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Full-Text Articles in Health Policy

Do We Want To Measure The Quality Of Care For Vulnerable Older People? The Acove Approach., Neil S. Wenger Jan 2008

Do We Want To Measure The Quality Of Care For Vulnerable Older People? The Acove Approach., Neil S. Wenger

Center for Policy Research

There's limited information available about measuring the quality of medical care that is targeted to the needs of older patients. And there's very limited pressure on the system to provide high quality geriatric care. Why is that? Because the quality measures haven't been adequately developed and implemented, and it's more difficult to measure care for an older sample. Measuring care for ill older adults is complex, because they tend to have multiple medical conditions, and they demonstrate substantial variation in goals for care (Wenger and colleagues 2007). The Assessing Care of Vulnerable Elders (ACOVE) project began in 1998 as a …


Our Troubled Health Care System: Why Is It So Hard To Fix?, Judy Feder Jan 2008

Our Troubled Health Care System: Why Is It So Hard To Fix?, Judy Feder

Center for Policy Research

This brief draws heavily on Judith Feder, 2004, "Crowd-Out and the Politics of Health Reform," The Journal of Law, Medicine, and Ethics 32(3): 461-464. We all know that affordable health care is now back on the political agenda, and it's about time! Because all of us--families, businesses, and governments--are struggling with the ever-increasing costs of care. Every year about a million people are added to the rolls of the uninsured. In 2006, it was even more, over 2 million. The number of people without health insurance coverage has reached more than 47 million. People *with* insurance are seeing their benefits …