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During most of this century, American health policy has emphasized caring for acute conditions rather than preventing and managing chronic illness-even though chronic illness has caused most sickness and death since the 1920s. In this provocative and wide-ranging book, Daniel Fox explains why this has been so and offers a forceful argument for fundamental change in national health care priorities.Fox discusses how ideas about illness and health care, as well as the power of special interest groups, have shaped the ways in which Americans have treated illness. Those who make health policy decisions have increased support for hospitals, physicians, and medical research, believing that people then would become healthier. This position, implemented at considerable cost, has not adequately taken into account the growing burden of chronic disabling illness. While decision makers may have defined chronic disease as a high priority in research, they have not given it such a priority in the financing of health services.The increasing burden of chronic illness is critical. Fox suggests ways to solve this problem without increasing the already high cost of health care-but he does not underestimate the difficulties in such a strategy. Advocating the redistribution of resources within hospital and medical services, he targets those that are redundant or marginally effective.There could be no more timely subject today than American health care. And Daniel Fox is uniquely able to address its problems. A historian of medicine, with knowledge of how hospitals and physicians behave and how health policy is made at government levels, he has extensively researched published and unpublished documents on health care. What he proposes could profoundly affect all Americans.
Medical policy --- United States --- History --- Chronically ill --- Medical care --- Government policy --- Chronic diseases --- Prevention --- Health Policy. --- Medical policy.
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Daniel M. Fox gives an incisive assessment of the critical collaboration between researchers and public officials that has recently emerged to evaluate the effectiveness and comparative effectiveness of health services. Drawing on research as well as his first-hand experience in policymaking, Fox's broad-ranging analysis describes how politics, public finance and management, and advances in research methods made this convergence of science and governance possible. The book then widens into a sweeping history of central issues in research on health services and health governance during the past century. Returning to the past decade, Fox looks closely at how policy informed by research has been made and implemented in public programs that cover pharmaceutical drugs in most American states. This case study illuminates how politics has informed the questions, methods, and reception of research on health services, and also sheds new light on how research has informed politics and public management. Looking toward the future, Fox describes the promise, as well as the fragility, of the convergence of science and governance, making his book essential reading for those struggling to revise health care in the United States over the next several years.
Politics --- History, 21st Century --- History, 20th Century --- Health Services Research --- Health Policy --- Government Programs --- Insurance, Pharmaceutical Services --- National health services --- Pharmaceutical policy --- Medical policy --- Insurance, Pharmaceutic Services --- Insurance, Pharmacy Services --- Pharmaceutic Services Insurance --- Pharmaceutical Services Insurance --- Pharmacy Services Insurance --- Drug Benefit Plans --- Drug Insurance --- Prescription Insurance --- Drug Benefit Plan --- Insurance, Drug --- Insurance, Prescription --- Plan, Drug Benefit --- Plans, Drug Benefit --- Pharmacy Administration --- Government Sponsored Programs --- Government-Sponsored Programs --- Government Program --- Government Sponsored Program --- Government-Sponsored Program --- Program, Government --- Program, Government Sponsored --- Program, Government-Sponsored --- Programs, Government --- Programs, Government Sponsored --- Programs, Government-Sponsored --- National Health Programs --- Healthcare Policy --- National Health Policy --- Health Policies --- Health Policy, National --- Healthcare Policies --- National Health Policies --- Policy, Health --- Policy, Healthcare --- Policy, National Health --- Policy Making --- Action Research --- Health Services Evaluation --- Healthcare Research --- Research, Medical Care --- Health Care Research --- Medical Care Research --- Research, Health Services --- Evaluation, Health Services --- Evaluations, Health Services --- Health Services Evaluations --- Research, Action --- Research, Health Care --- Research, Healthcare --- 20th Cent. History (Medicine) --- 20th Cent. History of Medicine --- 20th Cent. Medicine --- Historical Events, 20th Century --- History of Medicine, 20th Cent. --- History, Twentieth Century --- Medical History, 20th Cent. --- Medicine, 20th Cent. --- 20th Century History --- 20th Cent. Histories (Medicine) --- 20th Century Histories --- Cent. Histories, 20th (Medicine) --- Cent. History, 20th (Medicine) --- Century Histories, 20th --- Century Histories, Twentieth --- Century History, 20th --- Century History, Twentieth --- Histories, 20th Cent. (Medicine) --- Histories, 20th Century --- Histories, Twentieth Century --- History, 20th Cent. (Medicine) --- Twentieth Century Histories --- Twentieth Century History --- 21st Cent. History (Medicine) --- 21st Cent. History of Medicine --- 21st Cent. Medicine --- Historical Events, 21st Century --- History of Medicine, 21st Cent. --- History, Twenty-first Century --- Medical History, 21st Cent. --- Medicine, 21st Cent. --- 21st Century History --- 21st Cent. Histories (Medicine) --- 21st Cent. Medicines --- 21st Century Histories --- Cent. Histories, 21st (Medicine) --- Cent. History, 21st (Medicine) --- Cent. Medicine, 21st --- Cent. Medicines, 21st --- Century Histories, 21st --- Century Histories, Twenty-first --- Century History, 21st --- Century History, Twenty-first --- Histories, 21st Cent. (Medicine) --- Histories, 21st Century --- Histories, Twenty-first Century --- History, 21st Cent. (Medicine) --- History, Twenty first Century --- Medicines, 21st Cent. --- Twenty-first Century Histories --- Twenty-first Century History --- Conservatism --- Decentralization --- Liberalism --- Political Factors --- Voting --- Political Activity --- Activities, Political --- Activity, Political --- Factor, Political --- Factors, Political --- Political Activities --- Political Factor --- Dissent and Disputes --- history --- american health policies. --- case studies. --- civic. --- disease. --- easy to read. --- engaging. --- governance. --- government. --- health care revision. --- health governance. --- health policy. --- health services. --- medicine. --- nonfiction. --- pharmaceutical drugs. --- policy makers. --- policymaking. --- political. --- politics. --- public finance. --- public management. --- public officials. --- public policy. --- public programs. --- research methods. --- research. --- science. --- students and teachers. --- textbooks. --- theoretical. --- united states.
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Drawing on a wide range of sources, from popular literature, movies, and television drama to government and institutional documents, this book reveals similarities in the presumptions underlying British and American health policies, while also exploring the distinctive way in which policy was shaped by political culture, class relationships, and economic resources in each country.Originally published in 1986.The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.
Politics --- Policy Making. --- Health Policy --- National health services --- Medical policy --- Health care policy --- Health policy --- Medical care --- Medicine and state --- Policy, Medical --- Public health --- Public health policy --- State and medicine --- Science and state --- Social policy --- Policy-making --- Policymaking --- Public policy management --- Medicine, State --- National health care --- Nationalized health services --- Socialized medicine --- State medical care --- State medicine --- history --- History. --- Political aspects --- History --- Government policy --- United States --- Great Britain --- Politics and government. --- England --- Politics and government --- Government --- History, Political
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AIDS (Disease) --- NON-CLASSIFIABLE. --- History. --- Acquired Immunodeficiency Syndrome --- Ethics, Medical. --- Health Policy. --- epidemiology. --- history. --- legislation.
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