Decision making in health care means navigating through a complex and tangled web of diagnostic and therapeutic uncertainties, patient preferences and values, and costs. In addition, medical therapies may include side effects, surgery may lead to undesirable complications, and diagnostic technologies may produce inconclusive results. In many clinical and health policy decisions it is necessary to counterbalance benefits and risks, and to trade off competing objectives such as maximizing life expectancy vs optimizing quality of life vs minimizing the required resources. This textbook plots a clear course through these complex and conflicting variables. It clearly explains and illustrates tools for integrating quantitative evidence-based data and subjective outcome values in making clinical and health policy decisions. An accompanying CD-ROM features solutions to the exercises, PowerPoint® presentations of the illustrations, and sample models and tables.
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Editorial Reviews
Review
"It is very readable, making a complex subject appear crystal clear and easy to understand. The exercises at the end of each chapter provide a useful check of understanding and examples of how to apply the skills...Overall, this book is a very useful addition to the literature on evidence-based health care, providing clear strategies for incorporating decision analysis into our daily decision making." Neuroradiology
"This is an impressively comprehensive approach to clinical decision-making with every angle considered, advantages and disadvantages tabulated." Journal of the Royal Society of Medicine
"Decision Making in Health and Medicine is an excellent resource dealing with the conduct of increasingly important and ubiquitous aids." ACP Journal Club
"Very thought provoking." Doctors.net
"The book is extremely well supported by exercises and the accompanying CD , and was well liked by our students...The book could also be a useful stepping stone to more advanced techniques in modeling or diagnostic test research but does not go into sufficient detail in the application of advanced tools such as Monte Carlo simulation to be used in isolation." - Brendan Delaney, University of Binghamton
"This is an impressively comprehensive approach to clinical decision-making with every angle considered, advantages and disadvantages tabulated." Journal of the Royal Society of Medicine
"Decision Making in Health and Medicine is an excellent resource dealing with the conduct of increasingly important and ubiquitous aids." ACP Journal Club
"Very thought provoking." Doctors.net
"The book is extremely well supported by exercises and the accompanying CD , and was well liked by our students...The book could also be a useful stepping stone to more advanced techniques in modeling or diagnostic test research but does not go into sufficient detail in the application of advanced tools such as Monte Carlo simulation to be used in isolation." - Brendan Delaney, University of Binghamton
Book Description
Decision making in health care involves navigating through a complex and tangled web of diagnostic and therapeutic uncertainties, patient preferences and values, and costs. In many clinical and health policy decisions it is necessary to counterbalance benefits and risks, and to trade off competing objectives such as maximizing life expectancy vs optimizing quality of life vs minimizing the resources required. This textbook plots a clear course through these complex and conflicting variables and is designed for practitioners and trainees, and for students studying clinical decision analysis, EB-medicine, and clinical epidemiology.
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Most Helpful Customer Reviews
10 of 10 people found the following review helpful:
5.0 out of 5 stars
Refreshing Look at Medical Decision Making,
By Onyebuchi Arah "OAC" (Los Angeles) - See all my reviews
This review is from: Decision Making in Health and Medicine: Integrating Evidence and Values (Paperback)
Clearly written! Excellent choice of exercises! This will make a good reading for anyone even remotely interested in making decisions in health care or medicine. The methods and techniques elucidated here will be useful at all levels of the health care system. Get a copy of this book and do not drop it until you've read it all. Probably, the most comprehensible state-of-the-art textbook of medical decision sciences devoid of undue jargon.
6 of 6 people found the following review helpful:
5.0 out of 5 stars
Simply excelent !!!,
This review is from: Decision Making in Health and Medicine: Integrating Evidence and Values (Paperback)
It is the most helpful book on decision processes in health economics and outcomes research. Not alone, it is fully compliant with the TreeAge software as far as terminology is concerned.
Ales Tichopad CEEOR (Central and Eastern European Outcomes Research)
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Inside This Book
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First Sentence:
How are decisions made in practice, and can we improve the process? Read the first page Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
poststroke state, dichotomous test results, needlestick example, tracker variables, positivity criterion, spree problem, cohort simulation, lowest disutility, immediate thrombolytic therapy, atrial fibrillation example, selective stent placement, posttest odds, varying initial states, tree inversion, withholding anticoagulation, pretest odds, positivity criteria, posttest probability, treatment threshold, net health benefits, underlying true value, chance tree, extended dominance, probability revision, utility for the health state Key Phrases - Capitalized Phrases (CAPs): (learn more)
Monte Carlo, New York, Exercises Exercise, Health Econ, United States, Big Blue Test, Dead Dead, Oxford University Press, World Bank, Cambridge University Press, Collaborative Group, Exercises Table, Great Barrington, North River Press, Smart Choices, Well Figure New!
Books on Related Topics | Concordance | Text Stats Browse Sample Pages:
Front Cover | Table of Contents | First Pages | Index | Back Cover | Surprise Me!
How are decisions made in practice, and can we improve the process? Read the first page Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
poststroke state, dichotomous test results, needlestick example, tracker variables, positivity criterion, spree problem, cohort simulation, lowest disutility, immediate thrombolytic therapy, atrial fibrillation example, selective stent placement, posttest odds, varying initial states, tree inversion, withholding anticoagulation, pretest odds, positivity criteria, posttest probability, treatment threshold, net health benefits, underlying true value, chance tree, extended dominance, probability revision, utility for the health state Key Phrases - Capitalized Phrases (CAPs): (learn more)
Monte Carlo, New York, Exercises Exercise, Health Econ, United States, Big Blue Test, Dead Dead, Oxford University Press, World Bank, Cambridge University Press, Collaborative Group, Exercises Table, Great Barrington, North River Press, Smart Choices, Well Figure New!
Books on Related Topics | Concordance | Text Stats Browse Sample Pages:
Front Cover | Table of Contents | First Pages | Index | Back Cover | Surprise Me!
Citations (learn more)
This book cites 37
books:
See all 37 books this book cites
5
books
cite this book:
- Cost-Effectiveness in Health and Medicine by Marthe R. Gold on 5 pages
- Clinical Decision Analysis by Milton C. Weinstein on 4 pages
- An Introduction to the Bootstrap (Chapman & Hall/CRC Monographs on Statistics & Applied Probability) by Bradley Efron on page 211, and page 361
- The Merck Manual of Diagnosis and Therapy, 18th Edition by Mark H. Beers on page 2, and page 31
- The Handbook of Research Synthesis by Harris Cooper on page 243, and page 361
See all 37 books this book cites
- Evidence Based Medicine: In its Place by I. Kristiansen on page 122
- Toward Safer Food: Perspectives on Risk and Priority Setting by Sandra A. Hoffman in Front Matter
- Prevention Effectiveness: A Guide to Decision Analysis and Economic Evaluation by Anne C. Haddix on page 193
- Medicine of the Person: Faith, Science and Values in Health Care Provision by John Cox on page 28
- Focused Operations Management for Health Services Organizations by Boaz Ronen in Front Matter
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