| Foreword |
|
vii | (2) |
| Preface |
|
xi | (2) |
| Acknowledgments |
|
xiii | |
| PART I |
|
1 | (296) |
|
|
|
1 | (9) |
|
|
|
10 | (8) |
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3 Practice Policies and Guidelines: What Are They? |
|
|
18 | (8) |
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4 Guidelines--Where Do They Come From? |
|
|
26 | (8) |
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5 Guidelines--How Should They Be Designed? |
|
|
34 | (7) |
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6 Recommendations for Guidelines: The Explicit Approach |
|
|
41 | (7) |
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7 Comparing Benefits and Harms: The Balance Sheet |
|
|
48 | (9) |
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8 Designing a Practice Policy: Standards, Guidelines, and Options |
|
|
57 | (6) |
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9 Resolving Conflicts in Guidelines |
|
|
63 | (6) |
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10 What Do We Do About Costs? |
|
|
69 | (8) |
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11 Connecting Value and Costs: Whom Do We Ask, and What Do We Ask Them? |
|
|
77 | (7) |
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12 Rationing by Patient Choice |
|
|
84 | (10) |
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13 What Care is 'Essential'? What Services Are 'Basic'? |
|
|
94 | (8) |
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14 The Individual vs Society: Is There a Conflict? |
|
|
102 | (8) |
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15 The Individual vs Society: Resolving the Conflict |
|
|
110 | (11) |
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16 What's Going On in Oregon |
|
|
121 | (9) |
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17 Oregon's Methods: Did Cost--effectiveness Analysis Fail? |
|
|
130 | (13) |
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18 Oregon's Plan: Should It Be Approved? |
|
|
143 | (13) |
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19 Cost--effectiveness Analysis: A Conversation With My Father |
|
|
156 | (15) |
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20 Cost--effectiveness Analysis: Is It Up to the Task? |
|
|
171 | (16) |
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21 Cost--effectiveness Analysis: Will It Be Accepted? |
|
|
187 | (12) |
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22 Applying Cost--effectiveness Analysis: The Inside Story |
|
|
199 | (20) |
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23 Broadening the Responsibilities of Practitioners: The Team Approach |
|
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219 | (16) |
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24 Three Battles to Watch in the 1990s |
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235 | (16) |
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25 Principles for Making Difficult Decisions in Difficult Times |
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251 | (15) |
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26 Health System Reform: Will Controlling Costs Require Rationing Services? |
|
|
266 | (13) |
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27 Rationing Resources While Improving Quality: How to Get More for Less |
|
|
279 | (18) |
| PART II |
|
297 | (52) |
|
28 Clinical Policies and the Quality of Clinical Practice |
|
|
297 | (11) |
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29 Variations in Physician Practice: The Role of Uncertainty |
|
|
308 | (15) |
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30 Medicine, Money, and Mathematics |
|
|
323 | (19) |
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31 A Conversation With My Mother |
|
|
342 | (7) |
| Index |
|
349 | |