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Biomedical subjects

M A Glasser

Publications and source records attributed to M A Glasser.

At least 19 recordsLinked to original sources

The Health Security Partnership: an equitable, pragmatic, and passable national health program.

The Health Security Partnership is an equitable, pragmatic, and legislatively passable health program. The proposed reform of the health care system is based on realistic principles designed to promote access and produce changes that will restrain costs while delivering quality health services. Among the principles on which the program is built are full and equitable access to health care, along with abolition of the "separate but less equal" system called Medicaid, and a national-state administration that requires uniform standards of core benefits across state lines combined with differing patterns of state administration. States will be able to expand benefits as appropriate. Enforceable cost-containment measures are seen as essential corollaries to universal access. Biennial state and national budgets, prospective global hospital and other institutional budgets, relative-value physician fee schedules, and controls on prescription drug prices are essential parts of the program. The plan provides for evolutionary change and orderly transition to a reformed delivery system. The retention of free choice of physicians and simplified administration with substantial consumer choice in decision-making offer the hope of sharply reduced financing cost increases combined with the growth in delivery of quality medical care.

Community Participation↗

Certification and recertification. A consumer's view.

The burgeoning of major research related to the effectiveness and appropriateness of clinical treatment methods as part of efforts to improve the quality of patient care provides added emphasis to consumer needs for certification and recertification. While there are multiple factors involved, the prime consumer question continues to be "How good is the physician and surgeon?" The combination of increased services delivered on an outpatient basis and in doctor's offices gives added weight to the importance of peer-approved physician competence. So, too, are the Health Care Financing Administration's (HCFA) efforts to report on the quality of services in nursing homes. Research programs aimed at selecting preferred treatment methods are currently underway by a host of organizations, including the Rand Corporation and the American Medical Association, private sector insurers, and agencies of the federal government. Almost all, however, ultimately depend on the competence of the individual physician to put into clinical practice the knowledge and standards of the developing new research.

Centers for Medicare and Medicaid Services, U.S.↗

Assuring professional competence in medicine: expectations of the public.

A trend toward increased public involvement in assuring professional competence in medicine has resulted as an outgrowth of the consumer movement, the public disenchantment with many traditional institutions, including professions, and broad social acceptance of the concept of health care as a basic human right. Expectations of consumers and the public include a broader definition of professional competence which includes caring and ability to communicate as aspects of curing. Knowledgeable consumers are concerned that inadequate safeguards exist to preclude physicians from practicing beyond their scope of competence and to assure continued competence of a physician over time. While assuring competence is the responsibility of the medical profession, it serves a public function and must be held accountable to public and consumer interests. Consumers should be involved more directly in the process. They can bring valuable judgment to the human questions relating to competence. They can bring a more holistic and humanitarian view to the process. Involvement of consumers, particularly in relation to hearing grievances, would serve to increase public confidence in certifying institutions. They can help assure that public, not merely professionals, interests are served: To assure that consumer representation makes a significant contribution, consumer members of certifying bodies should be provided with adequate orientation, continued training and direct staff assistance to aid in understanding technical issues and evaluating a technical recommendations.

Clinical Competence↗

Obstacles to utilization of prepaid mental health care.

The coverage of out-of-hospital expenses for mental health care through prepayment and insurance programs has been a major advance in removing the economic barriers to early detection, diagnosis, and treatment of mental disorders. However, obstacles to obtaining treatment block many eligible people from receiving help. The authors conducted a study among members of the United Auto Workers union to identify these roadblocks. Among the obstacles were differences in perceptions of need for treatment and in attitudes toward treatment, and lack of awareness of eligibility for benefits among three key groups - consumers, referral agents, and providers. The authors urge psychiatry to help in removing these obstacles.

Attitude of Health Personnel↗