Book contents
- Seemed Like a Good Idea
- Seemed Like a Good Idea
- Copyright page
- Contents
- Figures
- Contributors
- Preface
- 1 Baseline Observations
- 2 Evidence and Growth in Aggregate Spending and Changes in Health Outcomes
- 3 The Benchmark Decision Model, the Value of Evidence, and Alternative Decision Processes
- 4 Care Coordination
- 5 Evidence-Based Programs to Improve Transitional Care of Older Adults
- 6 Vertical Integration of Physicians and Hospitals
- 7 Evidence on Provider Payment and Medical Care Management
- 8 Evidence on Ways to Bring about Effective Consumer and Patient Engagement
- 9 The Unmet and Evolving Need for Evidence-Based Telehealth
- 10 Evidence and the Management of Health Care for Disadvantaged Populations
- 11 Driving Innovation in Health Care
- 12 Concluding Chapter
- Index
10 - Evidence and the Management of Health Care for Disadvantaged Populations
Published online by Cambridge University Press: 14 July 2022
- Seemed Like a Good Idea
- Seemed Like a Good Idea
- Copyright page
- Contents
- Figures
- Contributors
- Preface
- 1 Baseline Observations
- 2 Evidence and Growth in Aggregate Spending and Changes in Health Outcomes
- 3 The Benchmark Decision Model, the Value of Evidence, and Alternative Decision Processes
- 4 Care Coordination
- 5 Evidence-Based Programs to Improve Transitional Care of Older Adults
- 6 Vertical Integration of Physicians and Hospitals
- 7 Evidence on Provider Payment and Medical Care Management
- 8 Evidence on Ways to Bring about Effective Consumer and Patient Engagement
- 9 The Unmet and Evolving Need for Evidence-Based Telehealth
- 10 Evidence and the Management of Health Care for Disadvantaged Populations
- 11 Driving Innovation in Health Care
- 12 Concluding Chapter
- Index
Summary
Uneven distribution of income, education, and wealth in the United States combined with racism and class discrimination result in parts of the population having worse health outcomes than others. Such disparities have been the focus of much talk and many serious efforts at documentation, but (as will be shown in this chapter) very little effective action to change them – both because of lack of evidence for change that is effective and lack of implementation of evidence-based changes. Although everyone knows that medical care alone cannot alter all of the disparities in observed health outcomes caused by centuries of discrimination, sometimes it can make a difference. To what extent could evidence about effective programs help health care managers or policymakers take a leadership role in reducing disparities for disadvantaged populations?1 Is it possible at least to identify actions that would help, and then implement them? The need to convert evidence-based management from an aspiration into reality is especially acute for this problem.
- Type
- Chapter
- Information
- Seemed Like a Good IdeaAlchemy versus Evidence-Based Approaches to Healthcare Management Innovation, pp. 332 - 368Publisher: Cambridge University PressPrint publication year: 2022
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