| Organisation and Management of Intensive Care: A Prospective Study in 12 European Countries Softcover Repri Edition Contributor(s): Reis Miranda, D. (Editor), Ryan, D. W. (Editor), Schaufeli, Wilmar (Editor) |
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ISBN: 3642643280 ISBN-13: 9783642643286 Publisher: Springer OUR PRICE: $104.49 Product Type: Paperback - Other Formats Published: September 2011 |
| Additional Information |
| BISAC Categories: - Medical | Critical Care |
| Dewey: 616.028 |
| Series: Update in Intensive Care and Emergency Medicine |
| Physical Information: 0.65" H x 6.14" W x 9.21" (0.97 lbs) 286 pages |
| Descriptions, Reviews, Etc. |
| Publisher Description: 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. |