Nobody's money : introducing choice-card, an innovative and comprehensive approach to the financing of health care

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Title Nobody's money : introducing choice-card, an innovative and comprehensive approach to the financing of health care
Publication Type thesis
School or College School of Medicine
Department Family & Preventive Medicine
Author Poulsen, Alden Lloyd
Date 1986-12
Description The need to attempt some type of control on the cost of medical care has become rather generally accepted. What hasn't been agreed upon how this will be done in the long term. The current means of attempting control without the need of significant government intervention is the pro-competitive environment which is initiating sweeping changes, and is showing some early promise of reducing the rapidity of medical cost increase. Prepaid medical care is being emphasized as hold the key to this problem. In these systems we are relying on the physician to be both provider and rationer of care while entitling the patient to all "necessary" medical care. The patients have for many years been conditioned by the medical system to a perception of necessary medical care. The medical profession, however, is not as readily able to define necessary care, but has been given the responsibility to deliver it. As these new systems increase, an adversarial role is developing between doctor and patient. From the vantage point of nearly 25 years as a family physician, studying the response of patient and provider to the incentives of the system; the author has formulated a unique system of medical care financing. This system will employ a voucher concept, cost-effective incentives built in the reimbursement structure for both physician and patient. It provides for a maximum of patient choice as the patient and his physician work as a partnership to define and obtain necessary medical care. This concept is explained; logic for its theoretical basis is given. It is analyzed from the standpoint of the principles of the Health Policy Agenda for the American People and in view of cost containment and health policy literature. Some suggestions of possible approaches to implementation are also made.
Type Text
Publisher University of Utah
Subject Medical care, Cost of - United States; Medical care - United States - Cost control
Subject MESH Economics, Medical; Costs and Cost Analysis; Health Care Costs; Insurance, Health
Dissertation Institution University of Utah
Dissertation Name MS
Language eng
Relation is Version of Digital reproduction of "Nobody's money : introducing choice-card, an innovative and comprehensive approach to the financing of health care". Spencer S. Eccles Health Sciences Library.
Rights Management © Alden Lloyd Poulsen.
Format application/pdf
Format Medium application/pdf
Format Extent 2,766,781 bytes
Identifier undthes,3811
Source Original: University of Utah Spencer S. Eccles Health Sciences Library (no longer available)
Funding/Fellowship Grant from the Bureau of Health Professionals.
Master File Extent 2,766,863 bytes
ARK ark:/87278/s6n29ztv
Setname ir_etd
ID 191941
Reference URL https://collections.lib.utah.edu/ark:/87278/s6n29ztv
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