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    Getting doctors to listen : ethics and outcomes data in context / edited by Philip J. Boyle.

    • Title:Getting doctors to listen : ethics and outcomes data in context / edited by Philip J. Boyle.
    •    
    • Other Contributors/Collections:Boyle, Philip (Philip J.)
    • Published/Created:Washington, D.C. : Georgetown University Press, ©1998.
    • Holdings

       
    • Library of Congress Subjects:Medicine--Decision making--Moral and ethical aspects.
      Outcome assessment (Medical care)--Moral and ethical aspects.
      Medical protocols--Moral and ethical aspects.
      Physicians--Professional ethics.
    • Medical Subjects: Outcome Assessment (Health Care)--trends--United States.
      Decision Making.
      Physician-Patient Relations.
      Ethics, Professional.
    • Description:viii, 234 p. ; 24 cm.
    • Series:Hastings Center studies in ethics.
    • Summary:Physicians are often surprisingly reluctant to follow guidelines for treating patients based on research data. This book examines the reasons for physicians' skepticism about outcomes data and guidelines, assesses the merits of these concerns, and proposes ways of developing more useful data and more effective guidelines that would reduce their objections. This book concludes that in order both to make effective use of scientific studies and to establish a better balance between statistical results and skilled observation in the practice of medicine, physicians need to participate in all phases of outcomes research.
    • Notes:Includes bibliographical references and index.
    • ISBN:0878406549 (cloth)
    • Contents:Pt. I. Overview and Context of Moral Obstacles. Physicians' Use of Outcomes Data: Moral Conflicts and Potential Resolutions / Philip J. Boyle and Daniel Callahan. Health Technology Assessment in the 1990s / Ruth S. Hanft. Clinical Practice Guidelines: A Historical Perspective on Their Origins and Significance / Paul J. Edelson
      Pt. II. Outcomes Data. Practice Guidelines: Texts in Search of Authority / Judith Wilson Ross. The Development of Practice Guidelines: A Case Study of Otitis Media with Effusion / Larry Culpepper and Jane Sisk. The Quest for the Trial to End All Trials: The Case of Technology Assessment and Management of Glue Ear / Gert Jan van der Wilt and Pieter F. de Vries Robbe. Guideline Glitches: Measurements, Money, and Malpractice / Donald J. Murphy. Technology Assessment, Outcomes Data, and Social Context: The Case of Hormone Therapy / Susan E. Bell. "Rescue" Technologies following High-Dose Chemotherapy for Breast Cancer: How Social Context Shapes the Assessment of Innovative, Aggressive, and Lifesaving Medical Technologies / Susan E. Kelly and Barbara A. Koenig. Outcomes, Guidelines, and Implementation in France, the Netherlands, and Great Britain / Dick Willems
      Pt. III. Ethical Considerations: The Resolvable and the Intractable. Outcomes Research and Practice Guidelines: Upstream Issues and Epistemological Issues / Fred Gifford. Technology Assessment: Inevitably a Value Judgment / Robert M. Veatch. Clinical Judgment versus Outcomes Research? / James Lindemann Nelson. Say the Right Thing: Communication and Physician Accountability in the Era of Medical Outcomes / Sandra J. Tanenbaum.
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