The Gold Standard: The Challenge Of Evidence-Based Medicine

Forsideomslag
Temple University Press, 2010 - 280 sider
Few things make people react more strongly to the changes going on in health care than the word standardization. Critics shudder at the mindless sameness of standards, while supporters dream of a world in which standardized best practices open up a world of efficient health care delivery. The Gold Standard takes up this debate to investigate the real meaning of standardization and how it affects patients, doctors, and the institution of medicine.Showing that standards are not about less or more skills, or more or less uniformity, but rather about a redefinition of autonomy, patients, and relationships, Timmermans and Berg show instead that they are about creating new worlds of medical treatment. Cutting through the hype and fears, the authors show where the true powers of standardization lie. The Gold Standard will become a classic for students of medicine and health care policy, and will be a welcome book for anyone concerned with the future of our system of care.
 

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Indhold

Standardization in Medicine in the Twentieth Century The Emergence of the PaperBased Patient Record
30
Standards at Work A Dynamic Transformation of Medicine
53
From Autonomy to Accountability? Clinical Practice Guidelines and Professionalization
80
Guidelines Professionals and the Production of Objectivity in Insurance Medicine
115
EvidenceBased Medicine and Learning to Doctor
140
Standardizing Risk A Case Study of Thalidomide
164
The Quest for Quality
193
Notes
215
Bibliography
241
Index
263
Copyright

Almindelige termer og sætninger

Populære passager

Side 3 - Guidelines are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical conditions.
Side 5 - A = There is good evidence to support the recommendation that the condition be specifically considered in a periodic health examination; B = There is fair evidence to support the recommendation that the condition be specifically considered in a periodic health examination...
Side 5 - D. There is fair evidence to support the recommendation that the condition be excluded from consideration in a periodic health examination.
Side 7 - Research) in partnership with the American Medical Association and the American Association of Health Plans.
Side 254 - Introducing physician order entry at a major academic medical center: I. Impact on organizational culture and behavior.

Om forfatteren (2010)

Stefan Timmermans is Associate Professor of Sociology at Brandeis University, and author of Sudden Death and the Myth of CPR (Temple), which was nominated for the C. Wright Mills Book Award.

Marc Berg is Professor of Social Medical Sciences at the Erasmus University Medical Center in The Netherlands, and author of Rationalizing Medical Work: A Study of Decision Support Techniques and Medical Practices.

Bibliografiske oplysninger