Titlebook: Optimizing Health: Improving the Value of Healthcare Delivery; Franz Porzsolt,Robert M. Kaplan Book 2006 Springer-Verlag US 2006 An?sthesi

OCTO

Seeking Justice in Health Carezens. Within . of justice is an array of ., such as money, honors, food, shelter, health care, welfare, and education, that a just society attempts to distribute justly (Walzer, 1983). Within . of justice is an array of ., such as urgency of need, capacity to benefit, value to society, future potent

LASH

Evidence-Based Medicine and Ethics: Desired and Undesired Effects of Screeningh mammography 4 of 1000 women die of breast cancer; without mammography 5 of 1000 women die of breast cancer. These facts present the difficult question of whether is it justified to save the life of 1 woman and burden 13 with the diagnosis of breast cancer and the consequent therapy and follow-up.

DAFT

Melanoma

Theory Behind the Bridge Principlesch parameters to apply to measure effectiveness (output) or value for patients (outcome) of medical interventions. In patients with diabetes mellitus, lowering elevated blood glucose is an output. We accordingly call . the results of all health care services. If the result of a health care service c

ALIEN

How to Measure Quality of Lifetputs is not enough. The goal of health care is to provide value for patients. This requires that we show the value of investments in terms of patient outcomes. But how can patient outcomes be quantified? In this chapter we consider the quantification of patientreported outcomes.

集中營

New Instrument to Describe Indicators of Well-Being in Old Old Patients with Severe Dementia: Viennaepending on institutional care is growing. Such care is provided in general hospitals, geriatric hospitals, nursing homes, private homes, senior residences, and by the families. Obviously, there are large differences in costs and efficacy of these various types of care.

Texture

CANDY

Shared Decision Making in Medicinee among physicians has led to increasing neglect of history taking and consideration of patients’ interests. The patients’ biology has become more important to physicians than their psyche, and patients often do not have the opportunity to voice their concerns or express their anxieties. This often

Engaging

Overdiagnosis and Pseudodisease: Too Much of a “Good Thing”?luable. In addition to finding (diagnosing) and fixing (treating) a disease, evidence must show that a patient can benefit from diagnosis and treatment. Our CLINECS model (see Chapter 1) distinguishes outputs from outcomes. Services received do not necessarily translate into value for patients. Ther

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