Eli Ginzberg - Böcker

Hospital costs and the fees for physicians who treat patients admitted for inpatient care currently account for about half of the annual health care spending in the United States (around one trillion dollars). This situation will soon change, however, as market forces necessitate the downsizing, merging, and closing of acute-care hospitals.In this authoritative book, the dean of health care analysts discusses the future of the American hospital. Eli Ginzberg reviews the institutional structure, function, and operations of hospitals in the United States and explains the factors in the marketplace that are transforming the hospital sector. He assesses the different approaches that hospitals and their physician staffs have developed in order to become part of an integrated health network and provide a more efficient and effective system of health care delivery. And he explores such trends as the growth of managed-care plans; the development of alternative, lower-cost treatment sites for patients requiring prolonged care; efforts by community hospitals to cooperate rather than compete; and the management of each individual's health care services by a primary physician who will provide essential services at a competitive price.

Academic health centers (AHCs) have played a key role in propelling the United States to world leadership in technological advances in medicine. At the same time, however, many of these urban-based hospitals have largely ignored the medical care of their poor neighbors. Now one of the leading experts in American health policy and economics ponders whether current and proposed changes in the financing and delivery of medical care will result in a realignment between AHCs and the poor.Basing his discussion on an analysis of the nation’s twenty-five leading research-oriented health centers, Eli Ginzberg and his associates trace the history of AHCs in the twentieth century. He claims that AHCs are once again moving toward treating the poor because these hospitals need to admit more Medicaid patients to fill their empty beds, and their medical students need opportunities to practice in ambulatory sites. He also assesses some of the more important trends that may challenge the AHCs, including financial concerns, changing medical practice environments, and the likelihood of some form of universal health insurance.Eli Ginzberg is director of The Eisenhower Center for Conservation of Human Resources, Columbia University. He has been a consultant to nine U.S. presidents and chaired the National Commission for Employment Policy for six presidents. He is the author of numerous books as well as articles on health affairs in the New England Journal of Medicine, the Journal of the American Medical Association, and many other journals.

This book summarizes the key findings from Philadelphia Private Industry Council's 1985 customer survey. It helps young people to take a critical look at their living practices and define their personal agenda and action plan for pursuing constructive choices in the future.

This book, based on the Third Conference on Health Policy, is derived from those discussions that identified as a fundamental issue the translation of societal values into health care objectives and the formulation of mechanisms by which these objectives could guide the clinical decision-making.

The early 1990s saw the U.S. health care system under intensifying pressures and strains as a consequence of steeply rising expenditures, an increase in the number of uninsured persons, and a range of other challenges, including increasingly severe pressures on government and employers, the principal payers for health care. As a consequence of these and other dysfunctional developments, Eli Ginzberg explored and assessed the problems and the transformations underway in the financing of U.S. health care and in the delivery of services. On the eve of an era of major health care reform, Medical Gridlock and Health Reform presents his findings.

This book contains five chapters based on papers that were prepared for the Cornell University Medical College Second Conference on Health Policy held in New York City on February 27-28, 1986, plus an introductory chapter and a summary of the discussion written by me as chairman and editor. The title, From Physician Shortage to Patient Shortage: The Uncertain Future of Medical Practice, underscores two of the major changes that are operating to reshape the U.S. health care sector.

This book provides a thorough and careful examination of fate of public programs and specialty providers, academic health centers, and graduate medical education related issues in U.S. health reform.

This book summarizes the key findings from Philadelphia Private Industry Council's 1985 customer survey. It helps young people to take a critical look at their living practices and define their personal agenda and action plan for pursuing constructive choices in the future.

This book, based on the Third Conference on Health Policy, is derived from those discussions that identified as a fundamental issue the translation of societal values into health care objectives and the formulation of mechanisms by which these objectives could guide the clinical decision-making.

This book explores and assesses the problems and transformations underway in the financing of U.S. health care and in the delivery of services on the eve of an era of major health care reform. It can be viewed as a follow-up to The Medical Triangle: Physicians, Politicians and the Public.

This book is based on papers that were prepared for the Cornell University Medical College Second Conference on Health Policy held in New York City on February 27-28, 1986. It discusses the major changes that are operating to reshape the U.S. health care sector.

This book provides a thorough and careful examination of fate of public programs and specialty providers, academic health centers, and graduate medical education related issues in U.S. health reform.

This volume reports the different ways in which various urban academic health centers are seeking to reposition themselves in order to protect and advance their primary missions of education, biomedical research, and sophisticated patient care.

This book focuses on ineffective adolescent behavior and evaluates prevention programs. In addition, the purpose is to assess the current efforts to reduce adolescent behavior such as drunk driving, teenage pregnancy, and dropping out of school. Also considered is whether prevention programs are effective in reducing the individual and social costs of disability and death resulting from such destructive behavior. It is noted that race and income are not determining factors in accounting for drunk driving among adolescents and young adults. However, race, poverty, and single-parent households go far to account for the vast majority of adolescents who become pregnant, use drugs, or drop out of school. A chapter is devoted to statistics, prevention, and deterrent strategies of adolescent drunk driving. Another explores teenage pregnancy, the programmatic approaches, and services. Drug use is discussed in another chapter, with prevention methods emphasized. The final issue focused upon is the intervention of students dropping out of school. The last chapter discusses possible prevention measures for each of the above issues.

This volume reports the different ways in which various urban academic health centers are seeking to reposition themselves in order to protect and advance their primary missions of education, biomedical research, and sophisticated patient care.

This book focuses on ineffective adolescent behavior and evaluates prevention programs. In addition, the purpose is to assess the current efforts to reduce adolescent behavior such as drunk driving, teenage pregnancy, and dropping out of school. Also considered is whether prevention programs are effective in reducing the individual and social costs of disability and death resulting from such destructive behavior. It is noted that race and income are not determining factors in accounting for drunk driving among adolescents and young adults. However, race, poverty, and single-parent households go far to account for the vast majority of adolescents who become pregnant, use drugs, or drop out of school. A chapter is devoted to statistics, prevention, and deterrent strategies of adolescent drunk driving. Another explores teenage pregnancy, the programmatic approaches, and services. Drug use is discussed in another chapter, with prevention methods emphasized. The final issue focused upon is the intervention of students dropping out of school. The last chapter discusses possible prevention measures for each of the above issues.

This volume analyzes in considerable depth how fears, prejudices, social and moral values, and individual perceptions have affected and shaped the public, the personal, the professional, and the economic ways in which our society interacts with people suffering from HIV infections.

This volume is the first of four publications that will present the research on technology and employment carried out by Conservation of Human Resources of Columbia University over the past several years. This research was started with a small grant from the Rockefeller Foundation in 1982.

This volume seeks a better understanding of the issues and options involved in the generation and transfer of technology to poor small farmers. It is intended to provide a fresh opportunity to develop guidelines for the future design and implementation of rural development investment projects.

This book focuses on the aspects of the changing U.S. labor market, including the role that the export of advanced business services from the United States plays in the increasing globalization of the world's economy and the reemergence of national employment policy.

The Metropolitan Academic Medical Center provides a careful reexamination of developments of the past decade, offers insights for improving medical education, biomedical research, and health care services, and examines the fate of the medical academy.

This volume analyzes in considerable depth how fears, prejudices, social and moral values, and individual perceptions have affected and shaped the public, the personal, the professional, and the economic ways in which our society interacts with people suffering from HIV infections.

This volume is the first of four publications that will present the research on technology and employment carried out by Conservation of Human Resources of Columbia University over the past several years. This research was started with a small grant from the Rockefeller Foundation in 1982.

This volume seeks a better understanding of the issues and options involved in the generation and transfer of technology to poor small farmers. It is intended to provide a fresh opportunity to develop guidelines for the future design and implementation of rural development investment projects.

This book focuses on the aspects of the changing U.S. labor market, including the role that the export of advanced business services from the United States plays in the increasing globalization of the world's economy and the reemergence of national employment policy.

The Metropolitan Academic Medical Center provides a careful reexamination of developments of the past decade, offers insights for improving medical education, biomedical research, and health care services, and examines the fate of the medical academy.

Despite the long and distinguished history of health services research in the United States, this unparalleled work is the first comprehensive account of what health services research aims to do and what the research has actually accomplished. Specially commissioned essays by a roster of leading scholars offer an incisive look at the current potential of the field.

This volume constitutes an achievement nowhere duplicated in the three related and critical areas of education, work, and manpower policy. It is the mature production of over a dozen years of research-endeavors by the dean of manpower studies.In Part I Eli Ginzberg warns against simplistic reliance on prevailing models—economic, psychological, or political. There is only tenuous evidence that enormous expenditure leads to increased social benefit. Rather, we need a more appropriate framework for analyzing human resources, and we ought to be skeptical of a theory that predicates an underlying rationalism for much, if not all, human behavior. Specifically, the author doubts that education can be a substitute for the family, cure poverty or racism, assure an individual a job, give a person a decent income, or control crime and delinquency. What it can do is help students acquire basic skills and thereby help them to live and manage their lives better. The author suggests that we ought to set realistic goals for our schools and insist on accountability.Part II turns to work and its discontents. Ginzberg examines the changing role of women, the position of blue-collar workers, labor reforms suggested in America and abroad, and the place of the work ethic.Part III focuses mostly on public employment policy, which can improve the manpower system but can only be a minor instrument for promoting economic growth, redistributing income, shifting consumer demand to public services, or eliminating substandard jobs. The discussion will be eagerly read by those seeking to generate jobs for the unemployed.

Runaway medical costs, long-term care, market competition, for-profit medicine, nursing shortages—these are but a few of the issues that swirl around in the late twentieth century’s volatile health care scene. How much of the system do we want to change, and how much do we want to keep? Health policy expert Eli Ginzberg examines such crucial questions in his characteristically broad-gauged perspective. Framing the issues in their historical, political, and professional contexts, the author analyzes how we have arrived at the current crisis.The book focuses on the three sides of the medical triangle that have separate and sometimes conflicting goals: the physicians want to provide the most health care for the most money; the government, which furnishes 40 percent of the system's funding, wants to limit the money it pays out for health care; and the public, with over a billion annual visits to doctors, wants the most health care for the least money.Ginzberg explains how the core components of our health care system—the community hospital and physicians who have long practiced in a fee-for-service mode—are under attack, and he indicates the factors that make it uncertain whether the destabilization will slow down or accelerate. Moreover, can key health care centers maintain their leadership in a time when new dollars for health are scarce? How will the floundering state of foundations affect medical care in local communities?In his final chapters the author zeroes in on the special concerns of the public: high-need patients (including those suffering from cancer, catastrophic illness, and the infirmities of old age, or those who are mentally ill or chronically poor), nursing shortages, unsuccessful cost containment, and lack of consensus within the medical triangle about the major issues on our nation's health agenda.