ICU Resource Allocation in the New Millennium (eBook)

Will We Say &quote;No&quote;?

David Crippen (Herausgeber)

eBook Download: PDF
2012 | 2013
XXIV, 351 Seiten
Springer New York (Verlag)
978-1-4614-3866-3 (ISBN)

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Intensive 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. 

 

Taking 12 developed countries as their focus, leading experts provide a country-by-country analysis of current ICU resource allocation.  A second group of experts use the chapters as a departure point to analyze current ICU resource allocation at the level of the global medical village.  The process is repeated, but with an eye toward the future - first country by country, then at the global level - 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.

 

Itself structured as a dialogue, the book is an excellent way to start or to continue serious discussion about the allocation of ICU healthcare resources now and in the years ahead. 



David W. Crippen, MD, FCCM is Professor of Critical Care Medicine at the University of Pittsburgh School of Medicine and Co-Director, Neurovascular ICU at the University of Pittsburgh Medical Center. He also holds secondary appointments as Professor in the Department of Emergency Medicine and in the Department of Neurologic Surgery. 

 

Dr. Crippen trained in general surgery, emergency medicine, and critical care medicine. He is a member of the Society for Critical Care Medicine, the European Society for Intensive Care Medicine, and the American College of Emergency Physicians. He is a Fellow of the American College of Critical Care Medicine, has been a Diplomate of the American Board of Emergency Medicine for 20 years, and received the European Diploma in Intensive Care Medicine.

 

Dr. Crippen is a prolific writer in the medical and popular literature and a frequent speaker at international medical meetings. He moderates the Critical Care Medicine Internet Group (CCM-L) with more than 800 members around the world. Dr. Crippen plays lead and rhythm guitar for the rock group The CODES, has raced motorcycles on off-road and road racing circuits, and collects and tours the world on vintage motorcycles.


Intensive 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. Taking 12 developed countries as their focus, leading experts provide a country-by-country analysis of current ICU resource allocation. A second group of experts use the chapters as a departure point to analyze current ICU resource allocation at the level of the global medical village. The process is repeated, but with an eye toward the future - first country by country, then at the global level - that takes into account initiatives and reforms now underway. A fictional healthcare plan, the "e;Fair & Equitable Healthcare Plan,"e; is put forth to address weaknesses in existing approaches, and healthcare experts and ethicists are invited to respond to its often provocative provisions. Itself structured as a dialogue, the book is an excellent way to start or to continue serious discussion about the allocation of ICU healthcare resources now and in the years ahead.

David W. Crippen, MD, FCCM is Professor of Critical Care Medicine at the University of Pittsburgh School of Medicine and Co-Director, Neurovascular ICU at the University of Pittsburgh Medical Center. He also holds secondary appointments as Professor in the Department of Emergency Medicine and in the Department of Neurologic Surgery.   Dr. Crippen trained in general surgery, emergency medicine, and critical care medicine. He is a member of the Society for Critical Care Medicine, the European Society for Intensive Care Medicine, and the American College of Emergency Physicians. He is a Fellow of the American College of Critical Care Medicine, has been a Diplomate of the American Board of Emergency Medicine for 20 years, and received the European Diploma in Intensive Care Medicine.  Dr. Crippen is a prolific writer in the medical and popular literature and a frequent speaker at international medical meetings. He moderates the Critical Care Medicine Internet Group (CCM-L) with more than 800 members around the world. Dr. Crippen plays lead and rhythm guitar for the rock group The CODES, has raced motorcycles on off-road and road racing circuits, and collects and tours the world on vintage motorcycles.

Forewordby Jean-Louis VincentIntroductionby David W. CrippenPart I.  Contrasts in Global Health Care Resource Allocation                                 1. Australia:  Where Have We Been?      by Ian Seppelt2. Brazil:  Where Have We Been?          by Frederico Bruzzi de Carvalho, Alvaro Réa-Neto, Rodrigo Ferreira Simões, and Monica Viegas Andrade3. Canada:  Where Have We Been?      by Christopher James Doig4. Germany:  Where Have We Been?    by Thomas Kerz5. India:  Where Have We Been?            by Farhad Kapadia, Atul P. Kulkarni, and J.V Divatia6. Israel:  Where Have We Been?           by Eran Segal7. Italy:  Where Have We Been? by Marco Luchetti and Giuseppe A. Marraro8. The Netherlands:  Where Have We Been?  by Frank Bosch9. New Zealand:  Where Have We Been?        by Stephen Streat10. South Africa:  Where Have We Been? by R. Eric Hodgson and Timothy C Hardcastle11. United Kingdom:  Where Have We Been?   by Anna M. Batchelor12. United States, Private Practice:  Where Have We Been?  by John W. Hoyt13. United States, Academic Medicine:  Where Have We Been?       by David W. Crippen14. Australia:  Where Are We Going?       by Ian Seppelt15. Brazil:  Where Are We Going?            by Rubens Carmo Costa Filho16. Canada:  Where Are We Going?        by Randy S. Wax17. Germany:  Where Are We Going?      by Thomas Kerz18. India:  Where Are We Going?  by Farhad Kapadia and J.V. Divatia19. Italy:  Where Are We Going?   by Marco Luchetti and Giuseppe A. Marraro20. The Netherlands:  Where Are We Going?    by David W. Crippen21. New Zealand:  Where Are We Going?          by Stephen Streat22. South Africa:  Where Are We Going?            by Ross Hofmeyr23. United Kingdom:  Where Are We Going?     by Andrew Thorniley24. United States, Private Practice:  Where Are We Going?    by John W. Hoyt25. United States, Academic Medicine:  Where Are We Going?         by Mark Mazer26. Analysis of the Demand for Health Care in the Global Medical Village               by Timothy G. Buchman and  Donald W. Chalfin27. First Critique of Buchman and Chalfin's Conclusions       by Leslie P. Scheunemann and Douglas B. White28. Second Critique of Buchman and Chalfin's Conclusions            by Lynn Barkley Burnett29. Third Critique of Buchman and Chalfin's Conclusions     by Charles L. Sprung30. Fourth Critique of Buchman and Chalfin's Conclusions  by Richard BurrowsPart II. The Fair and Equitable Health Care Act                                   31. The Fair and Equitable Health Care Act (FEHCA) by David W. Crippen32. First Critique of the Fair and Equitable Health Care Act (FEHCA)                             by Michael A. Rie and  W. Andrew Kofke33. Fixing the Foundation of Critical Care at the End-stage of Life                             by Jack K. Kilcullen34. Third Critique of the Fair and Equitable Health Care Act (FEHCA)                             by Leslie M. WhetstinePart III. Legal and Nursing Viewpoints                           35. Medical Judgment Versus Capitulation        by Gilbert Ross36. Nursing Aspects of Inappropriate Patient Care        by Melanie S. SmithPart IV. Conclusions                                    37. Where Is “Universal” Health Care Headed in the Global Village?            by M. A. Kuiper and  Steven M. Hollenberg38. The New Shape Of Intensive Care In The United States   by Derek C. Angus39. Health Care in the Year 2050  by Brian WowkAfterwordby David W. Crippen

Erscheint lt. Verlag 14.9.2012
Zusatzinfo XXIV, 351 p. 11 illus., 9 illus. in color.
Verlagsort New York
Sprache englisch
Themenwelt Medizin / Pharmazie Allgemeines / Lexika
Medizin / Pharmazie Gesundheitswesen
Medizin / Pharmazie Medizinische Fachgebiete Intensivmedizin
Sozialwissenschaften Politik / Verwaltung
Schlagworte Crippen • critical care • Health Care Reform • ICU • Intensive care • Resource Allocation
ISBN-10 1-4614-3866-7 / 1461438667
ISBN-13 978-1-4614-3866-3 / 9781461438663
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