A New Look At Physicians Responses To Financial Incentives

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Conflict of Interest in Medical Research, Education, and Practice

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309145449
Total Pages : 436 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Conflict of Interest in Medical Research, Education, and Practice by : Institute of Medicine

Download or read book Conflict of Interest in Medical Research, Education, and Practice written by Institute of Medicine and published by National Academies Press. This book was released on 2009-09-16 with total page 436 pages. Available in PDF, EPUB and Kindle. Book excerpt: Collaborations of physicians and researchers with industry can provide valuable benefits to society, particularly in the translation of basic scientific discoveries to new therapies and products. Recent reports and news stories have, however, documented disturbing examples of relationships and practices that put at risk the integrity of medical research, the objectivity of professional education, the quality of patient care, the soundness of clinical practice guidelines, and the public's trust in medicine. Conflict of Interest in Medical Research, Education, and Practice provides a comprehensive look at conflict of interest in medicine. It offers principles to inform the design of policies to identify, limit, and manage conflicts of interest without damaging constructive collaboration with industry. It calls for both short-term actions and long-term commitments by institutions and individuals, including leaders of academic medical centers, professional societies, patient advocacy groups, government agencies, and drug, device, and pharmaceutical companies. Failure of the medical community to take convincing action on conflicts of interest invites additional legislative or regulatory measures that may be overly broad or unduly burdensome. Conflict of Interest in Medical Research, Education, and Practice makes several recommendations for strengthening conflict of interest policies and curbing relationships that create risks with little benefit. The book will serve as an invaluable resource for individuals and organizations committed to high ethical standards in all realms of medicine.

The Economics of Health and Medical Care

Author : M. Perlman
Publisher : Springer
ISBN 13 : 1349636606
Total Pages : 560 pages
Book Rating : 4.3/5 (496 download)

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Book Synopsis The Economics of Health and Medical Care by : M. Perlman

Download or read book The Economics of Health and Medical Care written by M. Perlman and published by Springer. This book was released on 2016-04-30 with total page 560 pages. Available in PDF, EPUB and Kindle. Book excerpt: Record of Discussion6 Economics of Need: The Experience of the British Health Service; 7 Private Patients in N.H.S. Hospitals: Waiting Lists and Subsidies; 8 Consumer Protection, Incentives and Externalities in the Drug Market; Summary Record of Discussion; 9 Price and Income Elasticities for Medical Care Services; 10 Supplier-Induced Demand: Some Empirical Evidence and Implications; 11 Some Economic Aspects of Mortality in Developed Countries; Summary Record of Discussion; PART THREE: THE IMPACT OF DEMAND FOR HEALTH SERVICES; 12 Health, Hours and Wages

Your Money Or Your Life

Author : David M. Cutler
Publisher : Oxford University Press
ISBN 13 : 9780195181326
Total Pages : 180 pages
Book Rating : 4.1/5 (813 download)

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Book Synopsis Your Money Or Your Life by : David M. Cutler

Download or read book Your Money Or Your Life written by David M. Cutler and published by Oxford University Press. This book was released on 2005-02-10 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt: Publisher Description

For-Profit Enterprise in Health Care

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309036437
Total Pages : 580 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis For-Profit Enterprise in Health Care by : Institute of Medicine

Download or read book For-Profit Enterprise in Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 1986-01-01 with total page 580 pages. Available in PDF, EPUB and Kindle. Book excerpt: "[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.

An American Sickness

Author : Elisabeth Rosenthal
Publisher : Penguin
ISBN 13 : 0698407180
Total Pages : 434 pages
Book Rating : 4.6/5 (984 download)

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Book Synopsis An American Sickness by : Elisabeth Rosenthal

Download or read book An American Sickness written by Elisabeth Rosenthal and published by Penguin. This book was released on 2017-04-11 with total page 434 pages. Available in PDF, EPUB and Kindle. Book excerpt: A New York Times bestseller/Washington Post Notable Book of 2017/NPR Best Books of 2017/Wall Street Journal Best Books of 2017 "This book will serve as the definitive guide to the past and future of health care in America.”—Siddhartha Mukherjee, Pulitzer Prize-winning author of The Emperor of All Maladies and The Gene At a moment of drastic political upheaval, An American Sickness is a shocking investigation into our dysfunctional healthcare system - and offers practical solutions to its myriad problems. In these troubled times, perhaps no institution has unraveled more quickly and more completely than American medicine. In only a few decades, the medical system has been overrun by organizations seeking to exploit for profit the trust that vulnerable and sick Americans place in their healthcare. Our politicians have proven themselves either unwilling or incapable of reining in the increasingly outrageous costs faced by patients, and market-based solutions only seem to funnel larger and larger sums of our money into the hands of corporations. Impossibly high insurance premiums and inexplicably large bills have become facts of life; fatalism has set in. Very quickly Americans have been made to accept paying more for less. How did things get so bad so fast? Breaking down this monolithic business into the individual industries—the hospitals, doctors, insurance companies, and drug manufacturers—that together constitute our healthcare system, Rosenthal exposes the recent evolution of American medicine as never before. How did healthcare, the caring endeavor, become healthcare, the highly profitable industry? Hospital systems, which are managed by business executives, behave like predatory lenders, hounding patients and seizing their homes. Research charities are in bed with big pharmaceutical companies, which surreptitiously profit from the donations made by working people. Patients receive bills in code, from entrepreneurial doctors they never even saw. The system is in tatters, but we can fight back. Dr. Elisabeth Rosenthal doesn't just explain the symptoms, she diagnoses and treats the disease itself. In clear and practical terms, she spells out exactly how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. She takes you inside the doctor-patient relationship and to hospital C-suites, explaining step-by-step the workings of a system badly lacking transparency. This is about what we can do, as individual patients, both to navigate the maze that is American healthcare and also to demand far-reaching reform. An American Sickness is the frontline defense against a healthcare system that no longer has our well-being at heart.

Survey Nonresponse

Author : Robert M. Groves
Publisher : Wiley-Interscience
ISBN 13 :
Total Pages : 528 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis Survey Nonresponse by : Robert M. Groves

Download or read book Survey Nonresponse written by Robert M. Groves and published by Wiley-Interscience. This book was released on 2002 with total page 528 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume offers coverage of research in the field of survey nonresponse, the primary threat to the statistical integrity of surveys. This book was written in conjunction with the International Conference on Survey Nonresponse, October 1999.

Pay for Performance in Health Care

Author : Jerry Cromwell
Publisher : RTI Press
ISBN 13 : 1934831042
Total Pages : 388 pages
Book Rating : 4.9/5 (348 download)

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Book Synopsis Pay for Performance in Health Care by : Jerry Cromwell

Download or read book Pay for Performance in Health Care written by Jerry Cromwell and published by RTI Press. This book was released on 2011-02-28 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a balanced assessment of pay for performance (P4P), addressing both its promise and its shortcomings. P4P programs have become widespread in health care in just the past decade and have generated a great deal of enthusiasm in health policy circles and among legislators, despite limited evidence of their effectiveness. On a positive note, this movement has developed and tested many new types of health care payment systems and has stimulated much new thinking about how to improve quality of care and reduce the costs of health care. The current interest in P4P echoes earlier enthusiasms in health policy—such as those for capitation and managed care in the 1990s—that failed to live up to their early promise. The fate of P4P is not yet certain, but we can learn a number of lessons from experiences with P4P to date, and ways to improve the designs of P4P programs are becoming apparent. We anticipate that a “second generation” of P4P programs can now be developed that can have greater impact and be better integrated with other interventions to improve the quality of care and reduce costs.

Handbook of Health Economics

Author : Mark V. Pauly
Publisher : Elsevier
ISBN 13 : 0444535926
Total Pages : 1149 pages
Book Rating : 4.4/5 (445 download)

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Book Synopsis Handbook of Health Economics by : Mark V. Pauly

Download or read book Handbook of Health Economics written by Mark V. Pauly and published by Elsevier. This book was released on 2012-01-05 with total page 1149 pages. Available in PDF, EPUB and Kindle. Book excerpt: "As a relatively new subdiscipline of economics, health economics has made many contributions to areas of the main discipline, such as insurance economics. This volume provides a survey of the burgeoning literature on the subject of health economics." {source : site de l'éditeur].

Doctors and Their Workshops

Author : Mark V. Pauly
Publisher : University of Chicago Press
ISBN 13 : 0226650464
Total Pages : 143 pages
Book Rating : 4.2/5 (266 download)

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Book Synopsis Doctors and Their Workshops by : Mark V. Pauly

Download or read book Doctors and Their Workshops written by Mark V. Pauly and published by University of Chicago Press. This book was released on 2009-05-15 with total page 143 pages. Available in PDF, EPUB and Kindle. Book excerpt: Doctors are obviously influential in determining the costs of their services. But even more important, many believe, is the influence physicians have over the use and cost of nonphysician health-care resources and services. Doctors and Their Workshops is the first comprehensive attempt to use economic analysis to understand some of the physician effects on nonphysician aspects of health care.

Patient Safety

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309090776
Total Pages : 551 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Patient Safety by : Institute of Medicine

Download or read book Patient Safety written by Institute of Medicine and published by National Academies Press. This book was released on 2003-12-20 with total page 551 pages. Available in PDF, EPUB and Kindle. Book excerpt: Americans should be able to count on receiving health care that is safe. To achieve this, a new health care delivery system is needed â€" a system that both prevents errors from occurring, and learns from them when they do occur. The development of such a system requires a commitment by all stakeholders to a culture of safety and to the development of improved information systems for the delivery of health care. This national health information infrastructure is needed to provide immediate access to complete patient information and decision-support tools for clinicians and their patients. In addition, this infrastructure must capture patient safety information as a by-product of care and use this information to design even safer delivery systems. Health data standards are both a critical and time-sensitive building block of the national health information infrastructure. Building on the Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Patient Safety puts forward a road map for the development and adoption of key health care data standards to support both information exchange and the reporting and analysis of patient safety data.

Moral Hazard in Health Insurance

Author : Amy Finkelstein
Publisher : Columbia University Press
ISBN 13 : 0231538685
Total Pages : 161 pages
Book Rating : 4.2/5 (315 download)

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Book Synopsis Moral Hazard in Health Insurance by : Amy Finkelstein

Download or read book Moral Hazard in Health Insurance written by Amy Finkelstein and published by Columbia University Press. This book was released on 2014-12-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: Addressing the challenge of covering heath care expenses—while minimizing economic risks. Moral hazard—the tendency to change behavior when the cost of that behavior will be borne by others—is a particularly tricky question when considering health care. Kenneth J. Arrow’s seminal 1963 paper on this topic (included in this volume) was one of the first to explore the implication of moral hazard for health care, and Amy Finkelstein—recognized as one of the world’s foremost experts on the topic—here examines this issue in the context of contemporary American health care policy. Drawing on research from both the original RAND Health Insurance Experiment and her own research, including a 2008 Health Insurance Experiment in Oregon, Finkelstein presents compelling evidence that health insurance does indeed affect medical spending and encourages policy solutions that acknowledge and account for this. The volume also features commentaries and insights from other renowned economists, including an introduction by Joseph P. Newhouse that provides context for the discussion, a commentary from Jonathan Gruber that considers provider-side moral hazard, and reflections from Joseph E. Stiglitz and Kenneth J. Arrow. “Reads like a fireside chat among a group of distinguished, articulate health economists.” —Choice

Let Me Heal

Author : Kenneth M. Ludmerer
Publisher : Oxford University Press, USA
ISBN 13 : 0199744548
Total Pages : 457 pages
Book Rating : 4.1/5 (997 download)

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Book Synopsis Let Me Heal by : Kenneth M. Ludmerer

Download or read book Let Me Heal written by Kenneth M. Ludmerer and published by Oxford University Press, USA. This book was released on 2014 with total page 457 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides a highly engaging, richly contextualized account of the residency system in all its dimensions and analyzes the mutual relationship between residency education and patient care in America.

The Quotable Osler

Author : Sir William Osler
Publisher : ACP Press
ISBN 13 : 9781934465004
Total Pages : 356 pages
Book Rating : 4.4/5 (65 download)

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Book Synopsis The Quotable Osler by : Sir William Osler

Download or read book The Quotable Osler written by Sir William Osler and published by ACP Press. This book was released on 2008 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt: This newly revised and updated paperback edition features the addition of fifty new quotes, forty of which have never before been published, as well as a chronology of Oslers life! The Quotable Osler is the ideal resource for those seeking an apt quote for an article, presentation, or for those wanting to sample Oslers thought-provoking and uplifting messages. Oslers meaningful and valuable teachings are timeless, and this new paperback edition would make a fine gift for a fellow physician, medical student, or a graduating resident.

Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy

Author : Mark W. Friedberg
Publisher : Rand Corporation
ISBN 13 : 0833082205
Total Pages : 149 pages
Book Rating : 4.8/5 (33 download)

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Book Synopsis Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy by : Mark W. Friedberg

Download or read book Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy written by Mark W. Friedberg and published by Rand Corporation. This book was released on 2013-10-09 with total page 149 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report presents the results of a series of surveys and semistructured interviews intended to identify and characterize determinants of physician professional satisfaction.

Making Medical Spending Decisions

Author : Mark A. Hall
Publisher :
ISBN 13 : 9780195092196
Total Pages : 326 pages
Book Rating : 4.0/5 (921 download)

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Book Synopsis Making Medical Spending Decisions by : Mark A. Hall

Download or read book Making Medical Spending Decisions written by Mark A. Hall and published by . This book was released on 1997 with total page 326 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores the making of health care rationing decisions through the analysis of three alternative decision makers: patients paying out of pocket; officials setting limits on treatments and coverage; and physicians at the bedside. Hall develops this analysis along three dimensions: political economics, ethics, and law. The economic dimension addresses the practical feasibility of each method. The ethical dimension discusses the moral aspects of these methods, while the legal dimension traces the most recent developments in jurisprudence and health law.

Textbook of Primary Care Medicine

Author : John Noble
Publisher : Mosby Incorporated
ISBN 13 : 9780323008280
Total Pages : 1919 pages
Book Rating : 4.0/5 (82 download)

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Book Synopsis Textbook of Primary Care Medicine by : John Noble

Download or read book Textbook of Primary Care Medicine written by John Noble and published by Mosby Incorporated. This book was released on 2001 with total page 1919 pages. Available in PDF, EPUB and Kindle. Book excerpt: Noble'sTEXTBOOK OF PRIMARY CARE MEDICINE provides in-depth information on the full-range of medical problems, conditions and diseases encountered in the community practices of family physicians, general internists, medical and surgical subspecialists, nurse practitioners, and physician assistants. The text serves as both a quick reference and an authoritative resource. Principles and guides for evidence-based decision making are included in all clinical chapters.

How Doctors Think

Author : Jerome Groopman
Publisher : HarperCollins
ISBN 13 : 0547348630
Total Pages : 325 pages
Book Rating : 4.5/5 (473 download)

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Book Synopsis How Doctors Think by : Jerome Groopman

Download or read book How Doctors Think written by Jerome Groopman and published by HarperCollins. This book was released on 2008-03-12 with total page 325 pages. Available in PDF, EPUB and Kindle. Book excerpt: On average, a physician will interrupt a patient describing her symptoms within eighteen seconds. In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but at crucial moments they can also be wrong—with catastrophic consequences. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make. Groopman explores why doctors err and shows when and how they can—with our help—avoid snap judgments, embrace uncertainty, communicate effectively, and deploy other skills that can profoundly impact our health. This book is the first to describe in detail the warning signs of erroneous medical thinking and reveal how new technologies may actually hinder accurate diagnoses. How Doctors Think offers direct, intelligent questions patients can ask their doctors to help them get back on track. Groopman draws on a wealth of research, extensive interviews with some of the country’s best doctors, and his own experiences as a doctor and as a patient. He has learned many of the lessons in this book the hard way, from his own mistakes and from errors his doctors made in treating his own debilitating medical problems. How Doctors Think reveals a profound new view of twenty-first-century medical practice, giving doctors and patients the vital information they need to make better judgments together.