ICU Resource Allocation in the New Millennium: Will We Say No?

di Crippen • 2012 • dettagli prodotto

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DESCRIZIONE

Written by leading international experts in critical care practice, biomedical ethics, and law and medicineThis is the first book since the advent of the global economic crisis and American health care reform to address resource allocation in critical care, the most expensive utilization in the hospital setting, and often the most demanded, especially in the context of the end of life.Up-to-date informationIntensive care medicine is one of the fastest growing services provided by hospitals and perhaps one of the most expensive. Yet in response to the global financial crisis of the last few years, healthcare funding is slowing or decreasing throughout the world. How we manage health care resources in the intensive care unit (ICU) now and in a future that promises only greater cost constraints is the subject of this book, the third in an informal series of volumes providing a global perspective on difficult issues arising in the ICU. Leading healthcare experts, including critical care physicians, critical care nurses, ethicists, and attorneys, provide snapshots of current ICU resource allocation in 12 developed countries on which other experts then draw to analyze resource allocation and consumer demand at the level of the global medical village. The process is repeated with an eye toward the future that takes into account initiatives and reforms now underway.A fictional healthcare plan, the “Fair & Equitable Healthcare Plan,” is put forth to address weaknesses in existing approaches, and healthcare experts and ethicists are invited to respond to its often provocative provisions. Structured as a dialogue, the book is a great starting point for serious discussion about the looming issue of ICU healthcare resource allocation.This book discusses in depth the different aspects of management of colorectal cancer in the elderly. After the provision of pertinent background information on the normal physiology of aging, screening and diagnosis are discussed. Subsequent chapters focus on a range of issues associated with the surgical and perioperative care of these patients and with adjuvant treatment and palliative care. Each chapter provides helpful take-home messages in bullet point form, and numerous informative figures and tables are also included. The authors are surgeons, physicians, anesthetists, geriatricians, oncologists, and allied health professionals with extensive experience in the field.This book discusses in depth the different aspects of management of colorectal cancer in the elderly. After the provision of pertinent background information on the normal physiology of aging, screening and diagnosis are discussed. Subsequent chapters focus on a range of issues associated with the surgical and perioperative care of these patients and with adjuvant treatment and palliative care. Each chapter provides helpful take-home messages in bullet point form, and numerous informative figures and tables are also included. The authors are surgeons, physicians, anesthetists, geriatricians, oncologists, and allied health professionals with extensive experience in the field.