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Optimizing Health: Improving the Value of Healthcare Delivery (Hardcover, 2006 ed.)
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Optimizing Health: Improving the Value of Healthcare Delivery (Hardcover, 2006 ed.)
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As health care costs soar, there is increasing interest in
examining what society and, particularly, patients receive in
return for these expenditures. Optimizing Health brings together
the best thinking from both sides of the Atlantic to explore these
issues. It employs disciplinary perspectives from economics,
ethics, philosophy, psychology, clinical practice, and epidemiology
to explore various ways that value for patients have and can be
determined. It concludes with a discussion of changes required in
practice, research, and health care systems to maximize the
outcomes received from the provision of medical care services from
the patient's perspective. The first section of the book provides
theoretical perspectives from economics and systems thinking that
help us to focus on how one might determine the value of medical
care for patients. The next section considers the ethical and
philosophical dilemmas that face developed countries in
distributing medical care. How is justice served and evidence-based
medicine employed to increase the value of medical care for
patients? perspective and involving patients in medical decision
making. Measuring quality of life and gaining valid quality of life
information when patients cannot respond for themselves are
important topics covered by these chapters. Other chapters consider
ways that patients can become more involved in medical decision
making with the expectation that this will increase the value of
medical care for patients. A major section of the book about
clinical practice discusses problems that can reduce the value to
patients of medical care. These include over diagnosis, aggressive
treatments that do not result in better patient outcomes, findings
that earlier diagnosis does not always result in better outcomes,
and the extent of medical error in treatment. The final sections
deal with cost-effectiveness analyses and applications of clinical
epidemiology. The chapters include a number of original
investigations and applications of new methodologies. researchers
who want to find in one place the state-of-the-art thinking and
future directions of valuing medical care from the patient's
perspective. Ronald Andersen Wasserman is the Professor Emeritus of
the Departments of Health Services and Sociology at the University
of California School of Public Health in Los Angeles.
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