01:920:210 : (Quadeer's Sociology Chapter 15 Sociology Notes)
Document Summary
Introduction: the major issues in the public debate about health care delivery in the united. Rising costs: the greatest innovation in the delivery of health services during the 1980s and. 1990s was in the area of cost containment. Little was accomplished with respect to problems of equity and distribution of services: in the public sector, the federal government instituted cost controls for services to medicare patients by establishing set fees for diagnostic related groups (drgs) Drgs listed medical procedures and what the government would pay for patients receiving these procedures: in the private sector, insurance companies adopted drgs to set limits on what they would pay as well. Buyer"s revolt business corporations and insurance companies seeking to control health care costs by controlling medical work: managed care alters the patient physician relationship, by introducing a third party-the case manager- to the decision-making process.
