Basic Benefits and Clinical Guidelines

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Editorial Reviews

Booknews
Offers a proposed design for a state-level program to ensure adequate minimum health care regardless of ability to pay, by specifying both the particular services and the types of patients for whom the services can be considered basic. Juggles the technical, ethical, and sociopolitical problems of creating a basic benefit plan. Annotation c. Book News, Inc., Portland, OR (booknews.com)
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Product Details

  • ISBN-13: 9780813385082
  • Publisher: Westview Press
  • Publication date: 9/28/1992
  • Pages: 177

Table of Contents

Foreword
Preface
Acknowledgments
Pt. 1 The Model Proposal: Designing Basic Benefit Plans Using Clinical Guidelines
1 Defining Our Terms 3
2 Necessary-Care Guidelines, David C. Hadorn 13
3 The Model Proposal 27
Pt. 2 Analysis of the Model Proposal
4 Ethical Considerations 33
5 Response to Callahan 45
6 Technical Considerations 59
7 Response to Kaplan 77
8 Legal and Political Considerations I 95
9 Legal and Political Considerations II 119
10 Response to Greely and Havighurst 129
Pt. 3 Counterpoint: The Oregon Medicaid Experiment
11 The Oregon Priority-Setting Process 143
Epilog 159
References 161
About the Contributors 173
Index 175
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