Communities and health care : the Rochester, New York, experiment

Resource Information

The work Communities and health care : the Rochester, New York, experiment represents a distinct intellectual or artistic creation found in University of San Diego Libraries. This resource is a combination of several types including: Work, Language Material, Books.

Label

Communities and health care : the Rochester, New York, experiment

Title remainder

the Rochester, New York, experiment

Statement of responsibility

Sarah F. Liebschutz

Creator

• Liebschutz, Sarah F

Subject

• Community health services -- New York (State) | Rochester -- History
• Electronic books
• Health Planning Organizations -- history
• History
• History, 20th Century
• Hospital Planning -- history
• Hospitals -- New York (State) | Rochester -- Planning | History
• Hospitals -- Planning
• Insurance, Hospitalization -- history
• MEDICAL -- Public Health
• Medical care
• Medical care -- New York (State) | Rochester -- History
• New York
• New York (State) -- Rochester
• POLITICAL SCIENCE -- Public Policy | Social Security
• POLITICAL SCIENCE -- Public Policy | Social Services & Welfare
• Prospective Payment System -- history
• Reimbursement Mechanisms -- history
• Community health services

Genre

• History
• Electronic books

Language

eng

Summary

During the 1992 presidential campaign, candidate William J. Clinton praised Rochester's hospital experimental payment (HEP) program for containing costs and providing access to high quality health care. "If Rochester, New York, can do it with two-thirds of the cost of the rest of us," Clinton asserted, "America can do it too." This book is a detailed case study of a community that devised and implemented a unique, successful, and celebrated hospital cost containment experiment in the 1980s. Author Sarah Liebschutz describes the economic and social culture of Rochester dating to the early part of the twentieth century that provided the fertile soil for regional health planning and the HEP program. This study also examines how the changing economy ultimately stimulated robust competition among health care insurers and providers.<BR> What does Rochester's experience tell us about the role communities play in organizing and financing health care? The national government has long played --and will continue to play -- a central role in determining health policy, funding health insurance, and reimbursing health care providers. The responsibility for dealing with the interlocking issues of access, quality, and costs, however, is not exclusively national. State governments shape the health system as they legislate, regulate, and finance such key components of health care as insurance coverage, quality of care, hospitals, and other providers.<BR> Communities matter because they organize and deliver health care at the ground level through private and employed health care professionals and public, private, and nonprofit hospitals. They matter because they ultimately determine whether health care in America is available, efficient, and effective.<BR> The book draws heavily on files of the Rochester Area Hospitals Corporation, made available specifically to the author, and on extensive interviews with business leaders, hospital trustees, and administrators whose decisions fostered collaboration and then competition.<BR><BR> Sarah F. Liebschutz is Distinguished Service Professor Emerita at the State University of New York, College at Brockport

Member of

• Rochester studies in medical history

Cataloging source

TXM

Illustrations

illustrations

Index

index present

Literary form

non fiction

Nature of contents

• dictionaries
• bibliography

Series statement

Rochester studies in medical history,