Purchasing Population Health: Paying for Results

Purchasing Population Health: Paying for Results

by David A. Kindig
     
 

ISBN-10: 047210893X

ISBN-13: 9780472108930

Pub. Date: 12/15/1997

Publisher: University of Michigan Press

David Kindig's training as a physician, a health care executive, and his academic work in the field of health policy came together to inspire this innovative approach for extracting a higher quality of care at reasonable cost by establishing clear health outcomes measures as a purchasing standard.

Despite the massive resources it consumes, the American health

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Overview

David Kindig's training as a physician, a health care executive, and his academic work in the field of health policy came together to inspire this innovative approach for extracting a higher quality of care at reasonable cost by establishing clear health outcomes measures as a purchasing standard.

Despite the massive resources it consumes, the American health care system remains under stress. While we are global leaders in technical accomplishments in medicine, the quality of health outcomes we achieve per dollar invested is far from optimal. Neither market nor regulatory reforms have addressed this failure of our system.

In the wake of the failed 1994 federal reform effort the system is changing without legislation through market forces. There is no evidence, however, that these changes are reducing costs, increasing quality, or covering the uninsured.

This book details how Dr. Kindig's plan could work and the stages of implementation. It concludes with an examination of the price of inertia in facing this long-standing problem.

This work will appeal to senior policymakers in the private and public sector, including legislators and staff, officials of corporations, and professional organizations. In addition, faculty and students in schools of medicine, nursing, public health, and business, as well as health services researchers and a sophisticated lay audience will find it interesting.

"...a major contribution to our understanding of the forces driving the health care system and the need to create the incentives for a healthier America in the 21st century." —Philip R. Lee, M.D., former Assistant Secretary for Health, Department of Health and Human Services

David A. Kindig is Professor of Preventive Medicine, University of Wisconsin- Madison School of Medicine.

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Product Details

ISBN-13:
9780472108930
Publisher:
University of Michigan Press
Publication date:
12/15/1997
Edition description:
New Edition
Pages:
216
Product dimensions:
6.00(w) x 9.00(h) x 1.00(d)

Table of Contents

Acronyms
1Purchasing Population Health: A Vision1
2Taking Our Temperature: How Healthy Are We?11
3The High Cost of Health Care: Are We Getting the Most for Our Money?25
4Measuring Health Outcomes43
5The Multiple Determinants of Health69
6Can Rationing Be Rational? Balancing the Determinants of Health101
7Managing Boundaries113
8Different Populations, Different Needs?133
9Making It Happen149
10The Case for Action, the Price of Inertia169
Reference List177
Index191

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