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As the demographics of the population shift toward an increasingly
aged society, the number of individuals with cancer increases and
with it the need to give the most comprehensive possible health
care delivery. Although much has been written about the specific
therapy best suited for the various types of cancer and about the
basic and clinical research which has dramatically improved treat
ment, overall patient care requires attention to supportive care,
which includes such items as pain management, the use of blood
products, nutrition, and psychosocial needs. Yet infection remains
the leading cause of death in cancer patients and is a major cause
of morbidity and hospitaliza tion, making it a major aspect of the
supportive care of cancer patients. It therefore deserves a full
exposition. Bone marrow transplantation is increasingly being
utilized as part of a therapeutic modality in the treatment of
cancer patients. Transplantation patients are at such a
particularly high risk of developing a wide variety of different
types of infection, that they inevitably can serve as an excellent
framework for discussion of all the types of infections that occur
during the treatment of cancer. The patient undergoing allogeneic
bone marrow transplantation is at particularly high risk of
infection due to the major perturbations of host defenses, which
include granulo cytopenia, cellular immune dysfunction, humoral
immune dysfunction, blood product transfusions, and vascular access
devices. Each of these perturbations results in a different set of
infectious disease problems."
Approximately 100,000 deaths per year in the United States result
from preventable medical errors. This figure is about twice the
number of people who die in car accidents and five times the number
of murder victims annually, and twenty times the number of
servicemen and women killed in Iraq and Afghanistan since the start
of hostilities in 2001. If you think Americans have the best
health-care system in the world, think again. In this deeply
researched and controversial book, Dr. Stephen Schimpff explains
why our health-care delivery system serves us so poorly, why it
costs so much, and why government policy over many decades has not
only failed to improve care delivery but has actually made it
worse. In the process, he dispels common misconceptions about
medicine and health care. The Future of Health-Care Delivery
provides timely information and a road map to achieve world-class
care delivery, putting health care where it belongs-in the hands of
the patient and medical professionals instead of the insurance
companies and government.
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