Part 1 Background: the nature of inquiry, Howard S. Frazier and Frederick Mosteller; evaluating medical technologies, Frederick Mosteller and Howard S. Frazier. Part 2 Physician performance: laparoscopic cholecystectomy for gallstones, Leon D. Goldman; preserving vision in diabetic retinopathy - the impact of laser treatment, Michael R. Albert and Daniel M. Albert; the treatment of unipolar depression, Howard S. Frazier. Part 3 Perverse financial incentives: kidney transplantation, Miriam E. Adams; epoetin therapy for renal anemia - health policy and quality-of-life perspectives, Jennifer F. Taylor. Part 4 Patient empowerment: the control of postoperative pain, Jane C. Ballantyne et al. Part 5 Monitoring and delivering care: immunization against measles, Donald N. Medearis, Jr; treatment of hypertension, Sidney Klawansky. Part 6 The delivery of routine care - visual and dental health: the contributions of lenses to visual health, Georgianna Marks et al; dentistry, Alexia Antczak-Bouckoms and J.F.C. Tulloch. Part 7 Quality of life and cost-effectiveness: total joint replacement for the treatment of osteoarthritis, Jennifer F. Taylor and Elisabeth Burdick. Part 8 Unanticipated effects of treatment: peptic ulcer, Thomas C. Chalmers; oral contraceptives - post-marketing surveillance and rare, late complications of drugs, Howard S. Frazier and Graham A. Colditz. Part 9 Administrative innovations: surgery and anesthesiology, Debra R. Milamed and John Hedley-Whyte. Part 10 Conclusions and recommendations: improving the health care system, Frederick Mosteller and Howard S. Frazier; innovation-specific improvements, Frederick Mosteller and Howard S. Frazier; recommendations for change, Howard S. Frazier and Frederick Mosteller.
Howard S. Frazier was Professor of Medicine, Emeritus, at Harvard Medical School and Professor Emeritus in the Department of Health Policy and Management at the Harvard School of Public Health. C. Frederick Mosteller was Roger I. Lee Professor of Mathematical Statistics, Emeritus, at Harvard University and Director of the Technology Assessment Group in the Department of Health Policy and Management at the Harvard School of Public Health.
In Medicine Worth Paying For, the editors…begin by asking ‘How is
medicine doing?’ Many of the 14 case studies included suggest a
qualified positive assessment… This book is far more than a round
of applause for medical advances that have been proven to yield
health benefits. The editors criticize the methods by which medical
interventions are studied, or, not studied… The editors…[have]
distinguished backgrounds in technology assessment…[and] the text
itself is highly readable, and sufficiently accessible so that lay
readers will find it readily comprehensible.
*Nature Medicine*
[T]his book would be valuable for many audiences, especially for
policymakers, because it identifies most of the serious
deficiencies in the American health care delivery system and
suggests remedial steps that are endorsed by virtually all serious
scholars of the problems this nation faces on the scientific side
of health care. Health professionals and medical and nursing
students, as well as lay readers, should find this book very
informative in helping them to understand the issues in present-day
health care delivery in the United States.
*Academic Medicine*
This book is grounded in solid reviews of clinical studies, shows
awareness of the economic consequences of alternative
interventions, and is sensitive to the social and psychological
factors that affect the well being of patients. It deserves a wide
audience among physicians, other health professionals, and all
those responsible for public and private health policy
decisions.
*Victor R. Fuchs, Henry J. Kaiser, Jr., Professor, Emeritus,
Stanford University*
This book is must reading for anyone interested in the role of new
technologies in medicine. Two eminent scholars, Professors Frazier
and Mosteller, and their colleagues discuss examples of specific
new technologies—how they are evaluated, how they are accepted in
the market place, and how their impact on the cost and the quality
of medical care is evaluated. As the United States and most Western
nations struggle with the challenges of containing the rise in the
costs of care, while preserving and enhancing the quality of care,
the lessons taught in this book will be instructive and sometimes
sobering.
*Anthony L. Komaroff, M.D., Director, Division of General Medicine
and Primary Care, Brigham and Women’s Hospital, Boston*
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