Hope or hype : the obsession with medical advances and the high cost of false promises / Richard A. Deyo, Donald L. Patrick.

Format:

Book

Author/Creator:

Deyo, Richard A.

Contributor:

Patrick, Donald L.

Language:

English

Subjects (All):

Medical innovations--United States--Evaluation.

Medical innovations.

Medical technology--United States--Evaluation.

Medical technology.

Medical care--Technological innovations--United States--Evaluation.

Medical care.

Medical care--United States--Evaluation.

Medical innovations--Economic aspects--United States.

Medical technology--United States--Cost effectiveness.

Medical care--Technological innovations--United States--Cost effectiveness.

Medical care, Cost of--United States.

Medical care, Cost of.

Physical Description:

1 online resource (352 p.)

Edition:

1st ed.

Place of Publication:

New York : AMACOM, American Management Association, c2005.

Language Note:

English

Summary:

Hope or Hype' looks at what drives the American obsession with medical "miracles," revealing the roles of: equipment manufacturers and pharmaceutical companies; doctors and hospitals too quick to order surgery or expensive medications; the politicians; the press; and our own "technoconsumption" mindset.

Contents:

Can there be too much of a good thing? the hazards of uncritically embracing medical advances

What's the problem? don't we need lifesaving new treatments?

Medical innovations and American culture: the call of the sirens

Why more isn't always better: red herrings, side effects, and superbugs

Why newer isn't always better: unpleasant surprises, recalls, and learning curves

Social hazards: what we lose by uncritical use of new treatments

How things really work: opinion makers and regulators of medical advances

What will you swallow? how drug companies get you to buy more expensive drugs than you may need

Making friends, playing monopoly, and dirty tricks: other industry strategies

Stacking the deck? how to get the "right" answer in clinical research

"Cancer cured

film at 11:00": the media's role in disseminating medical advances

Doctors and hospitals: fueling the drive for new and more

Advocacy groups: Mother Teresa's waiting room

Holes in the safety net: the FDA and the FTC

Ineffective. inferior or needlessly costly new drugs

Medical devices that disappoint

Ineffective or needlessly extensive surgery

Weight loss technology: shedding pounds from your waistline or your wallet?

For doctors: evidence-based medicine

For insurers and researchers: pay now or pay more later

For all decision makers: getting value for money

For government: regulatory approaches to improve the dissemination of medical innovations

For consumers: shared decision making.

Useless, harmful, or marginal: popular treatments that caused unnecessary disability, dollar costs, or death

Ineffective or inferior new drugs

Crossing the threshold: improving the transition from "experimental" to "standard care"

Notes:

Bibliographic Level Mode of Issuance: Monograph

Includes bibliographical references (p. [291]-326) and index.

ISBN:

1-281-12625-X

9786611126254

0-8144-2859-2

OCLC:

614665643