Achieving Person-Centred Health Systems

Achieving Person-Centred Health Systems PDF Author: Ellen Nolte
Publisher: Cambridge University Press
ISBN: 1108790062
Category : Health & Fitness
Languages : en
Pages : 421

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Book Description
An evidence-based analysis of the opportunities and challenges of moving towards more person-centred health systems.

Encyclopedia of Medical Decision Making

Encyclopedia of Medical Decision Making PDF Author: Michael W. Kattan
Publisher: SAGE Publications
ISBN: 1452261490
Category : Medical
Languages : en
Pages : 1280

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Book Description
Decision making is a critical element in the field of medicine that can lead to life-or-death outcomes, yet it is an element fraught with complex and conflicting variables, diagnostic and therapeutic uncertainties, patient preferences and values, and costs. Together, decisions made by physicians, patients, insurers, and policymakers determine the quality of health care, quality that depends inherently on counterbalancing risks and benefits and competing objectives such as maximizing life expectancy versus optimizing quality of life or quality of care versus economic realities. Broadly speaking, concepts in medical decision making (MDM) may be divided into two major categories: prescriptive and descriptive. Work in the area of prescriptive MDM investigates how medical decisions should be done using complicated analyses and algorithms to determine cost-effectiveness measures, prediction methods, and so on. In contrast, descriptive MDM studies how decisions actually are made involving human judgment, biases, social influences, patient factors, and so on. The Encyclopedia of Medical Decision Making gives a gentle introduction to both categories, revealing how medical and healthcare decisions are actually made—and constrained—and how physician, healthcare management, and patient decision making can be improved to optimize health outcomes. Key Features Discusses very general issues that span many aspects of MDM, including bioethics; health policy and economics; disaster simulation modeling; medical informatics; the psychology of decision making; shared and team medical decision making; social, moral, and religious factors; end-of-life decision making; assessing patient preference and patient adherence; and more Incorporates both quantity and quality of life in optimizing a medical decision Considers characteristics of the decisionmaker and how those characteristics influence their decisions Presents outcome measures to judge the quality or impact of a medical decision Examines some of the more commonly encountered biostatistical methods used in prescriptive decision making Provides utility assessment techniques that facilitate quantitative medical decision making Addresses the many different assumption perspectives the decision maker might choose from when trying to optimize a decision Offers mechanisms for defining MDM algorithms With comprehensive and authoritative coverage by experts in the fields of medicine, decision science and cognitive psychology, and healthcare management, this two-volume Encyclopedia is a must-have resource for any academic library.

Shared Decision Making in Health Care

Shared Decision Making in Health Care PDF Author: Glyn Elwyn
Publisher: Oxford University Press
ISBN: 019872344X
Category : Medical
Languages : en
Pages : 337

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Book Description
First edition published as: Evidence-based patient choice.. Oxford: Oxford University Press, 2001.

Medical Decision Making

Medical Decision Making PDF Author: Alan Schwartz
Publisher: Cambridge University Press
ISBN: 9781107320062
Category : Medical
Languages : en
Pages :

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Book Description
Decision making is a key activity, perhaps the most important activity, in the practice of healthcare. Although physicians acquire a great deal of knowledge and specialised skills during their training and through their practice, it is in the exercise of clinical judgement and its application to individual patients that the outstanding physician is distinguished. This has become even more relevant as patients become increasingly welcomed as partners in a shared decision making process. This book translates the research and theory from the science of decision making into clinically useful tools and principles that can be applied by clinicians in the field. It considers issues of patient goals, uncertainty, judgement, choice, development of new information, and family and social concerns in healthcare. It helps to demystify decision theory by emphasizing concepts and clinical cases over mathematics and computation.

How Doctors Think

How Doctors Think PDF Author: Jerome Groopman
Publisher: HarperCollins
ISBN: 0547348630
Category : Medical
Languages : en
Pages : 325

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Book Description
On average, a physician will interrupt a patient describing her symptoms within eighteen seconds. In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but at crucial moments they can also be wrong—with catastrophic consequences. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make. Groopman explores why doctors err and shows when and how they can—with our help—avoid snap judgments, embrace uncertainty, communicate effectively, and deploy other skills that can profoundly impact our health. This book is the first to describe in detail the warning signs of erroneous medical thinking and reveal how new technologies may actually hinder accurate diagnoses. How Doctors Think offers direct, intelligent questions patients can ask their doctors to help them get back on track. Groopman draws on a wealth of research, extensive interviews with some of the country’s best doctors, and his own experiences as a doctor and as a patient. He has learned many of the lessons in this book the hard way, from his own mistakes and from errors his doctors made in treating his own debilitating medical problems. How Doctors Think reveals a profound new view of twenty-first-century medical practice, giving doctors and patients the vital information they need to make better judgments together.

Medical Decision Making

Medical Decision Making PDF Author: Harold C. Sox
Publisher: John Wiley & Sons
ISBN: 1118341562
Category : Medical
Languages : en
Pages : 368

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Book Description
This book clearly demonstrates how to best make medicaldecisions while incorporating clinical practice guidelines anddecision support systems for electronic medical record systems. New to this edition is how medical decision making ideas arebeing incorporated into clinical decision support systems inelectronic medical records and also how they are being used toshape practice guidelines and policies.

Physician-Patient Decision-Making

Physician-Patient Decision-Making PDF Author: Douglas N. Walton
Publisher: Praeger
ISBN:
Category : History
Languages : en
Pages : 300

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Book Description
Walton offers a comprehensive, flexible model for physician-patient decision making, the first such tool designed to be applied at the level of each particular case. Based on Aristotelian practical reasoning, it develops a method of reasonable dialogue, a question- and-answer process of interaction leading to informed consent on the part of the patient, and to a decision--mutually arrived at--reflecting both high medical standards and the patient's felt needs. After setting forth his model, he applies it to three vital ethical issues: acts of omission, the cessation of treatment, and possible side effects of treatments. In the final chapter, Walton shows how his method functions in light of the real-life complexities of the clinical encounter and how it bears on ethical questions concerning health-care policy, attitudes toward treatment and toward the medical profession, reasonableness of expectations, and the setting of realistic goals of treatment.

Decision Making in Health Care

Decision Making in Health Care PDF Author: Gretchen B. Chapman
Publisher: Cambridge University Press
ISBN: 9780521541244
Category : Medical
Languages : en
Pages : 456

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Book Description
Decision Making in Health Care, first published in 2000, is a comprehensive overview of the field of medical decision making.

Equity and excellence:

Equity and excellence: PDF Author: Great Britain: Department of Health
Publisher: The Stationery Office
ISBN: 9780101788120
Category : Medical
Languages : en
Pages : 64

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Book Description
Equity and Excellence : Liberating the NHS: Presented to Parliament by the Secretary of State for Health by Command of Her Majesty

Critical Decisions

Critical Decisions PDF Author: Peter A. Ubel
Publisher: Harper Collins
ISBN: 0062103881
Category : Health & Fitness
Languages : en
Pages : 281

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Book Description
We've all been there, sittinguncomfortably in a paper gownas a doctor impassively describesour prognosis. Sometimes it's simple andtreatable. Other times we get news wecan't fathom and then are faced withdecisions that are literally life and death. In this revolutionary book, physician,behavioral scientist, and bioethicist PeterUbel, M.D., reveals how hidden dynamicsin the doctor/patient relationship keepus and our loved ones from making thebest medical choices. From doctors whostruggle to explain, to patients who failto properly listen, countless factors alterthe course of our care, causing things togo seriously awry. With riveting stories of Ubel's own experiencein the field, his groundbreakingresearch, and his personal journey walkingloved ones through difficult treatmentchoices, Critical Decisions will foreverchange the way we communicate insidehospitals and medical offices, wherethoughtful decision making matters themost. Dr. Ubel has been on both endsof the stethoscope, and in this book,he shows how patients and doctorscan learn to become partners and worktogether to make the right choices. Fromchoosing to get surgery, to discussingthe side effects of a blood pressure medication,we can finally discover the toolsto improve communication, understandthe issues, and make confident decisionsfor our future health and happiness.