David Mechanic – författare

The most authoritative evidence-based approach to mental health policy and design.

 

Rooted in research findings that support an evidence-based orientation to treatment and recovery, the sixth edition of Mental Health and Social Policy takes a multidisciplinary approach to mental health and social policy. It examines the nature, origins, distribution, and consequences of disorders, while detailing information on the services, programs, and social policies that have been developed to assist people with mental health problems.

 

Learning Goals

Upon completing this book, readers will be able to:

Understand the nature, origins, distribution and consequences of mental disorders. Examine the services, programs, and social policies developed to assist people with mental health problems.

Health care delivery in the United States is an enormously complex enterprise, and its $1.6 trillion annual expenditures involve a host of competing interests. While arguably the nation offers among the most technologically advanced medical care in the world, the American system consistently under performs relative to its resources. Gaps in financing and service delivery pose major barriers to improving health, reducing disparities, achieving universal insurance coverage, enhancing quality, controlling costs, and meeting the needs of patients and families.Bringing together twenty-five of the nation’s leading experts in health care policy and public health, this book provides a much-needed perspective on how our health care system evolved, why we face the challenges that we do, and why reform is so difficult to achieve. The essays tackle tough issues including: socioeconomic disadvantage, tobacco, obesity, gun violence, insurance gaps, the rationing of services, the power of special interests, medical errors, and the nursing shortage.Linking the nation’s health problems to larger political, cultural, and philosophical contexts, Policy Challenges in Modern Health Care offers a compelling look at where we stand and where we need to be headed.

The United States spends greatly more per person on health care than any other country but the evidence shows that care is often poor and inappropriate. Despite expenditures of 1.7 trillion dollars in 2003, and growing substantially each year, services remain fragmented and poorly coordinated, and more than 46 million people are uninsured. Why can't America, with its vast array of resources, sophisticated technologies, superior medical research and educational institutions, and talented health care professionals, produce higher quality care and better outcomes?In The Truth about Health Care, David Mechanic explains how health care in America has evolved in ways that favor a myriad of economic, professional, and political interests over those of patients. While money has always had a place in medical care, "big money" and the quest for profits has become dominant, making meaningful reforms difficult to achieve. Mechanic acknowledges that railing against these influences, which are here to stay, can achieve only so much. Instead, he asks whether it is possible to convert what is best about health care in America into a well functioning system that better serves the entire population.Bringing decades of experience as an active health policy participant, researcher, teacher, and consultant to the public and private sectors, Mechanic examines the strengths and weaknesses of our system and how it has evolved. He pays special attention to areas often neglected in policy discussions, such as the loss of public trust in medicine, the tragic state of long-term care, and the relationship of mental health to health care.For anyone who has been frustrated by uncoordinated health networks, insurance denials, and other obstacles to obtaining appropriate care, this book will provide a refreshing and frank look at the system's current and future dilemmas. Mechanic's thoughtful roadmap describes how health plans, healthcare professionals, policymakers, and consumer groups can work together to improve access, quality, fairness, and health outcomes in America.

Social Structure and Behavior: Essays in Honor of William Hamilton Sewell is a collection of 16 essays dealing with the social psychological aspects of schooling and achievement, social stratification and mobility, measurements and methods, and social structures and wellbeing. The collection discusses the political dimension of stratification, the results of observation of first-graders in their reading group assignments against their social background, and stereotyping practices held by dominant groups of society. Anther papers use a causal model to analyze occupational status and earnings of Cuban exiles in the U.S.; other authors discuss the effects of institutionalization of formal employment in Brazil, and propose a revision of the Duncan Scale by a more comprehensive set of occupational prestige scale. The book also analyzes measurements of ranked preferences using a single latent factor behind the ranked items. One authors points that some sociological terms can be misleading in propounding a sound theory when these terms themselves confound what they are supposed to correlate. The text also addresses the fundamental problems concerning welfare that include order, collective action, and consensus. This collection of essays can interest social workers, sociologists, psychologists, and researchers involved in community development.