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Extending the Cure - Policy Responses to the Growing Threat of Antibiotic Resistance (Hardcover)
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Extending the Cure - Policy Responses to the Growing Threat of Antibiotic Resistance (Hardcover)
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Our ability to treat common bacterial infections with antibiotics
goes back only 65 years. However, the authors of this report make
it clear that sustaining a supply of effective and affordable
antibiotics cannot be without changes to the incentives facing
patients, physicians, hospitals, insurers, and pharmaceutical
manufacturers. In fact, increasing resistance to these drugs is
already exacting a terrible price. Every day in the United States,
approximately 172 men, women, and children die from infections
caused by antibiotic-resistant bacteria in hospitals alone. Beyond
those deaths, antibiotic resistance is costing billions of dollars
through prolonged hospital stays and the need for doctors to resort
to ever more costly drugs to use as substitute treatments.
Extending the Cure presents the problem of antibiotic resistance as
a conflict between individual decision makers and their short-term
interest and the interest of society as a whole, in both present
and future: The effort that doctors make to please each patient by
prescribing a drug when it might not be properly indicated, poor
monitoring of discharged patients to ensure that they do not
transmit drug-resistant pathogens to other persons, excesses in the
marketing of new antibiotics, and the broad overuse of antibiotics
all contribute to the development and spread of
antibiotic-resistant bacteria. The book explores a range of policy
options that would encourage patients, health care providers, and
managed care organizations to serve as more responsible stewards of
existing antibiotics as well as proposals that would give
pharmaceutical firms greater incentives to develop new antibiotics
and avoid overselling. If the problem continues unaddressed,
antibiotic resistance has the potential to derail the health care
system and return us to a world where people of all ages routinely
die from simple infections. As a basis for future research and a
spur to a critically important dialogue, Extending the Cure is a
fundamental first step in addressing this public health crisis. The
Extending the Cure project is funded in part by the Robert Wood
Johnson Foundation through its Pioneer Portfolio.
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