Evaluating the Health Care System: Effectiveness, Efficiency, and Equity / Edition 2

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Editorial Reviews

Doody's Review Service
Reviewer: James D. Bramble, PhD (Creighton University)
Description: This book discusses the concepts and methodologies of health services research within a framework of effectiveness, efficiency, and equity and illustrates its application to policy analysis. The second edition adds concepts of community health, health services research design, and an empirical application to state policy issues.
Purpose: The authors provide both a conceptual and empirical understanding of evaluating the healthcare system. The text defines and conceptualizes the field of health services research as a valuable tool for understanding the dynamics of our healthcare system.
Audience: Primarily intended for researchers and policy makers who design and conduct health services research in the areas of health administration, public health, and healthcare professions, this book would also be useful to graduate and doctoral students of health services research and policy analysis.
Features: The concepts and methods of effectiveness, efficiency, and equity are each discussed along with the key methods for assessing these concepts. An evaluation of the criteria and evidence regarding policy strategies used to meet these objectives is also presented. Finally, the authors discuss the interrelationships between effectiveness, efficiency, and equity and the tradeoffs made among them during policy formation.
Assessment: A strength of this book is the examination of the healthcare system through the effectiveness, efficiency, and equity framework and the authors' discussion of the major concepts, methods, and evaluation criteria regarding the use of this framework. Especially useful is an illustration of the framework's application to evaluate state Medicaid managed care programs. Also beneficial is the discussion of different types of health services research and how they influence healthcare policy making. Revisions in the second edition have added significant value to this text. A well-organized and written text, this book provides a grounded framework for evaluating the healthcare system that should be valuable to both researchers and policymakers.
James D. Bramble
This book discusses the concepts and methodologies of health services research within a framework of effectiveness, efficiency, and equity and illustrates its application to policy analysis. The second edition adds concepts of community health, health services research design, and an empirical application to state policy issues. The authors provide both a conceptual and empirical understanding of evaluating the healthcare system. The text defines and conceptualizes the field of health services research as a valuable tool for understanding the dynamics of our healthcare system. Primarily intended for researchers and policy makers who design and conduct health services research in the areas of health administration, public health, and healthcare professions, this book would also be useful to graduate and doctoral students of health services research and policy analysis. The concepts and methods of effectiveness, efficiency, and equity are each discussed along with the key methods for assessing these concepts. An evaluation of the criteria and evidence regarding policy strategies used to meet these objectives is also presented. Finally, the authors discuss the interrelationships between effectiveness, efficiency, and equity and the tradeoffs made among them during policy formation. A strength of this book is the examination of the healthcare system through the effectiveness, efficiency, and equity framework and the authors' discussion of the major concepts, methods, and evaluation criteria regarding the use of this framework. Especially useful is an illustration of the framework's application to evaluate state Medicaid managed care programs. Also beneficial is the discussion ofdifferent types of health services research and how they influence healthcare policy making. Revisions in the second edition have added significant value to this text. A well-organized and written text, this book provides a grounded framework for evaluating the healthcare system that should be valuable to both researchers and policymakers.
Booknews
Relying on concepts drawn from epidemiology, economics, and sociology, the authors examine the study and application of health services research. With a major emphasis on efficiency and provider savings, they discuss research methods that examine success rates, profit margins, and social justice in a rapidly privatizing industry, and argue that community interventions and programs should be utilized to solve problems before they reach the health care system. Annotation c. by Book News, Inc., Portland, Or.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9781567930795
  • Publisher: Health Administration Press
  • Publication date: 6/1/1998
  • Edition description: AMERICAN COLLEGE OF HEALTHCARE EXEC
  • Edition number: 2
  • Pages: 334

Table of Contents

List of Figures and Tables
Foreword
Preface
Acknowledgments
1 Introduction to Health Services Research and Policy Analysis 1
App. 1.1 Progress on Healthy People 2000 Sentinel Objectives 41
App. 1.2 Age-Adjusted Death Rates by Selected Cause, Race, and Sex, United States, 1990 and 1980 43
2 Effectiveness: Concepts and Methods 45
3 Effectiveness: Policy Strategies, Evidence, Criteria, and an Application 73
4 Efficiency: Concepts and Methods 105
5 Efficiency: Policy Strategies, Evidence, Criteria, and an Application 131
6 Equity: Concepts and Methods 173
7 Equity: Policy Strategies, Evidence, Criteria, and an Application 207
App. 7.1 Highlights of Selected Indicators of Equity of Access to Healthcare 242
8 Integrating Health Services Research and Policy Analysis 247
9 Applying Health Services Research to Policy Analysis 277
Index 319
About the Authors 333
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