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The Health Care Financial Crisis: Strategies for Overcoming an “Unholy Trinity"
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Authors: McEldowney , Cal Clark and Rene’ (Auburn University) 
Book Description:
The key issues of the health care system are often conceptualized as involving three basic dimensions: 1) the quality of health care provided, 2) access to the health care system, and 3) the cost of health care. Good systems should provide high quality medicine to all of the population requiring health care at affordable prices. Such a system, somewhat fancifully, might be praised for having achieved a “holy trinity.” Such praise, unfortunately, is little to be found in the contemporary world. Over the last two decades, health costs have escalated steadily and in some cases dramatically throughout advanced industrial societies where quality health care had been available on a fairly wide basis. Moreover, aging populations throughout the developed world mean that there will be major increases in demands for the most costly health care services. The result has been that access and/or quality have eroded in many, if not most, nations. That is, the relationships among the three basic dimensions now constitute what Benjamin Cohen (in his analysis of international monetary relations) has called an “unholy trinity” in that improvements (or even attempted improvements) along one dimension will almost inevitably provoke problems in terms of one or both of the others.
This book presents studies of two distinct types of reform that have been implemented to reduce the “trade offs” arising from the “unholy trinity.” The first focuses upon attempts to reorganize existing institutions in order to make them more effective and cost-efficient. The second considers the move toward “evaluation research,” that is, more critically evaluating health care treatments and outcomes to make sure that treatments are effective and cost-efficient

Table of Contents:
Chapter 1: The Health Care Financial Crisis: Strategies for Overcoming an “Unholy Trinity” (Cal Clark and Rene’ McEldowney); Chapter 2: Identifying Health Care Cost Crises in OECD Nations (ThomasShaw); Chapter 3: Managing Demand in the UK National Health Service (Stephen Harrison); Chapter 4: The Worst of Both Worlds: Nursing Home Regulation in the United States (William Hovey); Chapter 5: Florida’s Health Care Reform: Lessons from an Experiment in Managed Competition (Mary Ann Feldheim); Chapter 6: Addressing the Challenge of Providing Mental Health Care to Older Persons (Carol L. Jenkins and Sarah B. Laditka); Chapter 7: Privatization as a Reform Strategy for U.S. Health Care: Looking for the Light or in the Light? (Cal Clark, Rene’ McEldowney, and Robert Widell); Chapter 8: New Directions in Medical Outcomes Research: The View from Harvard (James S. Larson); Chapter 9: Generic and Condition-Specific Outcomes of Nursing Home Care: Does Specialization Make a Difference? (Ajith Silva and Frank Porell); Chapter 10: The Performance of National Health Care Systems: A “Good News, Bad News” Finding for Reform Possibilities (Cal Clark and Rene’ McEldowney); Index

   Series:
      Health Care Issues, Costs and Access
   Binding: Hardcover
   Pub. Date: 2001
   ISBN: 1-56072-924-4
  
  
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The Health Care Financial Crisis: Strategies for Overcoming an “Unholy Trinity"