Abandonment of the Patient: The Impact of Profit-Driven Heath Care on the Public

Overview

A thoughtful and alarming examination of how health care "downsizing" and for-profit managed care are affecting quality of care, patient outcomes, and staffing patterns. A distinguished group of nurses, doctors, health care administrators, patients, journalists, and policy makers have contributed to the book.

The book contains no figures.

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Overview

A thoughtful and alarming examination of how health care "downsizing" and for-profit managed care are affecting quality of care, patient outcomes, and staffing patterns. A distinguished group of nurses, doctors, health care administrators, patients, journalists, and policy makers have contributed to the book.

The book contains no figures.

Read More Show Less

Editorial Reviews

Doody's Review Service
Reviewer: Ellen K. Murphy, RN, MS, JD (University of Wisconsin-Milwaukee)
Description: This is a short (110 page), three-part book that provides context, field experience, and perspective on the effects of for-profit corporate healthcare on patients and professional caregivers today. Contributors include scholars, managers, clinicians, and consumers. They describe experiences and illuminate concerns of many participants in the current market-driven healthcare reform environment.
Purpose: The purpose is to provide "a wake up call to the American public about current realities of the health care system." Readers will find the contributors articulate voices for the experiences and frustrations being felt by patients, families, and providers in many hospitals today.
Audience: The editors identify the audience as the American public. In my opinion, the American public includes both professional providers and consumers of healthcare. The editors are two respected nursing leaders and a widely published journalist. They have assembled a well-selected group of contributors that includes the director of HCFA, recognized political commentators, medical and nursing scholars, practicing professional clinicians, and patients.
Features: The book is easy to read, but thoughtful and thought-provoking. It is sufficiently referenced to substantiate authors' assertions but does not approach the pedantic. All authors use a first-person conversational style when describing their personal experiences as well as some complex concepts. The contributors provide context and perspective rationale for the current situation.
Assessment: This book should indeed be read by the American public, whether professional healthcare providers and current or potential healthcare consumers. It is an accurate snapshot of what is happening in many healthcare institutions today, told in an easy to understand, articulate way. Consumers especially need to be aware of this reality, and the reasons for it, before they find it necessary to avail themselves of healthcare services. Healthcare professionals will find their frustrations with some factions of care today given forceful, but not strident, voice. Professionals will also benefit from the legal, ethical, economic, and political context analyses. All readers are encouraged to join in political action, publicity, and coalition building to prevent the abandonment of the patient in the evolving healthcare "system."
Ellen K. Murphy
This is a short (110 page), three-part book that provides context, field experience, and perspective on the effects of for-profit corporate healthcare on patients and professional caregivers today. Contributors include scholars, managers, clinicians, and consumers. They describe experiences and illuminate concerns of many participants in the current market-driven healthcare reform environment. The purpose is to provide ""a wake up call to the American public about current realities of the health care system."" Readers will find the contributors articulate voices for the experiences and frustrations being felt by patients, families, and providers in many hospitals today. The editors identify the audience as the American public. In my opinion, the American public includes both professional providers and consumers of healthcare. The editors are two respected nursing leaders and a widely published journalist. They have assembled a well-selected group of contributors that includes the director of HCFA, recognized political commentators, medical and nursing scholars, practicing professional clinicians, and patients. The book is easy to read, but thoughtful and thought-provoking. It is sufficiently referenced to substantiate authors' assertions but does not approach the pedantic. All authors use a first-person conversational style when describing their personal experiences as well as some complex concepts. The contributors provide context and perspective rationale for the current situation. This book should indeed be read by the American public, whether professional healthcare providers and current or potential healthcare consumers. It is an accurate snapshot of what is happening in manyhealthcare institutions today, told in an easy to understand, articulate way. Consumers especially need to be aware of this reality, and the reasons for it, before they find it necessary to avail themselves of healthcare services. Healthcare professionals will find their frustrations with some factions of care today given forceful, but not strident, voice. Professionals will also benefit from the legal, ethical, economic, and political context analyses. All readers are encouraged to join in political action, publicity, and coalition building to prevent the abandonment of the patient in the evolving healthcare ""system.""
Annals of Internal Medicine
. . . thoughtful, provocative, and compelling.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780826194701
  • Publisher: Springer Publishing Company, Incorporated
  • Publication date: 1/28/1996
  • Edition number: 1
  • Pages: 132
  • Product dimensions: 6.19 (w) x 9.27 (h) x 0.57 (d)

Table of Contents

Contributors
Preface
Introduction 1
1 The Corporatization of American Health Care and Why It Is Happening 9
2 A Patient's View 25
3 A Nurse's View 31
4 A Physician's View 37
5 A Nursing Administrator's View 41
6 A Hospital Administrator's View 45
7 The Care for Managed Care 57
8 The Case Against Profit-Driven Managed Care 65
9 A Historical Perspective 71
10 Legal Nightmares/Remedies 77
11 The Political Aftermath of Health Care Reform 81
12 Do Ethics and Money Mix? The Moral Implications of the Corporatization of Health Care 87
13 Conclusion: What Can We Do to Protect Quality Care? 101
References 111
Index 115
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