Tracking Medicine : A Researcher's Quest to Understand Health Care

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  • Edition: 1st
  • Format: Hardcover
  • Copyright: 2010-08-26
  • Publisher: Oxford University Press

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Written by a groundbreaking figure of modern medical study, Tracking Medicine is an eye-opening introduction to the science of health care delivery, as well as a powerful argument for its relevance in shaping the future of our country. An indispensable resource for those involved in public health and health policy, this book uses Dr. Wennberg's pioneering research to provide a framework for understanding the health care crisis; and outlines a roadmap for real change in the future. It is also a useful tool for anyone interested in understanding and forming their own opinion on the current debate.

Author Biography

John E. Wennberg, MD, MPH, is Peggy Y. Thomson Professor (Chair) in the Evaluative Clinical Sciences, and Founder and Director Emeritus of The Dartmouth Institute for Health Policy and Clinical Practice.

Table of Contents

An Introduction to the Problem of Unwarranted Variation
In Health Care, Geography Is Destinyp. 3
The Vermont Experiencep. 14
Surgical Variation: Understanding Preference-Sensitive Care
Tonsillectomy and Medical Opinionp. 29
Interpreting the Pattern of Surgical Variationp. 38
Understanding the Market for Preference-Sensitive Surgeryp. 54
Learning What Works and What Patients Wantp. 66
The Birth and Near Death of Comparative Effectiveness Researchp. 89
Medical Variation: Understanding Supply-Sensitive Care
Understanding Supply-Sensitive Carep. 119
Chronic Illness and Practice Variationp. 141
Is More Better?p. 156
Are ˘America's Best Hospitals÷ Really the Best?p. 170
The Top Ten Reasons Why We Need to Reform the Way We Manage Chronic Illnessp. 189
Pathways to Reform
Promoting Organized Care and Reducing Overusep. 209
Establishing Shared Decision Making and Informed Patient Choicep. 225
Five Ways to Control Costs and Accelerate Health Care Reformp. 242
The Challenge of Practice Variationsp. 258
Epilogue (with Shannon Brownlee)p. 265
Appendix on Methodsp. 271
Glossaryp. 283
Notes and Referencesp. 287
Indexp. 309
Table of Contents provided by Ingram. All Rights Reserved.

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