as an alternative to the standard tools of health economics, author Douglas E. Hough seeks to more clearly diagnose the ills of health care today.

Author: Douglas E. Hough

Publisher: Stanford University Press

ISBN: 9780804785747

Category: Business & Economics

Page: 312

View: 573

The health care industry in the U.S. is peculiar. We spend close to 18% of our GDP on health care, yet other countries get better results—and we don't know why. To date, we still lack widely accepted answers to simple questions, such as "Would requiring everyone to buy health insurance make us better off?" Drawing on behavioral economics as an alternative to the standard tools of health economics, author Douglas E. Hough seeks to more clearly diagnose the ills of health care today. A behavioral perspective makes sense of key contradictions—from the seemingly irrational choices that we sometimes make as patients, to the incongruous behavior of physicians, to the morass of the long-lived debate surrounding reform. With the new health care law in effect, it is more important than ever that consumers, health care industry leaders, and the policymakers who are governing change reckon with the power and sources of our behavior when it comes to health.
Categories: Business & Economics

Systems Of Health Care

Systems Of Health Care

Only in about 5 percent of encounters will medical skills really make any difference. For this reason, many unorthodox ... The current irrationality of health care reflects a free-market response toward consumer demands for services.

Author: Douglas R. Mackintosh

Publisher: Routledge

ISBN: 9781000313826

Category: Social Science

Page: 358

View: 431

This comprehensive introductory text describes health systems in the United States and in other countries, with emphasis on their ability to deliver goods and services, their cost, and their operation within a legal framework. Included is a discussion of such major developments as prepaid group practice, automated multiphasic health testing, national health insurance, professional standards review organizations, comprehensive health planning, and malpractice arbitration. The author underlines the salient features of the various systems by presenting and discussing advertisements for health products and services. Flow diagrams, charts, tables, and discussion questions help the reader understand the complexities and interrelationships of health care systems. Extensive references and suggestions for further reading are also included.
Categories: Social Science

Irrationality

Irrationality

that a person decides to reject single- payer health insurance. ... It is irrational, but it is not ignorant. Among the rationalizations for their opposition to what they see as socialized health care, Republican voters, when pressed on ...

Author: Justin E. H. Smith

Publisher: Princeton University Press

ISBN: 9780691210513

Category: History

Page: 344

View: 632

"What every leader needs to know about dignity and how to create a culture in which everyone thrives. This landmark book from an expert in dignity studies explores the essential but under-recognized role of dignity as part of good leadership. Extending the reach of her award-winning book Dignity: Its Essential Role in Resolving Conflict, Donna Hicks now contributes a specific, practical guide to achieving a culture of dignity. Most people know very little about dignity, the author has found, and when leaders fail to respect the dignity of others, conflict and distrust ensue. She highlights three components of leading with dignity: what one must know in order to honor dignity and avoid violating it; what one must do to lead with dignity; and how one can create a culture of dignity in any organization, whether corporate, religious, governmental, healthcare, or beyond. Brimming with key research findings, real-life case studies, and workable recommendations, this book fills an important gap in our understanding of how best to be together in a conflict-ridden world."--
Categories: History

Applied Ethics in Mental Health Care

Applied Ethics in Mental Health Care

In this culture we have determined that the decision to die by refusing treatment is permitted as long as the patient is deemed competent, even if irrational. Draper (2000) addresses the issue of incompetence versus the irrationality of ...

Author: Dominic A. Sisti

Publisher: MIT Press

ISBN: 9780262525015

Category: Medical

Page: 400

View: 104

This book discusses some of the most critical ethical issues in mental health care today, including the moral dimensions of addiction, patient autonomy and compulsory treatment, privacy and confidentiality, and the definition of mental illness itself. Although debates over these issues are ongoing, there are few comprehensive resources for addressing such dilemmas in the practice of psychology, psychiatry, social work, and other behavioral and mental health care professions. This book meets that need, providing foundational background for undergraduate, graduate, and professional courses. Topics include central questions such as evolving views of the morality and pathology of deviant behavior; patient competence and the decision to refuse treatment; recognizing and treating people who have suffered trauma; addiction as illness; the therapist's responsibility to report dangerousness despite patient confidentiality; and boundaries for the therapist's interaction with patients outside of therapy, whether in the form of tennis games, gift-giving, or social media contact. For the most part the selections address contemporary issues in contemporary terms, but the book also offers a few historic or classic essays, including Thomas S. Szasz's controversial 1971 article "The Ethics of Addiction." ContributorsLaura Weiss Roberts, Frederic G. Reamer, Charles P. O'Brien, and Thomas McLellan
Categories: Medical

Health Care Ethics

Health Care Ethics

Patients who refuse necessary medical care based on religious beliefs are often given the label of competent even though their beliefs might be quite “irrational.” COMPETENCY IS COMPATIBLE WITH “IRRATIONALITY”: RELIGIOUS REFUSALS We ...

Author: Eileen E. Morrison

Publisher: Jones & Bartlett Publishers

ISBN: 9781449657383

Category: Business & Economics

Page: 475

View: 985

Organized around the four central themes of healthcare ethics (theoretical foundations and issues for individuals, organizations, and society), Health Care Ethics brings together the insights of a diverse panel of leading experts in the fields of bioethics, long-term care, and health administration, among others. Students will build on this critical platform to develop an extensive toolbox of analytical and problem-solving skills. The text s organizational strategy gently pushes students to strengthen their ethics knowledge base and relate ethics to patient issues across the lifespan, ethics within organizations, and issues of ethics in broader cultural contexts. Pedagogical features such as section introductions, discussions questions, and exercises that ask students to apply new knowledge to real-world scenarios encourage retention and skill building. The fully revised and updated third edition addresses current changes in health care, which are the greatest changes in health care history since the advent of Medicare and Medicaid. All-new chapters cover the Affordable Care Act and ethics issues related to populations not covered by the Act, ethics related to assisted living, and the impact of technology on ethics in health care. All other chapters have been updated to reflect the most recent developments in medical technology and new challenges faced by health care professionals in the post PPACA era. Ideally suited for both graduate and undergraduate programs, Health Care Ethics challenges readers to think beyond the existing health care system and envision creative solutions to ethical issues. Key features of the fully revised and updated third edition include: All-new chapters on the Affordable Care Act, ethics related to assisted living, and the impact of new technology Updated chapter content and references Key pedagogical features, including discussion questions and exercises that prompt students to apply new skills to real-world scenarios Insights from a diverse panel of leading experts in multiple fields"
Categories: Business & Economics

Better Access to Affordable Health Care

Better Access to Affordable Health Care

The current health care system encourages an irrational and self - defeating focus on short - term and simplistic solutions to long - term and complex problems . This current health care system irrationally advances higher long - term ...

Author: United States

Publisher:

ISBN: PSU:000019983653

Category: Government publications

Page: 206

View: 904

Categories: Government publications

Patients as Policy Actors

Patients as Policy Actors

Conservative health policy analysts continue to insist that malpractice suits are to blame for the high cost of health care in the United States.8 The allegedly irrational consumer also wants full health care coverage and free choice of ...

Author: Beatrix Hoffman

Publisher: Rutgers University Press

ISBN: 9780813550855

Category: Medical

Page: 322

View: 213

Patients as Policy Actors offers groundbreaking accounts of one of the health field's most important developments of the last fifty years--the rise of more consciously patient-centered care and policymaking. The authors in this volume illustrate, from multiple disciplinary perspectives, the unexpected ways that patients can matter as both agents and objects of health care policy yet nonetheless too often remain silent, silenced, misrepresented, or ignored. The volume concludes with a unique epilogue outlining principles for more effectively integrating patient perspectives into a pluralistic conception of policy-making. With the recent enactment of the Patient Protection and Affordable Care Act, patients' and consumers' roles in American health care require more than ever the careful analysis and attention exemplified by this innovative volume.
Categories: Medical

Economics of Health Care

Economics of Health Care

Others, however, may be special to health care. In chapter 3 the idea of 'irrational' preferences by the consumer/potential patient was discussed. Preferences may be incomplete—individuals may be incapable of ordering preferences over ...

Author: John Henderson

Publisher: Routledge

ISBN: 9781134963317

Category: Business & Economics

Page: 304

View: 602

First published in 1987. Routledge is an imprint of Taylor & Francis, an informa company.
Categories: Business & Economics

Health Care Law and Ethics

Health Care Law and Ethics

20, 2013; Erin C. Fuse Brown, Irrational Hospital Pricing, 14 Hous. J. Health L. & Pol'y 11 (2014); George A. Nation III, Healthcare and the Balance-Billing Problem, 61 Vill. L. Rev. 153 (2016). For discussions of whether exorbitant ...

Author: Mark A. Hall

Publisher: Wolters Kluwer

ISBN: 9781454881803

Category: Law

Page: 1419

View: 221

Health Care Law and Ethics, Ninth Edition offers a relationship-oriented approach to health law—covering the essentials, as well as topical and controversial subjects. The book provides thoughtful and teachable coverage of every aspect of health care law. Current and classic cases build logically from the fundamentals of the patient/provider relationship to the role of government and institutions in health care. The book is adaptable to both survey courses and courses covering portions of the field. Key Features: New authors Nick Bagley and Glenn Cohen Incorporated anticipated changes to the Affordable Care Act More current cases and more streamlined notes, including ones on medical malpractice, bioethics, and on finance and regulation More coverage of “conscientious objection” and “big data” - Discussion of new “value based” methods of physician payment - Expanded coverage of “fraud and abuse” Current issues in public health (e.g., Ebola, Zika) and controversies in reproductive choice (e.g., Hobby Lobby) Coverage of cutting-edge genetic technologies (e.g., gene editing and mitochondrial replacement)
Categories: Law

Closing Death s Door

Closing Death s Door

Legal Innovations to End the Epidemic of Healthcare Harm Michael J. Saks, Stephan Landsman ... DOUGLAS E. Hough , IRRATIONALITY IN HEALTH CARE : WHAT BEHAVIORAL ECONOMICS REVEALS ABOUT WHAT WE DO AND WHY ( 2013 ) ( see Anomaly 20 ...

Author: Michael J. Saks

Publisher: Oxford University Press

ISBN: 9780190668006

Category: Medical

Page: 328

View: 267

After heart disease and cancer, the third leading cause of death in the United States is iatrogenic injury (avoidable injury or infection caused by a healer). Research suggests that avoidable errors claim several hundred thousand lives every year. The principal economic counterforce to such errors, malpractice litigation, has never been a particularly effective deterrent for a host of reasons, with fewer than 3% of negligently injured patients (or their families) receiving any compensation from a doctor or hospital's insurer. Closing Death's Door brings the psychology of decision making together with the law to explore ways to improve patient safety and reduce iatrogenic injury, when neither the healthcare industry itself nor the legal system has made a substantial dent in the problem. Beginning with an unflinching introduction to the problem of patient safety, the authors go on to define iatrogenic injury and its scope, shedding light on the culture and structure of a healthcare industry that has failed to effectively address the problem-and indeed that has influenced legislation to weaken existing legal protections and impede the adoption of potentially promising reforms. Examining the weak points in existing systems with an eye to using law to more effectively bring about improvement, the authors conclude by offering a set of ideas intended to start a conversation that will lead to new legal policies that lower the risk of harm to patients. Closing Death's Door is brought to vivid life by the stories of individuals and groups that have played leading roles in the nation's struggle with iatrogenic injury, and is essential reading for medical and legal professionals, as well as lawmakers and laypeople with an interest in healthcare policy.
Categories: Medical