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Health Care Issues

Health Care Issues Health Care Issues. Edited by Madeleine Leininger and Gary Buck. F. A. Davis Company, Philadelphia. 176 pp. 1974. $16.00. The stated reasons for this publication are that: * "Recent developments regarding health care problems and delivery systems. . . have highlighted the need to share, discuss, and systematically study health care concerns with many people. * ... . health care providers and consumers are concerned about improving health care services, but many are not clear about issues, goals, barriers, and facilitators. * ". . . no challenge seems greater today, no challenge seems more relevant and no challenge more important than to change our present health system. .. , and * ... . before one can change any health care system. . . the changers must first understand some of the major issues, historical facts, and forces influencing our health care system(s)." These reasons are indeed worthy of attention. Unfortunately for this reviewer, they make the purpose of the publication so broad that it cannot National Center for Health Statistics. Ambulatory Medical Care Records: Uniform Minimum Basic Data Set. Vital and Health Statistics, Series 4, No. 16, DHEW Publication No. (HRA) 75-1453, 16 pp. Health Resources Administration, DHEW, Rockville, MD 20852. This report, prepared by a group of consultants on ambulatory medical care records, under the auspices of the U.S. National Committee on Vital and Health Statistics, sets forth and defines the minimum set of items of information that should be entered uniformly in the records of all ambulatory medical care, regardless of the setting in which the care is delivered. It also specifies classifications of information that would be recorded, for most of the items, in the set. In selecting and defining this minimum basic data set, the consultants were guided by two types of purposes that are served by the maintenance of ambulatory medical care records: (1) the improvement of ambulatory patient care; and (2) a variety of management, planning, education, and research uses that may be carried out only when data have been abstracted from records and analyzed. Although the consultants' decisions on items to be included in the data set were influenced by the data needs for the second type of purposes, they have not specified the subset of the items on which data need to be abstracted, Welfare Medicine in America: A Case Study of Medicaid. Robert Stevens and Rosemary Stevens. The Free Press/Macmillan, New York. 386 + xxi pp. 1974. $13.95. Although essentially a review, analysis, and critique of the Medicaid system in this nation, the book is much more than the sum of its parts. In four sequential parts, the authors trace the antecedents of Medicaid, its incompletely thought-out implementation, the inevitable troubles, and where we are now and are likely to move. And all of it is done with commendable exhaustivity as well as clarity of syntax. 314 AJPH MARCH, 1975, Vol. 65, No. 3 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Public Health American Public Health Association

Health Care Issues

Paul Q. Peterson
American Journal of Public Health , Volume 65 (3) – Mar 1, 1975
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Publisher
American Public Health Association
Copyright
Copyright © by the American Public Health Association
ISSN
0090-0036
eISSN
1541-0048
Publisher site
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Abstract

Health Care Issues. Edited by Madeleine Leininger and Gary Buck. F. A. Davis Company, Philadelphia. 176 pp. 1974. $16.00. The stated reasons for this publication are that: * "Recent developments regarding health care problems and delivery systems. . . have highlighted the need to share, discuss, and systematically study health care concerns with many people. * ... . health care providers and consumers are concerned about improving health care services, but many are not clear about issues, goals, barriers, and facilitators. * ". . . no challenge seems greater today, no challenge seems more relevant and no challenge more important than to change our present health system. .. , and * ... . before one can change any health care system. . . the changers must first understand some of the major issues, historical facts, and forces influencing our health care system(s)." These reasons are indeed worthy of attention. Unfortunately for this reviewer, they make the purpose of the publication so broad that it cannot National Center for Health Statistics. Ambulatory Medical Care Records: Uniform Minimum Basic Data Set. Vital and Health Statistics, Series 4, No. 16, DHEW Publication No. (HRA) 75-1453, 16 pp. Health Resources Administration, DHEW, Rockville, MD 20852. This report, prepared by a group of consultants on ambulatory medical care records, under the auspices of the U.S. National Committee on Vital and Health Statistics, sets forth and defines the minimum set of items of information that should be entered uniformly in the records of all ambulatory medical care, regardless of the setting in which the care is delivered. It also specifies classifications of information that would be recorded, for most of the items, in the set. In selecting and defining this minimum basic data set, the consultants were guided by two types of purposes that are served by the maintenance of ambulatory medical care records: (1) the improvement of ambulatory patient care; and (2) a variety of management, planning, education, and research uses that may be carried out only when data have been abstracted from records and analyzed. Although the consultants' decisions on items to be included in the data set were influenced by the data needs for the second type of purposes, they have not specified the subset of the items on which data need to be abstracted, Welfare Medicine in America: A Case Study of Medicaid. Robert Stevens and Rosemary Stevens. The Free Press/Macmillan, New York. 386 + xxi pp. 1974. $13.95. Although essentially a review, analysis, and critique of the Medicaid system in this nation, the book is much more than the sum of its parts. In four sequential parts, the authors trace the antecedents of Medicaid, its incompletely thought-out implementation, the inevitable troubles, and where we are now and are likely to move. And all of it is done with commendable exhaustivity as well as clarity of syntax. 314 AJPH MARCH, 1975, Vol. 65, No. 3

Journal

American Journal of Public Health – American Public Health Association

Published: Mar 1, 1975

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