| 書目名稱 | Organisation and Management of Intensive Care | | 副標(biāo)題 | A Prospective Study | | 編輯 | Dinis Reis Miranda,David W. Ryan,Václav Fidler | | 視頻video | http://file.papertrans.cn/704/703920/703920.mp4 | | 叢書名稱 | Update in Intensive Care and Emergency Medicine | | 圖書封面 |  | | 描述 | 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 whi | | 出版日期 | Book 1998 | | 關(guān)鍵詞 | care; health care economics; health services research; human resources; intensive care; intensive care un | | 版次 | 1 | | doi | https://doi.org/10.1007/978-3-642-60270-2 | | isbn_softcover | 978-3-642-64328-6 | | isbn_ebook | 978-3-642-60270-2Series ISSN 0933-6788 | | issn_series | 0933-6788 | | copyright | Springer-Verlag Berlin Heidelberg 1998 |
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