Decision Making in Health and Medicine with CD ROM

Author: M. G. Myriam Hunink
Publisher: Cambridge University Press
ISBN: 0521770297
Release Date: 2001-11-01
Genre: Health & Fitness

Decision making in health care means navigating through a complex and tangled web of diagnostic and therapeutic uncertainties, patient preferences and values, and costs. In addition, medical therapies may include side effects, surgery may lead to undesirable complications, and diagnostic technologies may produce inconclusive results. In many clinical and health policy decisions it is necessary to counterbalance benefits and risks, and to trade off competing objectives such as maximizing life expectancy vs optimizing quality of life vs minimizing the required resources. This textbook plots a clear course through these complex and conflicting variables. It clearly explains and illustrates tools for integrating quantitative evidence-based data and subjective outcome values in making clinical and health policy decisions. An accompanying CD-ROM features solutions to the exercises, PowerPoint® presentations of the illustrations, and sample models and tables.

Decision Making in Health and Medicine

Author: M. G. Myriam Hunink
Publisher: Cambridge University Press
ISBN: 9781316062319
Release Date: 2014-10-16
Genre: Medical

Decision making in health care involves consideration of a complex set of diagnostic, therapeutic and prognostic uncertainties. Medical therapies have side effects, surgical interventions may lead to complications, and diagnostic tests can produce misleading results. Furthermore, patient values and service costs must be considered. Decisions in clinical and health policy require careful weighing of risks and benefits and are commonly a trade-off of competing objectives: maximizing quality of life vs maximizing life expectancy vs minimizing the resources required. This text takes a proactive, systematic and rational approach to medical decision making. It covers decision trees, Bayesian revision, receiver operating characteristic curves, and cost-effectiveness analysis, as well as advanced topics such as Markov models, microsimulation, probabilistic sensitivity analysis and value of information analysis. It provides an essential resource for trainees and researchers involved in medical decision modelling, evidence-based medicine, clinical epidemiology, comparative effectiveness, public health, health economics, and health technology assessment.

Ensuring Value for Money in Health Care

Author: Corinna Sorenson
Publisher: WHO Regional Office Europe
ISBN: 9789289071833
Release Date: 2008
Genre: Business & Economics

This report addresses the concepts and controversy surrounding health technology assessment in Europe, with a particular focus on selected Member States including Sweden, the Netherlands, Finland, France, Germany and the United Kingdom. It is intended to identify and address current considerations regarding HTA methodological and process issues related to the prioritization and financing of modern health care. In particular, it describes the processes and challenges for identifying and prioritizing assessments; assesses and compares current assessment methods and procedures; and highlights the barriers to effective implementation. The report also ascertains the roles and terms of engagement of key stakeholders, and captures the opportunities and challenges for the use of HTA guidance in general priority-setting, decision-making and health-care provision.

Libraries without Limits Changing Needs Changing Roles

Author: European Conference of Medical and Health Libraries
Publisher: Springer Science & Business Media
ISBN: 0792356268
Release Date: 1999
Genre: Language Arts & Disciplines

The slogan 'Information professionals make the difference' was chosen to highlight the 10th anniversary of the European Association for Health Information and Libraries (EAHIL) in 1997. To what effect, under which circumstances, and how medical librarians in Europe play an active role in medical information management and education is reflected in the collection of papers presented during the 6th European Conference of Medical and Health Libraries in Utrecht, The Netherlands, June 22-27, 1998, entitled: Libraries without Limits: Changing Needs -- Changing Roles. Medical libraries are confronted with the international aspects of copyright and licence agreements, and cope with a fast-growing demand for high quality medical information in order to bring evidence-based medicine into practice. Medical librarians also serve the public, especially in those countries where consumer health information is in the forefront of health care policy.

Clinical Nuclear Cardiology State of the Art and Future Directions E Book

Author: Barry L. Zaret
Publisher: Elsevier Health Sciences
ISBN: 9780323085724
Release Date: 2010-05-24
Genre: Medical

Clinical Nuclear Cardiology—now in its fourth edition—covers the tremendous clinical growth in this field, focusing on new instrumentation and techniques. Drs. Barry L. Zaret and George A Beller address the latest developments in technology, radiopharmaceuticals, molecular imaging, and perfusion imaging. Thoroughly revised to include 20 new chapters—Digital/Fast SPECT, Imaging in Revascularized Patients, and more—this new edition provides state-of-the-art guidance on key areas and hot topics with stunning visuals. Online access to the fully searchable text at expertconsult.com includes highly illustrated case studies that let you see the problem using a variety of imaging modalities. In other words, this is an invaluable resource no clinician or researcher in nuclear cardiology should be without. Features an editorial and contributing team of worldwide leaders in nuclear cardiology to provide you with current and authoritative guidance. Includes a section focusing on acute coronary syndromes to provide you with practical management tools for these conditions. Presents a full-color design that allows color images to be integrated throughout the text. Includes access to the fully searchable contents of the book online at expertconsult.com, along with highly illustrated case studies that let you see the problem using a variety of imaging modalities. Features 20 new chapters including Cellular Mechanisms of Tracer Uptake and Clearance; Attenuation/Scatter Corrections: Clinical Aspects; Hybrid Imaging; Digital/Fast SPECT; Imaging in Revascularized Patients; and more. Focuses on perfusion imaging in a section dedicated to this hot topic so you get all the information you need to stay current.

Encyclopedia of Medical Decision Making

Author: Michael W. Kattan
Publisher: SAGE
ISBN: 9781412953726
Release Date: 2009-08-15
Genre: Medical

The Encyclopedia of Medical Decision Making presents state-of-the-art research and ready-to-use facts sorting out findings on medical decision making and their applications.

Evidence based Social Work Practice Oxford Bibliographies Online Research Guide

Author: Oxford University Press
Publisher: Oxford University Press, USA
ISBN: 0199802297
Release Date: 2010-05-01
Genre: Social Science

This ebook is a selective guide designed to help scholars and students of social work find reliable sources of information by directing them to the best available scholarly materials in whatever form or format they appear from books, chapters, and journal articles to online archives, electronic data sets, and blogs. Written by a leading international authority on the subject, the ebook provides bibliographic information supported by direct recommendations about which sources to consult and editorial commentary to make it clear how the cited sources are interrelated related. A reader will discover, for instance, the most reliable introductions and overviews to the topic, and the most important publications on various areas of scholarly interest within this topic. In social work, as in other disciplines, researchers at all levels are drowning in potentially useful scholarly information, and this guide has been created as a tool for cutting through that material to find the exact source you need. This ebook is a static version of an article from Oxford Bibliographies Online: Social Work, a dynamic, continuously updated, online resource designed to provide authoritative guidance through scholarship and other materials relevant to the study and practice of social work. Oxford Bibliographies Online covers most subject disciplines within the social science and humanities, for more information visit www.aboutobo.com.

Evidence Synthesis for Decision Making in Healthcare

Author: Nicky J. Welton
Publisher: John Wiley & Sons
ISBN: 9781118305409
Release Date: 2012-04-12
Genre: Mathematics

In the evaluation of healthcare, rigorous methods of quantitative assessment are necessary to establish interventions that are both effective and cost-effective. Usually a single study will not fully address these issues and it is desirable to synthesize evidence from multiple sources. This book aims to provide a practical guide to evidence synthesis for the purpose of decision making, starting with a simple single parameter model, where all studies estimate the same quantity (pairwise meta-analysis) and progressing to more complex multi-parameter structures (including meta-regression, mixed treatment comparisons, Markov models of disease progression, and epidemiology models). A comprehensive, coherent framework is adopted and estimated using Bayesian methods. Key features: A coherent approach to evidence synthesis from multiple sources. Focus is given to Bayesian methods for evidence synthesis that can be integrated within cost-effectiveness analyses in a probabilistic framework using Markov Chain Monte Carlo simulation. Provides methods to statistically combine evidence from a range of evidence structures. Emphasizes the importance of model critique and checking for evidence consistency. Presents numerous worked examples, exercises and solutions drawn from a variety of medical disciplines throughout the book. WinBUGS code is provided for all examples. Evidence Synthesis for Decision Making in Healthcare is intended for health economists, decision modelers, statisticians and others involved in evidence synthesis, health technology assessment, and economic evaluation of health technologies.

Evidence Based Medicine in Orthopedic Surgery An Issue of Orthopedic Clinics E Book

Author: Safdar N. Khan
Publisher: Elsevier Health Sciences
ISBN: 9781455700509
Release Date: 2010-05-05
Genre: Medical

Articles include: Definition and Principles, Evidence-Based Orthopaedics: Is it possible? Conflict of Interest and Orthopaedic Publications, SPRINT Trial, Clavicle fractures, Intracapsular femur neck fractures, SPORT trial: Spinal stenosis, Cervical spondylotic myelopathy – anterior vs posterior approaches, Total disc replacement vs Fusion, Flexible constructs for spinal fusion, DVT prophylaxis in adult reconstruction, Hip resurfacing – what is the evidence, Graft selection/type in ACL surgery, LEAP Trial, BESTT Trial, SPORT trial: Lumbar disc herniations, SPORT trial: Degenerative spondylolisthesis.

Acute Care Handbook for Physical Therapists E Book

Author: Jaime C. Paz
Publisher: Elsevier Health Sciences
ISBN: 9780323227537
Release Date: 2013-12-01
Genre: Medical

Familiarize yourself with the acute care environment with this essential guide to physical therapy practice in an acute care setting. Acute Care Handbook for Physical Therapists, 4th Edition helps you understand and interpret hospital protocol, safety, medical-surgical ‘lingo’, and the many aspects of patient are from the emergency department to the intensive care unit to the general ward. This restructured new edition streamlines the text into four parts— Introduction, Systems, Diagnoses, and Interventions to make the book even easier to use as a quick reference. Intervention algorithms, updated illustrations, and language consistent with the ICF model all help you digest new information and become familiar with new terminology. This comprehensive resource is just what you need to better manage the specific needs of your patients in the complex acute care environment. Intervention algorithms, tables, boxes, and clinical tips highlight key information about the acute care environment in a format that makes finding and digesting information easy. The major body system chapters provide the evidence-based information you need to understand the complex issues of patients in the acute care environment so you can optimally manage the needs of your patients. Current information on medications, laboratory tests, diagnostics, and intervention methods relevant to patients in the acute care environment illustrates how the acute care environment can impact these elements. Clinical tips highlight key points and provide access to the tips and tricks accumulated over a career by an experienced clinician. Language consistent with the Guide to Physical Therapist Practice, 2nd Edition offers common linguistic ground through the use of Guide standards. Lay-flat pages and uncluttered design make the book easier to use as a quick reference. NEW! Restructured table of contents helps you quickly locate information. NEW! Language from the International Classification of Functioning, Disability, and Health (ICF) model adopted by the American Physical Therapy Association increases your familiarity with terminology. NEW! New intervention algorithms along with existing algorithms break clinical decision-making into individual steps and sharpens your on-the-spot critical-thinking skills. NEW! A quick-reference appendix covering abbreviations commonly found in the acute care environment supplies the translation tools you need, while flagging any abbreviations that may be harmful to the patient.

Cardiovascular Biomarkers

Author: David A. Morrow
Publisher: Springer Science & Business Media
ISBN: 1597450510
Release Date: 2010-04-28
Genre: Medical

In the four pages committed to a discussion of myocardial infarction in the first edition of Harrison’s Principles of Internal Medicine, published in 1950, there was no mention of use of the laboratory for management of patients. Thirty years later, when the first edition of Braunwald’s Heart Disease, A Textbook of Cardiovascular Medicine was published, 2 out of the 1943 pages in the text contained a discussion of the laboratory examinations in acute myocardial infarction. Our knowledge base of the multitude of ways that physicians can and should use the clinical chemistry laboratory has expanded dramatically since these classic texts were published. The nomenclature has changed: terms such as “cardiac enzymes” have given way to “cardiac biomarkers. ” The number of assays has multiplied, and the operating characteristics of available assays are impr- ing at a gratifying but dizzying rate. We now use biomarkers to diagnose cardiovascular diseases and also to frame our treatment strategies. Thus, there is a clear need for a scholarly compilation of the state of the art of cardiac biomarkers. Dr. David Morrow has expertly edited an authoritative book that answers this need. The 34 chapters in Cardiovascular Biomarkers: Pathophysiology and Disease Mana- ment were written by a group of individuals who are internationally recognized thought leaders and experts in clinical and laboratory medicine.

The Learning Healthcare System

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309133939
Release Date: 2007-06-01
Genre: Medical

As our nation enters a new era of medical science that offers the real prospect of personalized health care, we will be confronted by an increasingly complex array of health care options and decisions. The Learning Healthcare System considers how health care is structured to develop and to apply evidence--from health profession training and infrastructure development to advances in research methodology, patient engagement, payment schemes, and measurement--and highlights opportunities for the creation of a sustainable learning health care system that gets the right care to people when they need it and then captures the results for improvement. This book will be of primary interest to hospital and insurance industry administrators, health care providers, those who train and educate health workers, researchers, and policymakers. The Learning Healthcare System is the first in a series that will focus on issues important to improving the development and application of evidence in health care decision making. The Roundtable on Evidence-Based Medicine serves as a neutral venue for cooperative work among key stakeholders on several dimensions: to help transform the availability and use of the best evidence for the collaborative health care choices of each patient and provider; to drive the process of discovery as a natural outgrowth of patient care; and, ultimately, to ensure innovation, quality, safety, and value in health care.