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Author : Eric J. Cassell
Publisher : University Publications of America
ISBN 13 :
Total Pages : 236 pages
Book Rating : 4.:/5 (5 download)
Download or read book Changing Values in Medicine written by Eric J. Cassell and published by University Publications of America. This book was released on 1985 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309113695
Total Pages : 202 pages
Book Rating : 4.3/5 (91 download)
Download or read book Evidence-Based Medicine and the Changing Nature of Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 2008-09-06 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.
Author : Uffe Juul Jensen
Publisher : John Wiley & Sons
ISBN 13 : 9780471926344
Total Pages : 210 pages
Book Rating : 4.9/5 (263 download)
Download or read book Changing Values in Medical and Healthcare Decision-Making written by Uffe Juul Jensen and published by John Wiley & Sons. This book was released on 1991-01-08 with total page 210 pages. Available in PDF, EPUB and Kindle. Book excerpt: This work charts the progress of changing values in medical and healthcare decision-making, particularly as a result of economic pressures, and the role of clinical ethics in determining what courses of action and treatment medical and healthcare professionals should pursue. It evaluates the concepts involved in ethical decision-making, such as risk and need, and whose values are relevant to which decisions and looks at the changing emphasis of medicine and the relevance of value judgments in clinical decisions. This stimulating work incorporates a number of different perspectives, disciplines, cultures and nationalities to provide a multi-disciplinary, international approach. In addition to medical and economic issues, the book also discusses philosophical and legal aspects.
Author : Linda H. Pololi
Publisher : UPNE
ISBN 13 : 1584659467
Total Pages : 197 pages
Book Rating : 4.5/5 (846 download)
Download or read book Changing the Culture of Academic Medicine written by Linda H. Pololi and published by UPNE. This book was released on 2010-09-14 with total page 197 pages. Available in PDF, EPUB and Kindle. Book excerpt: A penetrating and personal look at a major problem in our nation's medical schools affecting how doctoring is taught and how medicine is practiced
Author : James A. Marcum
Publisher : Springer Science & Business Media
ISBN 13 : 1402067976
Total Pages : 376 pages
Book Rating : 4.4/5 (2 download)
Download or read book An Introductory Philosophy of Medicine written by James A. Marcum and published by Springer Science & Business Media. This book was released on 2008-05-07 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this book the author explores the shifting philosophical boundaries of modern medical knowledge and practice occasioned by the crisis of quality-of-care, especially in terms of the various humanistic adjustments to the biomedical model. To that end he examines the metaphysical, epistemological, and ethical boundaries of these medical models. He begins with their metaphysics, analyzing the metaphysical positions and presuppositions and ontological commitments upon which medical knowledge and practice is founded. Next, he considers the epistemological issues that face these medical models, particularly those driven by methodological procedures undertaken by epistemic agents to constitute medical knowledge and practice. Finally, he examines the axiological boundaries and the ethical implications of each model, especially in terms of the physician-patient relationship. In a concluding Epilogue, he discusses how the philosophical analysis of the humanization of modern medicine helps to address the crisis-of-care, as well as the question of “What is medicine?” The book’s unique features include a comprehensive coverage of the various topics in the philosophy of medicine that have emerged over the past several decades and a philosophical context for embedding bioethical discussions. The book’s target audiences include both undergraduate and graduate students, as well as healthcare professionals and professional philosophers. “This book is the 99th issue of the Series Philosophy and Medicine...and it can be considered a crown of thirty years of intensive and dynamic discussion in the field. We are completely convinced that after its publication, it can be finally said that undoubtedly the philosophy of medicine exists as a special field of inquiry.”
Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309072808
Total Pages : 360 pages
Book Rating : 4.3/5 (9 download)
Download or read book Crossing the Quality Chasm written by Institute of Medicine and published by National Academies Press. This book was released on 2001-08-19 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
Author : Committee on Changing Health Care Systems and Rheumatic Disease
Publisher : National Academies Press
ISBN 13 : 0309596742
Total Pages : 253 pages
Book Rating : 4.3/5 (95 download)
Download or read book Changing Health Care Systems and Rheumatic Disease written by Committee on Changing Health Care Systems and Rheumatic Disease and published by National Academies Press. This book was released on 1997-01-23 with total page 253 pages. Available in PDF, EPUB and Kindle. Book excerpt: Market forces are driving a radical restructuring of health care delivery in the United States. At the same time, more and more people are living comparatively long lives with a variety of severe chronic health conditions. Many such people are concerned about the trend toward the creation of managed care systems because their need for frequent, often complex, medical services conflicts with managed care's desires to contain costs. The fear is that people with serious chronic disorders will be excluded from or underserved by the integrated health care delivery networks now emerging. Responding to a request from the National Institute of Arthritis and Musculoskeletal and Skin Diseases, this book reflects the results of a workshop that focused on the following questions: Does the model of managed care or an integrated delivery system influence the types of interventions provided to patients with chronic conditions and the clinical and health status outcomes resulting from those interventions? If so, are these effects quantitatively and clinically significant, as compared to the effects that other variables (e.g., income, education, ethnicity) have on patient outcomes? If the type of health care delivery system appears to be related to patient care and outcomes, can specific organizational, financial, or other variables be identified that account for the relationships? If not, what type of research should be pursued to provide the information needed about the relationship between types of health care systems and the processes and outcomes of care provided to people with serious chronic conditions?
Author : Eugene K. Harris
Publisher : CRC Press
ISBN 13 : 1482273152
Total Pages : 382 pages
Book Rating : 4.4/5 (822 download)
Download or read book Statistical Bases of Reference Values in Laboratory Medicine written by Eugene K. Harris and published by CRC Press. This book was released on 1995-07-07 with total page 382 pages. Available in PDF, EPUB and Kindle. Book excerpt: Examining the strengths and limitations of various standards of accuracy in clinical laboratory analyses, this detailed reference presents an in-depth study of important theoretical and empirical issues concerning the description, collection, and application of reference values in laboratory medicine.
Author : John Miles Little
Publisher : Desert Pea Press
ISBN 13 : 9781876861087
Total Pages : 324 pages
Book Rating : 4.8/5 (61 download)
Download or read book Restoring Humane Values to Medicine written by John Miles Little and published by Desert Pea Press. This book was released on 2003 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt: Does reading poetry make you a better clinician?Can euthanasia be understood in terms of the meaning of a life?What is the moral and existential significance of life-threatening experiences? Australian surgeon, poet, philosopher and humanist, Miles Little addresses these and other fascinating questions in this collection of papers.Miles Little is one of the most original and engaging voices in contemporary medical ethics and philosophy. He ranges across the sciences and the humanities, creating hybrid fields of inquiry ("ethonomics"), interrogating orthodoxies and engaging different fields of human knowledge and experience.The papers in this collection were chosen by his readers, who also engage here with Miles Little's work in a short commentary that follows each paper. The range of the commentators reflects the breadth of Little's appeal and influence: academics and clinicians, philosophers and ethicists, novelists, public health practitioners and cancer survivors - each reflects, agrees or disagrees.Like Little's work itself, this Reader is an open and unfolding dialogue that includes many different perspectives.Commentators include: Murray Bail, Robin Downie, Nancy Dubler, Stan Goulston, Jill Gordon, Paul Komesaroff, Steve Leeder, Paul McNeill , Gavin Mooney and Bernadette Tobin
Author : Patricia Benner
Publisher : SAGE Publications
ISBN 13 : 1452221022
Total Pages : 404 pages
Book Rating : 4.4/5 (522 download)
Download or read book Interpretive Phenomenology written by Patricia Benner and published by SAGE Publications. This book was released on 1994-05-17 with total page 404 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patricia Benner's introduction to phenomenology develops the reader's understanding of the strategies and processes involved in this innovative approach to nursing. The author discusses the relationship between theory and practice, considers the possibility of a science of caring from a feminist perspective, introduces interpretive phenomenology to the study of natural groups such as families, and suggests a basis for developing nursing ethics that is true to the caring and healing practices of the nursing profession.
Author : Robert Pearl
Publisher : PublicAffairs
ISBN 13 : 1541758250
Total Pages : 400 pages
Book Rating : 4.5/5 (417 download)
Download or read book Uncaring written by Robert Pearl and published by PublicAffairs. This book was released on 2021-05-18 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: Doctors are taught how to cure people. But they don’t always know how to care for them. Hardly anyone is happy with American healthcare these days. Patients are getting sicker and going bankrupt from medical bills. Doctors are burning out and making dangerous mistakes. Both parties blame our nation’s outdated and dysfunctional healthcare system. But that’s only part of the problem. In this important and timely book, Dr. Robert Pearl shines a light on the unseen and often toxic culture of medicine. Today’s physicians have a surprising disdain for technology, an unhealthy obsession with status, and an increasingly complicated relationship with their patients. All of this can be traced back to their earliest experiences in medical school, where doctors inherit a set of norms, beliefs, and expectations that shape almost every decision they make, with profound consequences for the rest of us. Uncaring draws an original and revealing portrait of what it’s actually like to be a doctor. It illuminates the complex and intimidating world of medicine for readers, and in the end offers a clear plan to save American healthcare.
Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309208955
Total Pages : 700 pages
Book Rating : 4.3/5 (92 download)
Download or read book The Future of Nursing written by Institute of Medicine and published by National Academies Press. This book was released on 2011-02-08 with total page 700 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.
Author : United States. President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research
Publisher :
ISBN 13 :
Total Pages : 264 pages
Book Rating : 4.3/5 (91 download)
Download or read book Making Health Care Decisions: Appendices, studies on the foundations of informed consent written by United States. President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research and published by . This book was released on 1982 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :
Publisher :
ISBN 13 :
Total Pages : 1366 pages
Book Rating : 4.E/5 ( download)
Download or read book Health Care Financing Review written by and published by . This book was released on 1996 with total page 1366 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Nathan William Tierney
Publisher : Taylor & Francis
ISBN 13 : 1351591487
Total Pages : 337 pages
Book Rating : 4.3/5 (515 download)
Download or read book Value Management in Healthcare written by Nathan William Tierney and published by Taylor & Francis. This book was released on 2017-10-06 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nathan Tierney’s powerful storytelling is rarely seen in today’s health care business environment. We must redesign the health care delivery system---a team sport in service of patients, hold it accountable with measurement to improve outcomes, and quantify the resource costs over the full cycle of care. Value-based health care is a framework through which these goals are achieved, and Tierney provides a detailed playbook to get your organization there. Outlined in incredible detail and clarity, he presents core concepts and dives into the key metrics needed to build, maintain, and scale a successful value-based health care organization. Nathan shares a realistic vision of what any CEO should expect when developing their own Value Management Office. Nothing is more important to me than improving the lives of those I love. My personal mission is to create systemic change with an impact on the global stage. This playbook needs to be on the desk of every executive, clinician, and patient today." -Mahek Shah, MD, Senior Researcher and Senior Project Leader, Harvard Business School Our current healthcare system’s broken. The Organization for Economic Co-Operation and Development (OECD) predicts health care costs could increase from 6% to 14% of GDP by 2060. The cause of this increase is due to (1) a global aging population, (2) growing affluence, (3) rise in chronic diseases, and (4) better-informed patients; all of which raises the demand for healthcare. In 2006, Michael Porter and Elizabeth Teisberg authored the book ‘Redefining Health Care: Creating Value-Based Competition on Results.’ In it, they present their analysis of the root causes plaguing the health care industry and make the case for why providers, suppliers, consumers, and employers should move towards a patient-centric approach that optimizes value for patients. According to Porter, "value for patients should be the overarching principle for our broken system." Since 2006, Professor Porter, accompanied by his esteemed Harvard colleague, Profesor Robert Kaplan, have worked tirelessly to promote this new approach and pilot it with leading healthcare delivery organizations like Cleveland Clinic, Mayo Clinic, MD Anderson, and U.S. Department of Veteran Affairs. Given the current state of global healthcare, there is urgency to achieve widespread adoption of this new approach. The intent of this book is to equip all healthcare delivery organizations with a guide for putting the value-based concept into practice. This book defines the practice of value-based health care as Value Management. The book explores Profesor Porter’s Value Equation (Value = Outcomes/ Cost), which is central to Value Management, and provides a step-by-step process for how to calculate the components of this equation. On the outcomes side, the book presents the Value Realization Framework, which translates organizational mission and strategy into a comprehensive set of performance measures and contextualizes the measures for healthcare delivery. The Value Realization Framework is based on Professor Kaplan's ground-breaking Balanced Scorecard approach, but specific to healthcare organizations. On the costs side, the book details the Harvard endorsed time-driven activity based costing (TDABC) methodology, which has proven to be a modern catalyst for defining HDO costs. Finally, this book covers the need and a plan to establish a Value Management Office to lead the delivery transformation and govern operations. This book is designed in a format where any organization can read it and acquire the fundamentals and methodologies of Value Management. It is intended for healthcare delivery organizations in need of learning the specifics of achieving the implementation of value-based healthcare.
Author : Charlotte Williamson
Publisher : Policy Press
ISBN 13 : 1847427448
Total Pages : 268 pages
Book Rating : 4.8/5 (474 download)
Download or read book Towards the Emancipation of Patients written by Charlotte Williamson and published by Policy Press. This book was released on 2010 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite a policy focus on involving patients in health care and increasing patient autonomy, much covert coercion of patients takes place in everyday healthcare. This book, by a leading patient activist, examines for the first time how the patient movement, which works to improve the quality of healthcare, can actually be considered an emancipation movement when led by its radical elements. In this highly original book the author argues that radical patient groups and individual activists who repeatedly challenge or oppose some standards in healthcare, can be seen as working in the direction of freeing patients from coercion and from its associated injustice and inequality. Combining new academic theory with rich empirical evidence, the book explains how looking at healthcare from an emancipatory perspective could improve its quality as patients experience it. It will appeal to health professionals, managers, patient activists, policy makers and others concerned with the quality of healthcare.
Author : Daniel Callahan
Publisher : Princeton University Press
ISBN 13 : 9781400830947
Total Pages : 280 pages
Book Rating : 4.8/5 (39 download)
Download or read book Taming the Beloved Beast written by Daniel Callahan and published by Princeton University Press. This book was released on 2009-08-17 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt: Technological innovation is deeply woven into the fabric of American culture, and is no less a basic feature of American health care. Medical technology saves lives and relieves suffering, and is enormously popular with the public, profitable for doctors, and a source of great wealth for industry. Yet its costs are rising at a dangerously unsustainable rate. The control of technology costs poses a terrible ethical and policy dilemma. How can we deny people what they may need to live and flourish? Yet is it not also harmful to let rising costs strangle our health care system, eventually harming everyone? In Taming the Beloved Beast, esteemed medical ethicist Daniel Callahan confronts this dilemma head-on. He argues that we can't escape it by organizational changes alone. Nothing less than a fundamental transformation of our thinking about health care is needed to achieve lasting and economically sustainable reform. The technology bubble, he contends, is beginning to burst. Callahan weighs the ethical arguments for and against limiting the use of medical technologies, and he argues that reining in health care costs requires us to change entrenched values about progress and technological innovation. Taming the Beloved Beast shows that the cost crisis is as great as that of the uninsured. Only a government-regulated universal health care system can offer the hope of managing technology and making it affordable for all.
