Book Review: Health Care Regulation in America: Complexity, Confrontation, and Compromise

Author(s):  
Ross M. Mullner
2010 ◽  
Vol 38 (2) ◽  
pp. 427-435
Author(s):  
Thaddeus Mason Pope ◽  
Joshua J. Gagne ◽  
Aaron S. Kesselheim

Through the Louisiana Purchase in 1803, the United States expanded its size by over 800,000 square miles. But neither President Thomas Jefferson nor Congress knew exactly what they had bought until 1806, when Meriwether Lewis and William Clark returned from their famous expedition. One of the most significant contributions of the Expedition was a better perception of the geography of the Northwest. Lewis and Clark prepared approximately 140 maps and filled in the main outlines of the previously blank map of the northwestern United States. Robert I. Field has done much the same for the vast territory of U.S. health care regulation.On the front cover of Fields new book, Health Care Regulation in America: Complexity, Confrontation, and Compromise, is a picture of a giant three-dimensional labyrinth. Rarely is cover art so perfectly appropriate.


2006 ◽  
Vol 11 (4) ◽  
pp. 202-210 ◽  
Author(s):  
Jennifer Attride-Stirling ◽  
Charlotte Humphrey ◽  
Barry Tennison ◽  
Jocelyn Cornwell

2009 ◽  
Vol 30 (3) ◽  
pp. 366-379 ◽  
Author(s):  
Márcia Elizabeth Marinho da Silva ◽  
Eduardo R. Santos ◽  
Denis Borenstein

The regulation of specialist medical appointments represents one of the problematic areas of the Brazilian Public Health System. In this regulation process, 2 issues stand out: 1) which patients should have the highest attendance priority, and 2) which service suppliers can best resolve the specific health problem of a patient? Based on the consideration of the existing Brazilian context in the field of medical assistance, this study proposes a model designed to aid regulation centers deal with the decisions related to the process of allocating specialist medical appointments. The model integrates multicriteria decision analysis and linear programming for the specialist medical appointment allocation, in which the allocation of patients is defined as a function of the relative significance of a set of criteria related to the notion of effectiveness of the specialist medical care and the capability of the accredited specialist health care units. The integrated model was implemented in a computer-based system and validated using cardiology and vein surgery data from the regulation center in Porto Alegre, Brazil. The validated computational system was applied to mammography services in another regulation center. The system successfully implemented a prioritization scheme, decreasing significantly the examination waiting time of severe cases.


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