Doctors Decisions

Author : Peter A. Ubel
Publisher : Harper Collins
Page : 281 pages
File Size : 53,6 Mb
Release : 2012-09-11
Category : Health & Fitness
ISBN : 9780062103888

Get Book

Critical Decisions by Peter A. Ubel Pdf

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.

Author : John Meyer Eisenberg
Publisher : Unknown
Page : 204 pages
File Size : 46,6 Mb
Release : 1986
Category : Medical
ISBN : UOM:39076000499959

Get Book

Doctors' Decisions and the Cost of Medical Care by John Meyer Eisenberg Pdf

This book is an introduction to the research that has elucidated the reasons doctors practice the way they do and make the decisions they do. It reviews the complex array of motivations in medical practice. The book also reviews the programs that have been used to change physicians' prescription of medical services, including education, feedback, participation, administrative rules, incentives, and penalties.1: Understanding variations in physicians' practice patterns. 2: Changing physicians' practice patterns. 3: Directions for research on physician utilization

Author : Les Irwig
Publisher : Judy Irwig
Page : 255 pages
File Size : 42,7 Mb
Release : 2008
Category : Health & Fitness
ISBN : 9781905140176

Get Book

Smart Health Choices by Les Irwig Pdf

Every day we make decisions about our health - some big and some small. What we eat, how we live and even where we live can affect our health. But how can we be sure that the advice we are given about these important matters is right for us? This book will provide you with the right tools for assessing health advice.

Author : Institute of Medicine,Board on Health Sciences Policy,Committee on Conflict of Interest in Medical Research, Education, and Practice
Publisher : National Academies Press
Page : 436 pages
File Size : 52,8 Mb
Release : 2009-09-16
Category : Medical
ISBN : 9780309145442

Get Book

Conflict of Interest in Medical Research, Education, and Practice by Institute of Medicine,Board on Health Sciences Policy,Committee on Conflict of Interest in Medical Research, Education, and Practice Pdf

Collaborations of physicians and researchers with industry can provide valuable benefits to society, particularly in the translation of basic scientific discoveries to new therapies and products. Recent reports and news stories have, however, documented disturbing examples of relationships and practices that put at risk the integrity of medical research, the objectivity of professional education, the quality of patient care, the soundness of clinical practice guidelines, and the public's trust in medicine. Conflict of Interest in Medical Research, Education, and Practice provides a comprehensive look at conflict of interest in medicine. It offers principles to inform the design of policies to identify, limit, and manage conflicts of interest without damaging constructive collaboration with industry. It calls for both short-term actions and long-term commitments by institutions and individuals, including leaders of academic medical centers, professional societies, patient advocacy groups, government agencies, and drug, device, and pharmaceutical companies. Failure of the medical community to take convincing action on conflicts of interest invites additional legislative or regulatory measures that may be overly broad or unduly burdensome. Conflict of Interest in Medical Research, Education, and Practice makes several recommendations for strengthening conflict of interest policies and curbing relationships that create risks with little benefit. The book will serve as an invaluable resource for individuals and organizations committed to high ethical standards in all realms of medicine.

Author : Jerome Groopman
Publisher : HarperCollins
Page : 325 pages
File Size : 43,5 Mb
Release : 2008-03-12
Category : Medical
ISBN : 9780547348636

Get Book

How Doctors Think by Jerome Groopman Pdf

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.

Author : Gerd Gigerenzer,J.A. Muir Gray
Publisher : MIT Press
Page : 404 pages
File Size : 40,9 Mb
Release : 2013-01-11
Category : Medical
ISBN : 9780262518529

Get Book

Better Doctors, Better Patients, Better Decisions by Gerd Gigerenzer,J.A. Muir Gray Pdf

How eliminating “risk illiteracy” among doctors and patients will lead to better health care decision making. Contrary to popular opinion, one of the main problems in providing uniformly excellent health care is not lack of money but lack of knowledge—on the part of both doctors and patients. The studies in this book show that many doctors and most patients do not understand the available medical evidence. Both patients and doctors are “risk illiterate”—frequently unable to tell the difference between actual risk and relative risk. Further, unwarranted disparity in treatment decisions is the rule rather than the exception in the United States and Europe. All of this contributes to much wasted spending in health care. The contributors to Better Doctors, Better Patients, Better Decisions investigate the roots of the problem, from the emphasis in medical research on technology and blockbuster drugs to the lack of education for both doctors and patients. They call for a new, more enlightened health care, with better medical education, journals that report study outcomes completely and transparently, and patients in control of their personal medical records, not afraid of statistics but able to use them to make informed decisions about their treatments.

Author : Danielle Ofri
Publisher : Beacon Press
Page : 232 pages
File Size : 50,5 Mb
Release : 2013-06-04
Category : Medical
ISBN : 9780807073339

Get Book

What Doctors Feel by Danielle Ofri Pdf

A look at the emotional side of medicine—the shame, fear, anger, anxiety, empathy, and even love that affect patient care Physicians are assumed to be objective, rational beings, easily able to detach as they guide patients and families through some of life’s most challenging moments. But doctors’ emotional responses to the life-and-death dramas of everyday practice have a profound impact on medical care. And while much has been written about the minds and methods of the medical professionals who save our lives, precious little has been said about their emotions. In What Doctors Feel, Dr. Danielle Ofri has taken on the task of dissecting the hidden emotional responses of doctors, and how these directly influence patients. How do the stresses of medical life—from paperwork to grueling hours to lawsuits to facing death—affect the medical care that doctors can offer their patients? Digging deep into the lives of doctors, Ofri examines the daunting range of emotions—shame, anger, empathy, frustration, hope, pride, occasionally despair, and sometimes even love—that permeate the contemporary doctor-patient connection. Drawing on scientific studies, including some surprising research, Dr. Danielle Ofri offers up an unflinching look at the impact of emotions on health care. With her renowned eye for dramatic detail, Dr. Ofri takes us into the swirling heart of patient care, telling stories of caregivers caught up and occasionally torn down by the whirlwind life of doctoring. She admits to the humiliation of an error that nearly killed one of her patients and her forever fear of making another. She mourns when a beloved patient is denied a heart transplant. She tells the riveting stories of an intern traumatized when she is forced to let a newborn die in her arms, and of a doctor whose daily glass of wine to handle the frustrations of the ER escalates into a destructive addiction. But doctors don’t only feel fear, grief, and frustration. Ofri also reveals that doctors tell bad jokes about “toxic sock syndrome,” cope through gallows humor, find hope in impossible situations, and surrender to ecstatic happiness when they triumph over illness. The stories here reveal the undeniable truth that emotions have a distinct effect on how doctors care for their patients. For both clinicians and patients, understanding what doctors feel can make all the difference in giving and getting the best medical care.

Author : Ole Hartling
Publisher : Bloomsbury Publishing
Page : 216 pages
File Size : 49,7 Mb
Release : 2021-03-25
Category : Philosophy
ISBN : 9781350186231

Get Book

Euthanasia and the Ethics of a Doctor’s Decisions by Ole Hartling Pdf

Why do so many doctors have profound misgivings about the push to legalise euthanasia and assisted suicide? Ole Hartling uses his background as a physician, university professor and former chairman of the Danish Council of Ethics to introduce new elements into what can often be understood as an all too simple debate. Alive to the case that assisted dying can be driven by an unattainable yearning for control, Hartling concentrates on two fundamental questions: whether the answer to suffering is to remove the sufferer, and whether self-determination in dying and death is an illusion. He draws on his own experience as a medical doctor to personalize the ethical arguments, share patients' narratives and make references to medical literature. Here is a sceptical stance towards euthanasia, one that is respectful to those who hold different opinions and well-informed about the details and nuances of different euthanasia practices. Written from a Scandinavian perspective, where respect for autonomy and high quality palliative care go hand in hand, Hartling's is a nuanced, valuable contribution to the arguments that surround a question doctors have faced since the birth of medicine. He shows us how the intentions of doing something good can sometimes lead to even greater dilemmas, opening us up to those situations where an inclination to end suffering by ending life is deeply conflicting both for the clinician and for any fellow human being.

Author : Kathryn Montgomery
Publisher : Oxford University Press
Page : 258 pages
File Size : 53,5 Mb
Release : 2006
Category : Medical
ISBN : 9780195187120

Get Book

How Doctors Think by Kathryn Montgomery Pdf

"Although physicians make use of science, this book argues that medicine is not itself a science, but rather an interpretive practice that relies heavily on clinical reasoning." "In How Doctors Think, Kathryn Montgomery contends that assuming medicine is strictly a science can have adverse effects. She suggests these can be significantly reduced by recognizing the vital role of clinical judgment."--BOOK JACKET.

Author : Gerald B. Robertson,Ellen I. Picard
Publisher : Unknown
Page : 685 pages
File Size : 50,7 Mb
Release : 2017
Category : Physicians
ISBN : 077988096X

Get Book

Legal Liability of Doctors and Hospitals in Canada by Gerald B. Robertson,Ellen I. Picard Pdf

Author : Anonim
Publisher : Unknown
Page : 60 pages
File Size : 48,5 Mb
Release : 2008
Category : Informed consent (Medical law)
ISBN : 0901458317

Get Book

Consent by Anonim Pdf

Author : Marc A. Rodwin
Publisher : Oxford University Press
Page : 432 pages
File Size : 55,7 Mb
Release : 1995-04-20
Category : Medical
ISBN : 9780198024262

Get Book

Medicine, Money, and Morals by Marc A. Rodwin Pdf

Marc A. Rodwin draws on his own experience as a health lawyer--and his research in health ethics, law, and policy--to reveal how financial conflicts of interest can and do negatively affect the quality of patient care. He shows that the problem has become worse over the last century and provides many actual examples of how doctors' decisions are influenced by financial considerations. We learn how two California physicians, for example, resumed referrals to Pasadena General Hospital only after the hospital started paying $70 per patient (their referrals grew from 14 in one month to 82 in the next). As Rodwin writes, incentives such as this can inhibit a doctor from taking action when a hospital fails to provide proper service, and may also lead to the unnecessary hospitalization of patients. We also learn of a Wyeth-Ayerst Labs promotion in which physicians who started patients on INDERAL (a drug for high blood pressure, angina, and migraines) received 1000 mileage points on American Airlines for each patient (studies show that promotions such as this have a direct effect on a doctor's choice of drug). Rodwin reveals why the medical community has failed to regulate conflicts of interest: peer review has little authority, state licensing boards are usually ignorant of abuses, and the AMA code of ethics has historically been recommended rather than required. He examines what can be learned from the way society has coped with the conflicts of interest of other professionals --lawyers, government officials, and businessmen--all of which are held to higher standards of accountability than doctors. And he recommends that efforts be made to prohibit and regulate certain kinds of activity (such as kickbacks and self-referrals), to monitor and regulate conduct, and to provide penalties for improper conduct. Our failure to face physicians' conflicts of interest has distorted the way medicine is practiced, compromised the loyalty of doctors to patients, and harmed society, the integrity of the medical profession, and patients. For those concerned with the quality of health care or medical ethics, Medicine, Money and Morals is a provocative look into the current health care crisis and a powerful prescription for change.

Author : Maureen A. Coombs
Publisher : Routledge
Page : 167 pages
File Size : 47,7 Mb
Release : 2004-02-24
Category : Medical
ISBN : 9781134416479

Get Book

Power and Conflict Between Doctors and Nurses by Maureen A. Coombs Pdf

Through observations in three intensive care units, this book draws on the reality of practice to explore how nurses and doctors work in intensive care settings. It examines: · the power held by the competing knowledge bases · the roles of the different professions · the decision-making process · the sources of conflict · the need for change. Drawing together sociological theories and clinical practice, Power and Conflict Between Doctors and Nurses explores the role of nurses in delivering contemporary health care. It makes a strong case for interdisciplinary working and is particularly timely when health care policy is challenging work boundaries in health care.

Author : Carl Schneider
Publisher : Oxford University Press, USA
Page : 346 pages
File Size : 43,6 Mb
Release : 1998
Category : Autonomy (Psychology)
ISBN : 0195113977

Get Book

The Practice of Autonomy by Carl Schneider Pdf

"Exploring what patients do want gives direction to the author's inquiry into what they should want. What patients want, he believes, is properly more complex and ambiguous than being "empowered." In this book he charts that ambiguity to take the autonomy principle past current pieties into the uncertain realities of the sick room and the hospital ward." "The Practice of Autonomy is a sympathetic but trenchant study of the animating principle of modern bioethics. It speaks with freshness, insight, and even passion to bioethicists and moral philosophers (about their theories), to lawyers (about their methods), to medical sociologists (about their subject), to policy-makers (about their ambitions), to doctors (about their work), and to patients (about their lives)."--BOOK JACKET.

Author : Pieter Kubben,Michel Dumontier,Andre Dekker
Publisher : Springer
Page : 219 pages
File Size : 42,7 Mb
Release : 2018-12-21
Category : Medical
ISBN : 9783319997131

Get Book

Fundamentals of Clinical Data Science by Pieter Kubben,Michel Dumontier,Andre Dekker Pdf

This open access book comprehensively covers the fundamentals of clinical data science, focusing on data collection, modelling and clinical applications. Topics covered in the first section on data collection include: data sources, data at scale (big data), data stewardship (FAIR data) and related privacy concerns. Aspects of predictive modelling using techniques such as classification, regression or clustering, and prediction model validation will be covered in the second section. The third section covers aspects of (mobile) clinical decision support systems, operational excellence and value-based healthcare. Fundamentals of Clinical Data Science is an essential resource for healthcare professionals and IT consultants intending to develop and refine their skills in personalized medicine, using solutions based on large datasets from electronic health records or telemonitoring programmes. The book’s promise is “no math, no code”and will explain the topics in a style that is optimized for a healthcare audience.