Less Medicine More Health

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Less Medicine, More Health

Author : Dr. H. Gilbert Welch
Publisher : Beacon Press
ISBN 13 : 0807077585
Total Pages : 242 pages
Book Rating : 4.8/5 (7 download)

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Book Synopsis Less Medicine, More Health by : Dr. H. Gilbert Welch

Download or read book Less Medicine, More Health written by Dr. H. Gilbert Welch and published by Beacon Press. This book was released on 2016-03-01 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: A nationally recognized expert describes seven widespread assumptions that encourage excessive, ineffective, and sometimes harmful medical care—for readers of Overdiagnosed and Malcolm Gladwell You might think the biggest problem in medical care is that it costs too much. Or that health insurance is too expensive, too uneven, too complicated—and gives you too many forms to fill out. But the central problem is that too much medical care has too little value. Dr. H. Gilbert Welch is worried about too much medical care. He doesn’t deny that some people get too little medical care—rather that the conventional concern about “too little” needs to be balanced with a concern about “too much”: too many people being made to worry about diseases they don’t have and are at only average risk to get; too many people being tested and exposed to the harmful effects of the testing process; too many people being subjected to treatments they don’t need or can’t benefit from. The American public has been sold the idea that seeking medical care is one of the most important steps to maintain wellness. Surprisingly, medical care is not, in fact, well correlated with good health. More medicine does not equal more health; in reality the opposite may be true. In Less Medicine, More Health, Dr. Welch pushes against established wisdom and suggests that medical care can be too aggressive. Drawing on his twenty-five years of medical practice and research, he notes that while economics and lawyers contribute to the excesses of American medicine, the problem is essentially created when the general public clings to these powerful assumptions about the value of tests and treatments—a number of which are just plain wrong. By telling fascinating (and occasionally amusing) stories backed by reliable data, Dr. Welch challenges patients and the health-care establishment to rethink some very fundamental practices. His provocative prescriptions hold the potential to save money and, more important, improve health outcomes for us all.

Overdiagnosed

Author : H. Gilbert Welch
Publisher : Beacon Press
ISBN 13 : 0807022012
Total Pages : 247 pages
Book Rating : 4.8/5 (7 download)

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Book Synopsis Overdiagnosed by : H. Gilbert Welch

Download or read book Overdiagnosed written by H. Gilbert Welch and published by Beacon Press. This book was released on 2011-01-18 with total page 247 pages. Available in PDF, EPUB and Kindle. Book excerpt: An exposé on Big Pharma and the American healthcare system’s zeal for excessive medical testing, from a nationally recognized expert More screening doesn’t lead to better health—but can turn healthy people into patients. Going against the conventional wisdom reinforced by the medical establishment and Big Pharma that more screening is the best preventative medicine, Dr. Gilbert Welch builds a compelling counterargument that what we need are fewer, not more, diagnoses. Documenting the excesses of American medical practice that labels far too many of us as sick, Welch examines the social, ethical, and economic ramifications of a health-care system that unnecessarily diagnoses and treats patients, most of whom will not benefit from treatment, might be harmed by it, and would arguably be better off without screening. Drawing on 25 years of medical practice and research on the effects of medical testing, Welch explains in a straightforward, jargon-free style how the cutoffs for treating a person with “abnormal” test results have been drastically lowered just when technological advances have allowed us to see more and more “abnormalities,” many of which will pose fewer health complications than the procedures that ostensibly cure them. Citing studies that show that 10% of 2,000 healthy people were found to have had silent strokes, and that well over half of men over age sixty have traces of prostate cancer but no impairment, Welch reveals overdiagnosis to be rampant for numerous conditions and diseases, including diabetes, high cholesterol, osteoporosis, gallstones, abdominal aortic aneuryisms, blood clots, as well as skin, prostate, breast, and lung cancers. With genetic and prenatal screening now common, patients are being diagnosed not with disease but with “pre-disease” or for being at “high risk” of developing disease. Revealing the economic and medical forces that contribute to overdiagnosis, Welch makes a reasoned call for change that would save us from countless unneeded surgeries, excessive worry, and exorbitant costs, all while maintaining a balanced view of both the potential benefits and harms of diagnosis. Drawing on data, clinical studies, and anecdotes from his own practice, Welch builds a solid, accessible case against the belief that more screening always improves health care.

More than Medicine

Author : Robert M. Kaplan
Publisher : Harvard University Press
ISBN 13 : 0674975901
Total Pages : 241 pages
Book Rating : 4.6/5 (749 download)

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Book Synopsis More than Medicine by : Robert M. Kaplan

Download or read book More than Medicine written by Robert M. Kaplan and published by Harvard University Press. This book was released on 2019-02-04 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: Stanford’s pioneering behavioral scientist draws on a lifetime of research and experience guiding the NIH to make the case that America needs to radically rethink its approach to health care if it wants to stop overspending and overprescribing and improve people’s lives. American science produces the best—and most expensive—medical treatments in the world. Yet U.S. citizens lag behind their global peers in life expectancy and quality of life. Robert Kaplan brings together extensive data to make the case that health care priorities in the United States are sorely misplaced. America’s medical system is invested in attacking disease, but not in addressing the social, behavioral, and environmental problems that engender disease in the first place. Medicine is important, but many Americans act as though it were all important. The United States stakes much of its health funding on the promise of high-tech diagnostics and miracle treatments, while ignoring strong evidence that many of the most significant pathways to health are nonmedical. Americans spend millions on drugs for high cholesterol, which increase life expectancy by only six to eight months on average. But they underfund education, which might extend life expectancy by as much as twelve years. Wars on infectious disease have paid off, but clinical trials for chronic conditions—costing billions—rarely confirm that new treatments extend life. Meanwhile, the National Institutes of Health spends just 3 percent of its budget on research on the social and behavioral determinants of health, even though these factors account for 50 percent of premature deaths. America’s failure to take prevention seriously costs lives. More than Medicine argues that we need a shakeup in how we invest resources, and it offers a bold new vision for longer, healthier living.

More Than Medicine

Author : Jennifer Nelson
Publisher : NYU Press
ISBN 13 : 0814770665
Total Pages : 277 pages
Book Rating : 4.8/5 (147 download)

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Book Synopsis More Than Medicine by : Jennifer Nelson

Download or read book More Than Medicine written by Jennifer Nelson and published by NYU Press. This book was released on 2015-03-06 with total page 277 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book reveals how feminists of the '60s and '70s applied the lessons of the new left and civil rights movements to generate a women's health movement. The new movement shifted from the struggle to revolutionize health care to the focus of ending sex discrimination and gender stereotypes perpetuated in mainstream medical contexts. Moving from the campaign for legal abortion to the creation of community clinics and feminist health centers, Nelson illustrates how these activists revolutionized health care by associating it with the changing social landscape in which women had power to control their own life choices.

Crowdsourced Health

Author : Elad Yom-Tov
Publisher : MIT Press
ISBN 13 : 0262034506
Total Pages : 155 pages
Book Rating : 4.2/5 (62 download)

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Book Synopsis Crowdsourced Health by : Elad Yom-Tov

Download or read book Crowdsourced Health written by Elad Yom-Tov and published by MIT Press. This book was released on 2016-03-18 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt: "What if the [online] data generated by our searches could reveal information about health that would be difficult to gather in other ways? In this book, Elad Yom-Tov argues that Internet data could change the way medical research is done, supplementing traditional tools to provide insights not otherwise available. He describes how studies of Internet searches have, among other things, already helped researchers to track side effects of prescription driugs, to understand the information needs of cancer patients and their families, and to recognize some of the causes of anorexia. Yom-Tov shows that the information collected can benefit humanity without sacrificing individual privacy"--Jacket.

The New York Times Book of Medicine

Author : Gina Kolata
Publisher : Union Square & Co.
ISBN 13 : 145490206X
Total Pages : 698 pages
Book Rating : 4.4/5 (549 download)

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Book Synopsis The New York Times Book of Medicine by : Gina Kolata

Download or read book The New York Times Book of Medicine written by Gina Kolata and published by Union Square & Co.. This book was released on 2015-04-21 with total page 698 pages. Available in PDF, EPUB and Kindle. Book excerpt: Today we live longer, healthier lives than ever before in history—a transformation due almost entirely to tremendous advances in medicine. This change is so profound, with many major illnesses nearly wiped out, that its hard now to imagine what the world was like in 1851, when the New York Times began publishing. Treatments for depression, blood pressure, heart disease, ulcers, and diabetes came later; antibiotics were nonexistent, viruses unheard of, and no one realized yet that DNA carried blueprints for life or the importance of stem cells. Edited by award-winning writer Gina Kolata, this eye-opening collection of 150 articles from the New York Times archive charts the developing scientific insights and breakthroughs into diagnosing and treating conditions like typhoid, tuberculosis, cancer, diabetes, Alzheimers, and AIDS, and chronicles the struggles to treat mental illness and the enormous success of vaccines. It also reveals medical mistakes, lapses in ethics, and wrong paths taken in hopes of curing disease. Every illness, every landmark has a tale, and the newspapers top reporters tell each one with perceptiveness and skill.

Cost-Effectiveness in Health and Medicine

Author : Marthe R. Gold
Publisher : Oxford University Press
ISBN 13 : 0199880425
Total Pages : 450 pages
Book Rating : 4.1/5 (998 download)

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Book Synopsis Cost-Effectiveness in Health and Medicine by : Marthe R. Gold

Download or read book Cost-Effectiveness in Health and Medicine written by Marthe R. Gold and published by Oxford University Press. This book was released on 1996-07-18 with total page 450 pages. Available in PDF, EPUB and Kindle. Book excerpt: A unique, in-depth discussion of the uses and conduct of cost-effectiveness analyses (CEAs) as decision-making aids in the health and medical fields, this volume is the product of over two years of comprehensive research and deliberation by a multi-disciplinary panel of economists, ethicists, psychometricians, and clinicians. Exploring cost-effectiveness in the context of societal decision-making for resource allocation purposes, this volume proposes that analysts include a "reference-case" analysis in all CEAs designed to inform resource allocation and puts forth the most explicit set of guidelines (together with their rationale) ever defined on the conduct of CEAs. Important theoretical and practical issues encountered in measuring costs and effectiveness, evaluating outcomes, discounting, and dealing with uncertainty are examined in separate chapters. Additional chapters on framing and reporting of CEAs elucidate the purpose of the analysis and the effective communication of its findings. Cost-Effectiveness in Health and Medicine differs from the available literature in several key aspects. Most importantly, it represents a consensus on standard methods--a feature integral to a CEA, whose principal goal is to permit comparisons of the costs and health outcomes of alternative ways of improving health. The detailed level at which the discussion is offered is another major distinction of this book, since guidelines in journal literature and in CEA-related books tend to be rather general--to the extent that the analyst is left with little guidance on specific matters. The focused overview of the theoretical background underlying areas of controversy and of methodological alternatives, and, finally, the accessible writing style make this volume a top choice on the reading lists of analysts in medicine and public health who wish to improve practice and comparability of CEAs. The book will also appeal to decision-makers in government, managed care, and industry who wish to consider the uses and limitations of CEAs.

The Goals of Medicine

Author : Mark J. Hanson
Publisher : Georgetown University Press
ISBN 13 : 9781589014442
Total Pages : 258 pages
Book Rating : 4.0/5 (144 download)

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Book Synopsis The Goals of Medicine by : Mark J. Hanson

Download or read book The Goals of Medicine written by Mark J. Hanson and published by Georgetown University Press. This book was released on 2000-10-27 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt: Debates over health care have focused for so long on economics that the proper goals for medicine seem to be taken for granted; yet problems in health care stem as much from a lack of agreement about the goals and priorities of medicine as from the way systems function. This book asks basic questions about the purposes and ends of medicine and shows that the answers have practical implications for future health care delivery, medical research, and the education of medical students. The Hastings Center coordinated teams of physicians, nurses, public health experts, philosophers, theologians, politicians, health care administrators, social workers, and lawyers in fourteen countries to explore these issues. In this volume, they articulate four basic goals of medicine — prevention of disease, relief of suffering, care of the ill, and avoidance of premature death — and examine them in light of the cultural, political, and economic pressures under which medicine functions. In reporting these findings, the contributors touch on a wide range of diverse issues such as genetic technology, Chinese medicine, care of the elderly, and prevention and public health. The Goals of Medicine clearly demonstrates the importance of clarifying the purposes of medicine before attempting to change the economic and organizational systems. It warns that without such examination, any reform efforts may be fruitless.

Approach to Internal Medicine

Author : David Hui
Publisher : Springer Science & Business Media
ISBN 13 : 144196505X
Total Pages : 474 pages
Book Rating : 4.4/5 (419 download)

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Book Synopsis Approach to Internal Medicine by : David Hui

Download or read book Approach to Internal Medicine written by David Hui and published by Springer Science & Business Media. This book was released on 2011-01-15 with total page 474 pages. Available in PDF, EPUB and Kindle. Book excerpt: Feedback from users suggest this resource book is more comprehensive and more practical than many others in the market. One of its strengths is that it was written by trainees in internal medicine who understand the need for rapid access to accurate and concise clinical information, with a practical approach to clinical problem solving.

Understanding Global Health, 2E

Author : William H. Markle
Publisher : McGraw Hill Professional
ISBN 13 : 0071791000
Total Pages : 543 pages
Book Rating : 4.0/5 (717 download)

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Book Synopsis Understanding Global Health, 2E by : William H. Markle

Download or read book Understanding Global Health, 2E written by William H. Markle and published by McGraw Hill Professional. This book was released on 2013-11-05 with total page 543 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first edition of Understanding Global Health set a new information standard for this rapidly emerging subject. Written by a remarkable group of authors and contributors, this comprehensive, engagingly written text offers unmatched coverage of every important topic--from infectious disease to economics to war. Created with the non-specialist in mind, Understanding Global Health explores the current burden of disease in the world, how health is determined, and the problems faced by populations and health care workers around the world. The second edition has been thoroughly updated to include the most current information and timely topics. New chapters cover such topics as human trafficking, malaria and neglected tropical diseases, surgical issues in global health, and mental health. Every chapter includes Learning Objectives, Summary, Study Questions, and References and, in many instances, practical case examples. -- Provided by publisher.

Life Without Disease

Author : William B. Schwartz
Publisher : Univ of California Press
ISBN 13 : 9780520221734
Total Pages : 200 pages
Book Rating : 4.2/5 (217 download)

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Book Synopsis Life Without Disease by : William B. Schwartz

Download or read book Life Without Disease written by William B. Schwartz and published by Univ of California Press. This book was released on 2000-01-01 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: A jarring vision of a medical utopia--drawing on the last half-century of medical advancement during which genetic intervention has taken a greater role in the prevention of disease.

The Creative Destruction of Medicine

Author : Eric Topol
Publisher :
ISBN 13 : 0465025501
Total Pages : 322 pages
Book Rating : 4.4/5 (65 download)

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Book Synopsis The Creative Destruction of Medicine by : Eric Topol

Download or read book The Creative Destruction of Medicine written by Eric Topol and published by . This book was released on 2012-01-31 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: A professor of medicine reveals how technology like wireless internet, individual data, and personal genomics can be used to save lives.

More Than Medicine

Author : LaTonya J. Trotter
Publisher : Cornell University Press
ISBN 13 : 1501748173
Total Pages : 212 pages
Book Rating : 4.5/5 (17 download)

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Book Synopsis More Than Medicine by : LaTonya J. Trotter

Download or read book More Than Medicine written by LaTonya J. Trotter and published by Cornell University Press. This book was released on 2020-04-15 with total page 212 pages. Available in PDF, EPUB and Kindle. Book excerpt: In More Than Medicine, LaTonya J. Trotter chronicles the everyday work of a group of nurse practitioners (NPs) working on the front lines of the American health care crisis as they cared for four hundred African American older adults living with poor health and limited means. Trotter describes how these NPs practiced an inclusive form of care work that addressed medical, social, and organizational problems that often accompany poverty. In solving this expanded terrain of problems from inside the clinic, these NPs were not only solving a broader set of concerns for their patients; they became a professional solution for managing "difficult people" for both their employer and the state. Through More Than Medicine, we discover that the problems found in the NP's exam room are as much a product of our nation's disinvestment in social problems as of physician scarcity or rising costs.

What Doctors Feel

Author : Danielle Ofri, MD
Publisher : Beacon Press
ISBN 13 : 0807073334
Total Pages : 267 pages
Book Rating : 4.8/5 (7 download)

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Book Synopsis What Doctors Feel by : Danielle Ofri, MD

Download or read book What Doctors Feel written by Danielle Ofri, MD and published by Beacon Press. This book was released on 2013-06-04 with total page 267 pages. Available in PDF, EPUB and Kindle. Book excerpt: “A fascinating journey into the heart and mind of a physician” that explores the doctor-patient relationship, the flaws in our health care system, and how doctors’ emotions impact medical care (Boston Globe) While much has been written about the minds and methods of the medical professionals who save our lives, precious little has been said about their emotions. Physicians are assumed to be objective, rational beings, easily able to detach as they guide patients and families through some of life’s most challenging moments. But understanding doctors’ emotional responses to the life-and-death dramas of everyday practice can make all the difference on giving and getting the best medical care. Digging deep into the lives of doctors, Dr. Danielle Ofri examines the daunting range of emotions—shame, anger, empathy, frustration, hope, pride, occasionally despair, and sometimes even love—that permeate the contemporary doctor-patient connection. Drawing on scientific studies, including some surprising research, Dr. Ofri offers up an unflinching look at the impact of emotions on health care. Dr. Ofri takes us into the swirling heart of patient care, telling stories of caregivers caught up and occasionally torn down by the whirlwind life of doctoring. She admits to the humiliation of an error that nearly killed one of her patients. She mourns when a beloved patient is denied a heart transplant. She tells the riveting stories of an intern traumatized when she is forced to let a newborn die in her arms, and of a doctor whose daily glass of wine to handle the frustrations of the ER escalates into a destructive addiction. Ofri also reveals that doctors cope through gallows humor, find hope in impossible situations, and surrender to ecstatic happiness when they triumph over illness.

Just Medicine

Author : Dayna Bowen Matthew
Publisher : NYU Press
ISBN 13 : 1479888567
Total Pages : 310 pages
Book Rating : 4.4/5 (798 download)

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Book Synopsis Just Medicine by : Dayna Bowen Matthew

Download or read book Just Medicine written by Dayna Bowen Matthew and published by NYU Press. This book was released on 2016-10-25 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt: Offers an innovative plan to eliminate inequalities in American health care and save the lives they endanger Over 84,000 black and brown lives are needlessly lost each year due to health disparities: the unfair, unjust, and avoidable differences between the quality and quantity of health care provided to Americans who are members of racial and ethnic minorities and care provided to whites. Health disparities have remained stubbornly entrenched in the American health care system—and in Just Medicine Dayna Bowen Matthew finds that they principally arise from unconscious racial and ethnic biases held by physicians, institutional providers, and their patients. Implicit bias is the single most important determinant of health and health care disparities. Because we have missed this fact, the money we spend on training providers to become culturally competent, expanding wellness education programs and community health centers, and even expanding access to health insurance will have only a modest effect on reducing health disparities. We will continue to utterly fail in the effort to eradicate health disparities unless we enact strong, evidence-based legal remedies that accurately address implicit and unintentional forms of discrimination, to replace the weak, tepid, and largely irrelevant legal remedies currently available. Our continued failure to fashion an effective response that purges the effects of implicit bias from American health care, Matthew argues, is unjust and morally untenable. In this book, she unites medical, neuroscience, psychology, and sociology research on implicit bias and health disparities with her own expertise in civil rights and constitutional law. In a time when the health of the entire nation is at risk, it is essential to confront the issues keeping the health care system from providing equal treatment to all.

The Truth about Big Medicine

Author : Cheryl L. Brown
Publisher : Rowman & Littlefield Publishers
ISBN 13 : 9781442231603
Total Pages : 0 pages
Book Rating : 4.2/5 (316 download)

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Book Synopsis The Truth about Big Medicine by : Cheryl L. Brown

Download or read book The Truth about Big Medicine written by Cheryl L. Brown and published by Rowman & Littlefield Publishers. This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This title drills deeply into the broken American health care industry--demonstrating how the medical industry's self-serving interests have run afoul of safe care. Written by passionate experts in multiple relevant fields, this book shows readers how the system works, why it works this way, how it harms and often kills people and how we can fix it.

Overtreated

Author : Shannon Brownlee
Publisher : Bloomsbury Publishing USA
ISBN 13 : 1596917296
Total Pages : 363 pages
Book Rating : 4.5/5 (969 download)

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Book Synopsis Overtreated by : Shannon Brownlee

Download or read book Overtreated written by Shannon Brownlee and published by Bloomsbury Publishing USA. This book was released on 2010-06-25 with total page 363 pages. Available in PDF, EPUB and Kindle. Book excerpt: Our health care is staggeringly expensive, yet one in six Americans has no health insurance. We have some of the most skilled physicians in the world, yet one hundred thousand patients die each year from medical errors. In this gripping, eye-opening book, award-winning journalist Shannon Brownlee takes readers inside the hospital to dismantle some of our most venerated myths about American medicine. Brownlee dissects what she calls "the medical-industrial complex" and lays bare the backward economic incentives embedded in our system, revealing a stunning portrait of the care we now receive. Nevertheless, Overtreated ultimately conveys a message of hope by reframing the debate over health care reform. It offers a way to control costs and cover the uninsured, while simultaneously improving the quality of American medicine. Shannon Brownlee's humane, intelligent, and penetrating analysis empowers readers to avoid the perils of overtreatment, as well as pointing the way to better health care for everyone.