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Overview"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." Full Product DetailsAuthor: D. Reis Miranda , D.W. Ryan , Wilmar Schaufeli , V. FidlerPublisher: Springer-Verlag Berlin and Heidelberg GmbH & Co. KG Imprint: Springer-Verlag Berlin and Heidelberg GmbH & Co. K Edition: Softcover reprint of the original 1st ed. 1998 Volume: 29 Dimensions: Width: 15.50cm , Height: 1.60cm , Length: 23.50cm Weight: 0.476kg ISBN: 9783642643286ISBN 10: 3642643280 Pages: 286 Publication Date: 18 September 2011 Audience: Professional and scholarly , Professional & Vocational Format: Paperback Publisher's Status: Active Availability: Manufactured on demand  We will order this item for you from a manufactured on demand supplier. Table of ContentsEURICUS-I: Introduction.- 1 Study Design.- 2 Study Results.- 3 Integration of Substudies.- 4 Conclusions.- 5 Recommendations.- 6 Field Work.- 7 Substudies.- 8 Highlights on the EURICUS-I Data.- III.- Participants in EURICUS-I.ReviewsAuthor InformationTab Content 6Author Website:Countries AvailableAll regions |
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