Patient Care Under Uncertainty

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Patient Care under Uncertainty

Author : Charles F. Manski
Publisher : Princeton University Press
ISBN 13 : 0691195366
Total Pages : 184 pages
Book Rating : 4.6/5 (911 download)

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Book Synopsis Patient Care under Uncertainty by : Charles F. Manski

Download or read book Patient Care under Uncertainty written by Charles F. Manski and published by Princeton University Press. This book was released on 2019-09-10 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: How cutting-edge economics can improve decision-making methods for doctors Although uncertainty is a common element of patient care, it has largely been overlooked in research on evidence-based medicine. Patient Care under Uncertainty strives to correct this glaring omission. Applying the tools of economics to medical decision making, Charles Manski shows how uncertainty influences every stage, from risk analysis to treatment, and how this can be reasonably confronted. In the language of econometrics, uncertainty refers to the inadequacy of available evidence and knowledge to yield accurate information on outcomes. In the context of health care, a common example is a choice between periodic surveillance or aggressive treatment of patients at risk for a potential disease, such as women prone to breast cancer. While these choices make use of data analysis, Manski demonstrates how statistical imprecision and identification problems often undermine clinical research and practice. Reviewing prevailing practices in contemporary medicine, he discusses the controversy regarding whether clinicians should adhere to evidence-based guidelines or exercise their own judgment. He also critiques the wishful extrapolation of research findings from randomized trials to clinical practice. Exploring ways to make more sensible judgments with available data, to credibly use evidence, and to better train clinicians, Manski helps practitioners and patients face uncertainties honestly. He concludes by examining patient care from a public health perspective and the management of uncertainty in drug approvals. Rigorously interrogating current practices in medicine, Patient Care under Uncertainty explains why predictability in the field has been limited and furnishes criteria for more cogent steps forward.

Health Care in Contexts of Risk, Uncertainty, and Hybridity

Author : Daniel Messelken
Publisher : Springer Nature
ISBN 13 : 3030804437
Total Pages : 278 pages
Book Rating : 4.0/5 (38 download)

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Book Synopsis Health Care in Contexts of Risk, Uncertainty, and Hybridity by : Daniel Messelken

Download or read book Health Care in Contexts of Risk, Uncertainty, and Hybridity written by Daniel Messelken and published by Springer Nature. This book was released on 2021-11-23 with total page 278 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book sheds light on various ethical challenges military and humanitarian health care personnel (HCP) face while working in adverse conditions. Contexts of armed conflict, hybrid wars or other forms of violence short of war, as well as natural disasters, all have in common that ordinary circumstances can no longer be taken for granted. Hence, the provision of health care has to adapt, for example, to a different level of risk, to scarce resources, or uncommon approaches due to external incentives or requirements. This affects the practice of health care as well as its ethics. This book offers a panoramic overview on various challenges healthcare faces in extraordinary situations and provides new insights from practitioners’ as well as from academic scholars’ perspectives.

Clinical Reasoning: Knowledge, Uncertainty, and Values in Health Care

Author : Daniele Chiffi
Publisher : Springer Nature
ISBN 13 : 3030590941
Total Pages : 168 pages
Book Rating : 4.0/5 (35 download)

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Book Synopsis Clinical Reasoning: Knowledge, Uncertainty, and Values in Health Care by : Daniele Chiffi

Download or read book Clinical Reasoning: Knowledge, Uncertainty, and Values in Health Care written by Daniele Chiffi and published by Springer Nature. This book was released on 2020 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book offers a philosophically-based, yet clinically-oriented perspective on current medical reasoning aiming at 1) identifying important forms of uncertainty permeating current clinical reasoning and practice 2) promoting the application of an abductive methodology in the health context in order to deal with those clinical uncertainties 3) bridging the gap between biomedical knowledge, clinical practice, and research and values in both clinical and philosophical literature. With a clear philosophical emphasis, the book investigates themes lying at the border between several disciplines, such as medicine, nursing, logic, epistemology, and philosophy of science; but also ethics, epidemiology, and statistics. At the same time, it critically discusses and compares several professional approaches to clinical practice such as the one of medical doctors, nurses and other clinical practitioners, showing the need for developing a unified framework of reasoning, which merges methods and resources from many different clinical but also non-clinical disciplines. In particular, this book shows how to leverage nursing knowledge and practice, which has been considerably neglected so far, to further shape the interdisciplinary nature of clinical reasoning. Furthermore, a thorough philosophical investigation on the values involved in health care is provided, based on both the clinical and philosophical literature. The book concludes by proposing an integrative approach to health and disease going beyond the so-called "classical biomedical model of care".

Patient Care Under Uncertainty

Author : Charles F. Manski
Publisher : Princeton University Press
ISBN 13 : 0691194734
Total Pages : 184 pages
Book Rating : 4.6/5 (911 download)

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Book Synopsis Patient Care Under Uncertainty by : Charles F. Manski

Download or read book Patient Care Under Uncertainty written by Charles F. Manski and published by Princeton University Press. This book was released on 2019-09-10 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: For the past few years, the author, a renowned economist, has been applying the statistical tools of economics to decision making under uncertainty in the context of patient health status and response to treatment. He shows how statistical imprecision and identification problems affect empirical research in the patient-care sphere.

Clinical Uncertainty in Primary Care

Author : Lucia Siegel Sommers
Publisher : Springer Science & Business Media
ISBN 13 : 1461468124
Total Pages : 311 pages
Book Rating : 4.4/5 (614 download)

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Book Synopsis Clinical Uncertainty in Primary Care by : Lucia Siegel Sommers

Download or read book Clinical Uncertainty in Primary Care written by Lucia Siegel Sommers and published by Springer Science & Business Media. This book was released on 2013-07-05 with total page 311 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Power of Colleagues What happens when primary care clinicians meet together on set aside time in their practice settings to talk about their own patients? .....Complimenting quality metrics or performance measures through discussing the actual stories of individual patients and their clinician-patient relationships In these settings, how can clinicians pool their collective experience and apply that to ‘the evidence’ for an individual patient? .....Especially for patients who do not fit the standard protocols and have vague and worrisome symptoms, poor response to treatment, unpredictable disease courses, and/or compromised abilities for shared decision making What follows when discussion about individual patients reveals system-wide service gaps and coordination limitations? .....Particularly for patients with complex clinical problems that fall outside performance monitors and quality screens How can collaborative engagement of case-based uncertainties with one’s colleagues help combat the loneliness and helplessness that PCPs can experience, no matter what model or setting in which they practice? .....And where they are expected to practice coordinated, evidence-based, EMR-directed care These questions inspired Lucia Sommers and John Launer and their international contributors to explore the power of colleagues in “Clinical Uncertainty in Primary Care: The Challenge of Collaborative Engagement” and offer antidotes to sub-optimal care that can result when clinicians go it alone. From the Foreword: “Lucia Sommers and John Launer, with the accompanying input of their contributing authors, have done a deeply insightful and close-to-exhaustive job of defining clinical uncertainty. They identify its origins, components and subtypes; demonstrate the ways in which and the extent to which it is intrinsic to medicine...and they present a cogent case for its special relationship to primary care practice...‘Clinical Uncertainty in Primary Care’ not only presents a model of collegial collaboration and support, it also implicitly legitimates it.’’ Renee Fox, Annenberg Professor Emerita of the Social Sciences, University of Pennsylvania.

The Good Doctor

Author : Kenneth Brigham
Publisher : Seven Stories Press
ISBN 13 : 1609809971
Total Pages : 178 pages
Book Rating : 4.6/5 (98 download)

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Book Synopsis The Good Doctor by : Kenneth Brigham

Download or read book The Good Doctor written by Kenneth Brigham and published by Seven Stories Press. This book was released on 2020-07-07 with total page 178 pages. Available in PDF, EPUB and Kindle. Book excerpt: What makes a good doctor? It's not what you think. A doctor willing to face their own uncertainty in the face of illness and treatment might just be the best medicine. Too often we choose the wrong doctor for the wrong reasons. It doesn't have to be that way. In The Good Doctor, Ken Brigham, MD, and Michael M.E. Johns, MD, argue that we need to change the way we think about health care if we want to be the healthiest we can be. Counterintuitive as it may seem, uncertainty is integral to medicine, and you want a doctor who knows that: someone who sees you as the unique case you are, someone who knows that data isn't everything, someone who is able to change her mind as the information changes. For too long we've clung to the myth of the infallible doctor--one who assuredly tells us this is what's wrong and here is how I will cure you--and our health has suffered for it. Brigham and Johns propose a new model of medicine, one that is comfortable with ambiguity and that centers on an equal partnership between patient and doctor. Uncertainty, properly embraced, opens a new universe of possibilities.

Uncertainty in Medical Innovation

Author : Jessica Mesman
Publisher : Springer
ISBN 13 : 0230594921
Total Pages : 219 pages
Book Rating : 4.2/5 (35 download)

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Book Synopsis Uncertainty in Medical Innovation by : Jessica Mesman

Download or read book Uncertainty in Medical Innovation written by Jessica Mesman and published by Springer. This book was released on 2008-10-14 with total page 219 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Neonatal Intensive Care Unit is a site where hi-tech medicine and vulnerable human beings come into close contact. Focusing on a number of medical and ethical challenges encountered by staff and parents, this book provides a new perspective on the complexity of these treatments and the inventiveness of those involved.

Unequal Treatment

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 030908265X
Total Pages : 781 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Unequal Treatment by : Institute of Medicine

Download or read book Unequal Treatment written by Institute of Medicine and published by National Academies Press. This book was released on 2009-02-06 with total page 781 pages. Available in PDF, EPUB and Kindle. Book excerpt: Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.

Clinical Practice Guidelines We Can Trust

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 030921646X
Total Pages : 217 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Clinical Practice Guidelines We Can Trust by : Institute of Medicine

Download or read book Clinical Practice Guidelines We Can Trust written by Institute of Medicine and published by National Academies Press. This book was released on 2011-06-16 with total page 217 pages. Available in PDF, EPUB and Kindle. Book excerpt: Advances in medical, biomedical and health services research have reduced the level of uncertainty in clinical practice. Clinical practice guidelines (CPGs) complement this progress by establishing standards of care backed by strong scientific evidence. CPGs are statements that include recommendations intended to optimize patient care. These statements are informed by a systematic review of evidence and an assessment of the benefits and costs of alternative care options. Clinical Practice Guidelines We Can Trust examines the current state of clinical practice guidelines and how they can be improved to enhance healthcare quality and patient outcomes. Clinical practice guidelines now are ubiquitous in our healthcare system. The Guidelines International Network (GIN) database currently lists more than 3,700 guidelines from 39 countries. Developing guidelines presents a number of challenges including lack of transparent methodological practices, difficulty reconciling conflicting guidelines, and conflicts of interest. Clinical Practice Guidelines We Can Trust explores questions surrounding the quality of CPG development processes and the establishment of standards. It proposes eight standards for developing trustworthy clinical practice guidelines emphasizing transparency; management of conflict of interest ; systematic review-guideline development intersection; establishing evidence foundations for and rating strength of guideline recommendations; articulation of recommendations; external review; and updating. Clinical Practice Guidelines We Can Trust shows how clinical practice guidelines can enhance clinician and patient decision-making by translating complex scientific research findings into recommendations for clinical practice that are relevant to the individual patient encounter, instead of implementing a one size fits all approach to patient care. This book contains information directly related to the work of the Agency for Healthcare Research and Quality (AHRQ), as well as various Congressional staff and policymakers. It is a vital resource for medical specialty societies, disease advocacy groups, health professionals, private and international organizations that develop or use clinical practice guidelines, consumers, clinicians, and payers.

Medical Choices, Medical Chances

Author : Harold Bursztajn
Publisher :
ISBN 13 : 9780595165179
Total Pages : 0 pages
Book Rating : 4.1/5 (651 download)

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Book Synopsis Medical Choices, Medical Chances by : Harold Bursztajn

Download or read book Medical Choices, Medical Chances written by Harold Bursztajn and published by . This book was released on 2000 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Considered ahead of its time since the first publication in 1981, Medical Choices, Medical Chances provides a telescope for viewing how developments in the fields of medical research, medical technology, and health care organization are likely to influence the doctor-patient relationship in the 21st Century. The book explores this intricate web of relationships among doctors, patients, and families and offers a new framework for mastering the emotional and intellectual challenges of uncertainty, while at the same time providing tools for all concerned to regain control from managed care. It is a must-read for all those interested in medicine and where it is headed in the new millennium.

Decision Making in Health and Medicine

Author : M. G. Myriam Hunink
Publisher : Cambridge University Press
ISBN 13 : 1107690471
Total Pages : 447 pages
Book Rating : 4.1/5 (76 download)

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Book Synopsis Decision Making in Health and Medicine by : M. G. Myriam Hunink

Download or read book Decision Making in Health and Medicine written by M. G. Myriam Hunink and published by Cambridge University Press. This book was released on 2014-10-16 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: A guide for everyone involved in medical decision making to plot a clear course through complex and conflicting benefits and risks.

Public Policy in an Uncertain World

Author : Charles F. Manski
Publisher : Harvard University Press
ISBN 13 : 0674067541
Total Pages : 218 pages
Book Rating : 4.6/5 (74 download)

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Book Synopsis Public Policy in an Uncertain World by : Charles F. Manski

Download or read book Public Policy in an Uncertain World written by Charles F. Manski and published by Harvard University Press. This book was released on 2013-02-14 with total page 218 pages. Available in PDF, EPUB and Kindle. Book excerpt: Manski argues that public policy is based on untrustworthy analysis. Failing to account for uncertainty in an uncertain world, policy analysis routinely misleads policy makers with expressions of certitude. Manski critiques the status quo and offers an innovation to improve both how policy research is conducted and how it is used by policy makers.

Improving Diagnosis in Health Care

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309377722
Total Pages : 473 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Improving Diagnosis in Health Care by : National Academies of Sciences, Engineering, and Medicine

Download or read book Improving Diagnosis in Health Care written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2015-12-29 with total page 473 pages. Available in PDF, EPUB and Kindle. Book excerpt: Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.

Risky Medicine

Author : Robert Aronowitz
Publisher : University of Chicago Press
ISBN 13 : 022604971X
Total Pages : 285 pages
Book Rating : 4.2/5 (26 download)

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Book Synopsis Risky Medicine by : Robert Aronowitz

Download or read book Risky Medicine written by Robert Aronowitz and published by University of Chicago Press. This book was released on 2015-09-16 with total page 285 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Will ever-more sensitive screening tests for cancer lead to longer, better lives? Will anticipating and trying to prevent the future complications of chronic disease lead to better health? Not always, says Robert Aronowitz. In fact, it often is hurting us... Drawing on such controversial examples as HPV vaccines, cancer screening programs, and the cancer survivorship movement, Aronowitz demonstrates that patients and their doctors have come to believe, perilously, that far too many medical interventions are worthwhile because they promise to control our fears and reduce uncertainty." -- Taken from book flyleaf.

Disaster Nursing, Primary Health Care and Communication in Uncertainty

Author : Sakiko Kanbara
Publisher : Springer Nature
ISBN 13 : 3030982971
Total Pages : 336 pages
Book Rating : 4.0/5 (39 download)

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Book Synopsis Disaster Nursing, Primary Health Care and Communication in Uncertainty by : Sakiko Kanbara

Download or read book Disaster Nursing, Primary Health Care and Communication in Uncertainty written by Sakiko Kanbara and published by Springer Nature. This book was released on 2022-04-23 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: The primary aim of this textbook is to contribute towards the promotion of human security by educating nurses with a profound understanding of disaster nursing and to conduct innovative research and practices in cooperation. This textbook emphasizes on multi-professional connections; offers knowledge on how Japanese disaster nursing got evolved in changing social contexts and provides various case studies that reflect wonderful practices in the disaster nursing field which have contributed to the Sendai Framework for Disaster Risk Reduction, the UN Sustainable Development Goals, and sustainable human security. Frequent disasters have triggered the need for more trans-disciplinary work, high-level care throughout all phases of a disaster event, and the need for nursing leaders. Apart from hospitals, in local communities, nurses can take a role to mitigate health risks. Being a member of every part of the healthcare system, they can become critically needed leaders in emergency management and disaster preparedness. This work includes a DRR Framework and the application to disaster nursing, information on preparedness and community resilience and on the related disciplines and coordination with disaster nursing. It informs on the challenges in disaster nursing, offers instructional design, education development and research in disaster nursing. Students, professional nurses, clinicians, community health practitioners, health volunteers, disaster support organizations, researchers, and community partners who are involved in the care of disaster survivors can use this resource. Written by distinguished experts with diverse backgrounds of nursing, public health, health informatics, and geography, this book shows how practitioners, researchers, policymakers, and multiple community stakeholders who can collaborate effectively and efficiently to restore primary health care of survivors after a local disaster.

Decision Modelling for Health Economic Evaluation

Author : Andrew Briggs
Publisher : OUP Oxford
ISBN 13 : 0191004952
Total Pages : 256 pages
Book Rating : 4.1/5 (91 download)

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Book Synopsis Decision Modelling for Health Economic Evaluation by : Andrew Briggs

Download or read book Decision Modelling for Health Economic Evaluation written by Andrew Briggs and published by OUP Oxford. This book was released on 2006-08-17 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: In financially constrained health systems across the world, increasing emphasis is being placed on the ability to demonstrate that health care interventions are not only effective, but also cost-effective. This book deals with decision modelling techniques that can be used to estimate the value for money of various interventions including medical devices, surgical procedures, diagnostic technologies, and pharmaceuticals. Particular emphasis is placed on the importance of the appropriate representation of uncertainty in the evaluative process and the implication this uncertainty has for decision making and the need for future research. This highly practical guide takes the reader through the key principles and approaches of modelling techniques. It begins with the basics of constructing different forms of the model, the population of the model with input parameter estimates, analysis of the results, and progression to the holistic view of models as a valuable tool for informing future research exercises. Case studies and exercises are supported with online templates and solutions. This book will help analysts understand the contribution of decision-analytic modelling to the evaluation of health care programmes. ABOUT THE SERIES: Economic evaluation of health interventions is a growing specialist field, and this series of practical handbooks will tackle, in-depth, topics superficially addressed in more general health economics books. Each volume will include illustrative material, case histories and worked examples to encourage the reader to apply the methods discussed, with supporting material provided online. This series is aimed at health economists in academia, the pharmaceutical industry and the health sector, those on advanced health economics courses, and health researchers in associated fields.

Bodies in Flux

Author : Christa Teston
Publisher : University of Chicago Press
ISBN 13 : 022645083X
Total Pages : 254 pages
Book Rating : 4.2/5 (264 download)

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Book Synopsis Bodies in Flux by : Christa Teston

Download or read book Bodies in Flux written by Christa Teston and published by University of Chicago Press. This book was released on 2017-05-05 with total page 254 pages. Available in PDF, EPUB and Kindle. Book excerpt: Doctors, scientists, and patients have long grappled with the dubious nature of “certainty” in medical practice. To help navigate the chaos caused by ongoing bodily change we rely on scientific reductions and deductions. We take what we know now and make best guesses about what will be. But bodies in flux always outpace the human gaze. Particularly in cancer care, processes deep within our bodies are at work long before we even know where to look. In the face of constant biological and technological change, how do medical professionals ultimately make decisions about care? Bodies in Flux explores the inventive ways humans and nonhumans work together to manufacture medical evidence. Each chapter draws on rhetorical theory to investigate a specific scientific method for negotiating medical uncertainty in cancer care, including evidential visualization, assessment, synthesis, and computation. Case studies unveil how doctors rely on visuals when deliberating about a patient’s treatment options, how members of the FDA use inferential statistics to predict a drug’s effectiveness, how researchers synthesize hundreds of clinical trials into a single evidence-based recommendation, and how genetic testing companies compute and commoditize human health. Teston concludes by advocating for an ethic of care that pushes back against the fetishization of certainty—an ethic of care that honors human fragility and bodily flux.