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Geographic Variations in Spending and Utilization Across Payer Types
This report, and the study upon which it is based, shows that studying only one payer or a few specific regional health systems as models of efficiency provides an inadequate understanding of the overall performance of the U.S. health system. The factors determining per capita health spending within and across regions are specific to the type of payer, suggesting that policies focusing on specific payers will be required to reduce unwarranted variation and improve efficiency in the U.S. health care sector.
Palliative Care
Palliative Care is the first book to provide a comprehensive understanding of the new field that is transforming the way Americans deal with serious illness. Diane E. Meier, M.D., one of the field's leaders and a recipient of a MacArthur Foundation "genius award" in 2009, opens the volume with a sweeping overview of the field. In her essay, Dr. Meier examines the roots of palliative care, explores the key legal and ethical issues, discusses the development of palliative care, and presents ideas on policies that can improve access to palliative care. Dr. Meier's essay is followed by reprints of twenty-five of the most important articles in the field. They range from classic pieces by some of ...
Forces of Change
American health care has made great strides in the past hundred years. Life expectancy has increased dramatically and advances in medicine and treatments have eradicated many life-threatening diseases. However, in today's health care arena there is divergence between our health needs, the structure of our health care system, and how health care is delivered and funded. In Forces of Change, David A. Shore has collected the leading thinking from experts in the field on how our health care system can benefit from important lessons from other industries and effect transformational change that truly serves all stakeholders well. Contributors include Max Caldwell of Towers Watson; Michael J. Dowling of North Shore Long Island Jewish Medical Health System; John P. Glaser of Siemens Healthcare; Ashish K. Jha of the Harvard School of Public Health; Eric D. Kupferberg of Northeastern University; Lucian Leape of the Harvard School of Public Health; Jeff Margolis of the TriZetto Group, Inc.; and David Shoultz of Philips Electronics.
The Business of Private Medical Practice
Unevenly distributed resources and rising costs have become enduring problems in the American health care system. Health care is more expensive in the United States than in other wealthy nations, and access varies significantly across space and social classes. James A. Schafer Jr. shows that these problems are not inevitable features of modern medicine, but instead reflect the informal organization of health care in a free market system in which profit and demand, rather than social welfare and public health needs, direct the distribution and cost of crucial resources. The Business of Private Medical Practice is a case study of how market forces influenced the office locations and career pat...
Exposing the Twenty Medical Myths
Despite intense political focus and debate for the past 10 years, Americans remain deeply worried about the availability and affordability of health care for themselves and their families. In clear and accessible prose, journalist Ryan Holeywell and medical doctor and health policy expert Arthur Garson provide Americans with the tools we need to have an honest, unbiased view of the state of health care policy in America. By fact checking 20 enduring health care myths they move the debate beyond Obamacare v. repeal and replace and give citizens the tools they need to evaluate the major policy issues confronting our health care system.
Variation in the Care of Surgical Conditions
The new Dartmouth Atlas series on variation in the care of surgical conditions, including this report on the surgical treatment of cerebral aneurysms, raises new questions regarding surgical management of both common and less frequently occurring medical conditions. This report carefully details the prevalence of cerebral aneurysms and, as in previous Atlas analyses, emphasizes geographic practice variation in surgical treatment rates. However, the report also takes a more longitudinal view. The changes over time in which procedure is favored to treat aneurysms are particularly fascinating, driven as they appear to be by a mix of clinical evidence--including emerging long-term results--and physicians' opinions and personal experience.
