Organisation and management of intensive care

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From the viewpoint of a health economist, the intensive care unit (leU) is a particularly fascinating phenomenon.



From the viewpoint of a health economist, the intensive care unit (leU) is a particularly fascinating phenomenon. It is the epitome of "high-tech" medicine and frequently portrayed as the place where life-saving miracles are routinely wrought. But the popular imagina­ tion is also caught up in the darker side, when agonizing decisions have to be made to avoid futile and inhuman continuation of expen­ sive treatments. My analytical interests led me to approach these issues by asking what the evidence tells us about which leu activities are very bene­ ficial in relationship to their costs and which are not. This quickly translates into a slightly different question, namely, which patients are most appropriately treated in an leu and which not. Unfor­ tunately, it is very hard to answer these questions because it has pro­ ved very difficult to investigate these issues in the manner which is now regarded as the "gold standard:' namely by conducting rando­ mized clinical trials or alternative courses of action. I think this is a pity, and I am not at all convinced that it would be unethical to do so in many cases, because there is wide variation in practice and ge­ nuine doubt as to which practices are best -the two conditions that need to be fulfilled before such a trial is justifiable.

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Taal: en

Bindwijze: Paperback

Oorspronkelijke releasedatum: 18 september 2011

Aantal pagina's: 286

Illustraties: Nee

Hoofdredacteur: D. Reis Miranda

Tweede Redacteur: D.W. Ryan

Co Redacteur: Wilmar Schaufeli

Hoofduitgeverij: Springer-Verlag Berlin and Heidelberg GmbH & Co. K

Editie: 1

Extra groot lettertype: Nee

Product breedte: 155 mm

Product lengte: 235 mm

Studieboek: Ja

Verpakking breedte: 155 mm

Verpakking hoogte: 16 mm

Verpakking lengte: 235 mm

Verpakkingsgewicht: 474 g

EAN: 9783642643286

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