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The Milbank Memorial Fund quarterly. Health and society最新文献

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Life and death in a welfare state: end-stage renal disease in the United Kingdom. 福利国家的生与死:英国的终末期肾病。
The Milbank Memorial Fund quarterly. Health and society Pub Date : 1985-01-01
T Halper
{"title":"Life and death in a welfare state: end-stage renal disease in the United Kingdom.","authors":"T Halper","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The uniquely parsimonious approach to treatment of end-stage renal disease patients in the U.K. was initially developed under the imprimatur of the nation's medical elite and sanctioned by the central government. Public value for public money and an equitable balance of scarce resources among many social and medical claims still guide the National Health Service. But these clinically dominated allocative decisions are imperfect, often counter-productive, and, ultimately, political. There is a marked dissonance between compassionate and bureaucratic themes.</p>","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"63 1","pages":"52-93"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15037048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Who is the odd man out?: the experience of Western Europe in containing the costs of health care. 谁是局外人?西欧在控制保健费用方面的经验。
The Milbank Memorial Fund quarterly. Health and society Pub Date : 1985-01-01
B Abel-Smith
{"title":"Who is the odd man out?: the experience of Western Europe in containing the costs of health care.","authors":"B Abel-Smith","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Economic, demographic, and technological pressures have led at the same time to increased demands upon health services and the need to contain spending on health care. As the United States has focused singularly on an array of market mechanisms, Western European countries have each adopted a broader set of strategies along with limited de-insurance: innovative regulatory approaches and a move from compulsory health insurance models to flexible national health service models of providing health care. Pursuit of cost-containment in Western Europe has proceeded along with pursuit of quality and, above all else, equity.</p>","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"63 1","pages":"1-17"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14967930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Formula funding and regional planning of health services in Australia. 澳大利亚保健服务的配方供资和区域规划。
The Milbank Memorial Fund quarterly. Health and society Pub Date : 1985-01-01
N Hicks
{"title":"Formula funding and regional planning of health services in Australia.","authors":"N Hicks","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"63 4","pages":"671-90"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14972116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sharing increasing costs on declining income: the visible dilemma of the invisible aged. 在收入下降的情况下分担日益增加的成本:看不见的老年人的看得见的困境。
The Milbank Memorial Fund quarterly. Health and society Pub Date : 1985-01-01
B B Torrey
{"title":"Sharing increasing costs on declining income: the visible dilemma of the invisible aged.","authors":"B B Torrey","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The federal government considers all persons aged 65 and over a single beneficiary group, and data collectors consider them a single cohort. As a result, the very old (80 years and over) are virtually invisible; little is known about their specific income benefits and economic resources. Costs for the very old--a more economically diverse group than the nonaged--are likely to grow disproportionately. Recent proposals to share costs will affect the distribution of income and assets among the aged and between generations.</p>","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"63 2","pages":"377-94"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15003805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Who is the odd man out?: the experience of Western Europe in containing the costs of health care. 谁是局外人?西欧在控制保健费用方面的经验。
The Milbank Memorial Fund quarterly. Health and society Pub Date : 1985-01-01 DOI: 10.2307/3349896
B. Abel-Smith
{"title":"Who is the odd man out?: the experience of Western Europe in containing the costs of health care.","authors":"B. Abel-Smith","doi":"10.2307/3349896","DOIUrl":"https://doi.org/10.2307/3349896","url":null,"abstract":"Economic, demographic, and technological pressures have led at the same time to increased demands upon health services and the need to contain spending on health care. As the United States has focused singularly on an array of market mechanisms, Western European countries have each adopted a broader set of strategies along with limited de-insurance: innovative regulatory approaches and a move from compulsory health insurance models to flexible national health service models of providing health care. Pursuit of cost-containment in Western Europe has proceeded along with pursuit of quality and, above all else, equity.","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"21 1","pages":"1-17"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83611775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 39
Laboratory-based research on the Cognitive Aspects of Survey Methodology: the goals and methods of the National Center for Health Statistics study. 基于实验室的调查方法认知方面的研究:国家卫生统计研究中心的目标和方法。
The Milbank Memorial Fund quarterly. Health and society Pub Date : 1985-01-01
J T Lessler, M G Sirken
{"title":"Laboratory-based research on the Cognitive Aspects of Survey Methodology: the goals and methods of the National Center for Health Statistics study.","authors":"J T Lessler,&nbsp;M G Sirken","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The National Center for Health Statistics is embarked on a major project to combine the respective strengths of cognitive psychologists and survey researchers in a common effort to improve the design of survey questionnaires. This methodological research is conducted within the framework of the National Health Interview Survey, the nation's main source of information on the health of civilians. Better quality of such information--from recall to response rates--can aid both scientific inquiry and public policy.</p>","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"63 3","pages":"565-81"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14967574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Age and dependency: children and the aged in American social policy. 年龄与依赖:美国社会政策中的儿童与老年人。
The Milbank Memorial Fund quarterly. Health and society Pub Date : 1985-01-01
J Axinn, M J Stern
{"title":"Age and dependency: children and the aged in American social policy.","authors":"J Axinn,&nbsp;M J Stern","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"63 4","pages":"648-70"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14972115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
High technology medicine: how defined and how regarded. 高科技医学:如何定义和如何看待。
The Milbank Memorial Fund quarterly. Health and society Pub Date : 1985-01-01
B Jennett
{"title":"High technology medicine: how defined and how regarded.","authors":"B Jennett","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>High technology--complex, expensive, restricted in availability, and requiring some form of explicit rationing--is bound to influence the medical task. Diagnosis, prognosis, decision, and management have all incorporated high technology, changing the hospital physician's role from one of private contractor to one of team member. Attitudes toward the balance between burden and benefit of high technology are as varied as are the conflicting vested interests among patients, professionals, society, industry, and government. Above all, it will take time for both patients and professionals to learn how to redefine expectations in a changing relationship.</p>","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"63 1","pages":"141-73"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14967932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The economic status of the oldest old. 最老的老人的经济地位。
The Milbank Memorial Fund quarterly. Health and society Pub Date : 1985-01-01
G L Atkins
{"title":"The economic status of the oldest old.","authors":"G L Atkins","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Proposals to shift more of Medicare's costs to beneficiaries raise the question of whether the oldest old--the heaviest users--have the resources to bear these costs. Information on cash income, assets, other economic resources, and in-kind benefits provides an assessment of the economic status of the very old. When all factors and adjustments are considered, the oldest old, as a group, are shown to have substantially lower economic status than the young old.</p>","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"63 2","pages":"395-419"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15003806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Moral thinking and government policy: the Warnock Committee on Human Embryology. 道德思考与政府政策:人类胚胎学沃诺克委员会。
The Milbank Memorial Fund quarterly. Health and society Pub Date : 1985-01-01
M Warnock
{"title":"Moral thinking and government policy: the Warnock Committee on Human Embryology.","authors":"M Warnock","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A parliamentary committee of inquiry was convened in response to growing concern--among the general public and the scientific community--about new techniques in human fertilization and research in embryology. The committee had to enter that jurisprudential minefield, the theoretical relation between morality and the law. When issues arise in which there is no historical tradition, the voice of morality may be genuinely confused and uncertain. But the law, unlike moral opinion, cannot be contradictory; it must be definite, unambiguous, and universally applicable.</p>","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"63 3","pages":"504-22"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14967572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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