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TitleOrganisation and Management of Intensive Care [electronic resource] : A Prospective Study in 12 European Countries / edited by Dinis Reis Miranda, David W. Ryan, Wilmar B. Schaufeli, Vรกclav Fidler
ImprintBerlin, Heidelberg : Springer Berlin Heidelberg : Imprint: Springer, 1998
Connect tohttp://dx.doi.org/10.1007/978-3-642-60270-2
Descript XX, 286p. 46 illus. online resource

SUMMARY

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 imaginaยญ tion is also caught up in the darker side, when agonizing decisions have to be made to avoid futile and inhuman continuation of expenยญ sive treatments. My analytical interests led me to approach these issues by asking what the evidence tells us about which leu activities are very beneยญ 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. Unforยญ tunately, it is very hard to answer these questions because it has proยญ ved very difficult to investigate these issues in the manner which is now regarded as the "gold standard:' namely by conducting randoยญ 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 geยญ nuine doubt as to which practices are best -the two conditions that need to be fulfilled before such a trial is justifiable


CONTENT

EURICUS-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


Medicine Critical care medicine Medicine & Public Health Intensive / Critical Care Medicine



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