By Thomas S. Bodenheimer, Kevin Grumbach

"This hugely readable textual content provides a vast yet special photograph of the way future health care is geared up and disbursed within the United States." -Annals of inner medication, at the First version the number one textual content on overall healthiness coverage, this famous ebook offers a quick creation to U.S. wellbeing and fitness care coverage by means of prime specialists who're themselves practising physicians. The Fourth version good points the newest info on expense containment, medical insurance, controlled care, health facility check, and the hot two-tier version of doctor compensation.

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Additional info for Understanding Health Policy: A Clinical Approach, 4 e 2004

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George is enrolled through his employer in SmartCare, an HMO run by Smart Insurance Company. SmartCare has contracted with two IPAs to provide physician services for its enrollees in the area where George lives. George has chosen to receive his care from Dr. Bunch, a PCP affiliated with one of these IPA groups, CapCap Associates IPA. SmartCare pays CapCap Associates a $40 monthly capitation fee on George's behalf for all physician and related outpatient services. CapCap Associates in turn pays Dr.

Women are 50% more likely than men to report leaving a physician because of dissatisfaction with their care, and they are over twice as likely to report that their physician "talked down" to them or told them their problems were "all in their head" (). Female physicians have a more patient-centered style of communicating and spend more time with their patients than do male physicians (). 4 times as likely to have a mammogram than the patients of male physicians (). Compared with men with comparable severity of disease, women are less likely to receive major procedures such as coronary artery bypass graft surgery and renal transplantation ().

PMID: 9468469] Newacheck PW et al: The effect on children of curtailing Medicaid spending. JAMA 1995;274:1468. [PMID: 7474195] Pappas G et al: The increasing disparity in mortality between socioeconomic groups in the United States, 1960 and 1986. N Engl J Med 1993;329:103. [PMID: 8510686] Pear R: Medicare Law's Costs and Benefits are Elusive. New York Times, December 9, 2003. Perez-Stable EJ, Sabogal F, Otero-Sabogal R: Use of cancer-screening tests in the San Francisco Bay area: Comparison of Latinos and Anglos.

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