Intensive care medicine is one of the fastest growing services
provided by hospitals and perhaps one of the most expensive. Yet in
response to the global financial crisis of the last few years,
healthcare funding is slowing or decreasing throughout the
world.
How we manage health care resources in the intensive care unit
(ICU) now and in a future that promises only greater cost
constraints is the subject of this book, the third in an informal
series of volumes providing a global perspective on difficult
issues arising in the ICU.
Taking 12 developed countries as their focus, leading experts
provide a country-by-country analysis of current ICU resource
allocation. A second group of experts use the chapters as a
departure point to analyze current ICU resource allocation at the
level of the global medical village. The process is repeated, but
with an eye toward the future - first country by country, then at
the global level - that takes into account initiatives and reforms
now underway.
A fictional healthcare plan, the "Fair & Equitable
Healthcare Plan," is put forth to address weaknesses in existing
approaches, and healthcare experts and ethicists are invited to
respond to its often provocative provisions.
Itself structured as a dialogue, the book is an excellent way to
start or to continue serious discussion about the allocation of ICU
healthcare resources now and in the years ahead.
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