Decision making in health care involves consideration of a complex set of diagnostic, therapeutic and prognostic uncertainties. Medical therapies have side effects, surgical interventions may lead to complications, and diagnostic tests can produce misleading results. Furthermore, patient values and service costs must be considered. Decisions in clinical and health policy require careful weighing of risks and benefits and are commonly a trade-off of competing objectives: maximizing quality of life vs maximizing life expectancy vs minimizing the resources required. This text takes a proactive, systematic and rational approach to medical decision making. It covers decision trees, Bayesian revision, receiver operating characteristic curves, and cost-effectiveness analysis, as well as advanced topics such as Markov models, microsimulation, probabilistic sensitivity analysis and value of information analysis. It provides an essential resource for trainees and researchers involved in medical decision modelling, evidence-based medicine, clinical epidemiology, comparative effectiveness, public health, health economics, and health technology assessment.
First edition published as: Evidence-based patient choice.. Oxford: Oxford University Press, 2001.
This new edition provides a thorough understanding of the key decision making infrastructure of clinical practice and explains the principles of medical decision making both for individual patients and the wider health care arena.
Chou, R., Huffman, L. H., Fu, R., et al. (2005). Screening forHIV:Areviewofthe evidencefor the U.S. Preventive Services Task Force. Annals of Internal Medicine, 143(1),55–73. Choudhry,N. K.,Anderson,G. M., Laupacis, A., et al.(2006).
The Encyclopedia of Medical Decision Making presents state-of-the-art research and ready-to-use facts sorting out findings on medical decision making and their applications.
A. Tumors that most commonly affect the spinal cord are of the lung, breast, prostate, and lymph nodes. ... Associated bowel and bladder dysfunction is seen in 51% of patients with more advanced disease. A few patients have no history ...
Decision Making in Health Care, first published in 2000, is a comprehensive overview of the field of medical decision making.
Physicians and Sherlock Holmes A clinician is more like Sherlock Holmes than a scientist. An expert clinician is a keen observer of humanity and the patient, noticing details and starting to make connections about the patient that may ...
'There is much in this book that should provide material for lively discussion and debate about who ought to have authority to make health care decisions for children and how far this authority extends... the balance of theory and ...
Soliciting and providing social support over the internet: An investigation of online eating disorder support groups. Journal of Computer-Mediated Communication, 14(1), 67–78. doi:10.1111/j.1083-6101.2008.01431.x Ellison, N., ...
This book aims to provide a practical guide to evidence synthesis for the purpose of decision making, starting with a simple single parameter model, where all studies estimate the same quantity (pairwise meta-analysis) and progressing to ...