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ISBN: 9783954664580 Year: 2015 Pages: 209 DOI: 10.32745/9783954664580-2 Language: German
Publisher: MWV Medizinisch Wissenschaftliche Verlagsgesellschaft
Subject: Public Health
Added to DOAB on : 2020-07-08 00:00:46
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"Medical innovations and demographic change will further exacerbate the financial situation in the German healthcare system in the coming years. The evidence-based allocation of the limited funds available will therefore become increasingly important. From an ethical perspective, allocation decisions should be based on clearly defined procedures and criteria. So far, however, there are no concrete approaches on how this explicit performance control can be implemented in practice. The book provides an overview of the results of the interdisciplinary research association ""Allocation"", which for the first time examined the possibilities and limits of explicit performance management in two selected practical areas (interventional cardiology and intensive care medicine). Two exemplary cost-sensitive guidelines have been developed that enable an evidence-based balance between efficiency and justice. The legal requirements for such an explicit benefit management in statutory health insurance were examined in detail. Healthcare professionals and patients were asked for their assessments of the strengths and weaknesses of the cost-sensitive guidelines."
cost sensitivity --- assessment of benefit --- scarcity of capital --- evidence based medicine --- prioritization
ISBN: 9783476057037 Year: 2020 Pages: 148 DOI: 10.1007/978-3-476-05703-7 Language: English
Publisher: Springer Nature
Subject: Science (General) --- Philosophy --- Medicine (General)
Added to DOAB on : 2020-07-15 23:59:18
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This open access book aims to clarify the term „evidence-based medicine“ (EBM) from a philosophy of science perspective. The author, Marie-Caroline Schulte discusses the importance of evi-dence in medical research and practice with a focus on the ethical and methodological prob-lems of EBM. The claims that EBM can herald a new theory of epistemology and a Kuhnian paradigm will be refuted. The solution is to describe EBM as a necessary development in medicine to deal with the increasing amount of evidence and medical data without loosing the single patient out of sight.
Philosophy of Science --- Philosophy of Medicine --- Medicine/Public Health, general --- Clinical Medicine --- Philosophy of medicine --- Hahnemann Edzard Ernst --- Jeremy Howick --- Thomas Kuhn --- Homeopathy --- Epistemology --- Informed consent --- ECMO --- Tuskegee --- Placebo --- Bench to bedside --- External validity --- Randomised controlled trials --- Evidence-based medicine --- Open Access --- Philosophy of science --- Philosophy --- Medicine: general issues
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