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per Medici e Operatori Sanitari
per Medici e Operatori Sanitari
LIBRERIA STUDIUM
ICU Resource Allocation in the New Millennium
Crippen
Editore
Springer
Anno
2013
Pagine
351
ISBN
9781461438663
40,00 €
- Written by leading international experts in critical care practice, biomedical ethics, and law and medicine
- This is the first book since the advent of the global economic crisis and American health care reform to address resource allocation in critical care, the most expensive utilization in the hospital setting, and often the most demanded, especially in the context of the end of life.
- Up-to-date information
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.
Leading healthcare experts, including critical care physicians, critical care nurses, ethicists, and attorneys, provide snapshots of current ICU resource allocation in 12 developed countries on which other experts then draw to analyze resource allocation and consumer demand at the level of the global medical village. The process is repeated with an eye toward the future 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. Structured as a dialogue, the book is a great starting point for serious discussion about the looming issue of ICU healthcare resource allocation.
xvii
Contents
Part I Contrasts in Global Health Care Resource Allocation
1 Australia: Where Have We Been? ........................................................ 3
Ian M. Seppelt
2 Brazil: Where Have We Been? .............................................................. 11
Frederico Bruzzi de Carvalho, Álvaro Réa Neto,
Rodrigo Ferreira Simões, and Monica Viegas Andrade
3 Canada: Where Have We Been? ........................................................... 17
Christopher James Doig
4 Germany: Where Have We Been? ........................................................ 25
Thomas Kerz
5 India: Where Have We Been? ............................................................... 33
Farhad Kapadia, Atul P. Kulkarni, and J.V. Divatia
6 Israel: Where Have We Been? .............................................................. 39
Eran Segal
7 Italy: Where Have We Been? ................................................................ 47
Marco Luchetti and Giuseppe A. Marraro
8 The Netherlands: Where Have We Been? ........................................... 59
Frank H. Bosch
9 New Zealand: Where Have We Been? ................................................. 65
Stephen Streat
10 South Africa: Where Have We Been? .................................................. 75
R. Eric Hodgson and Timothy C. Hardcastle
11 United Kingdom: Where Have We Been? ........................................... 89
Anna M. Batchelor
xviii Contents
12 United States—Private Practice: Where Have We Been? .................. 97
John W. Hoyt
13 United States—Academic Medicine: Where Have We Been? ............ 101
David W. Crippen
14 Australia: Where Are We Going? ......................................................... 107
Ian M. Seppelt
15 Brazil: Where Are We Going? .............................................................. 113
Rubens Costa-Filho
16 Canada: Where Are We Going? ........................................................... 123
Randy S. Wax
17 Germany: Where Are We Going?......................................................... 131
Thomas Kerz
18 India: Where Are We Going? ................................................................ 139
Farhad Kapadia and J.V. Divatia
19 Italy: Where Are We Going? ................................................................. 145
Marco Luchetti and Giuseppe A. Marraro
20 The Netherlands: Where Are We Going? ............................................ 157
Frank H. Bosch
21 New Zealand: Where Are We Going? .................................................. 161
Stephen Streat
22 South Africa: Where Are We Going? ................................................... 169
Ross Hofmeyr
23 United Kingdom: Where Are We Going? ............................................ 177
Andrew Thorniley
24 United States—Private Practice: Where Are We Going?................... 185
John W. Hoyt
25 United States—Academic Medicine: Where Are We Going? ............ 189
Mark Mazer
26 Re fl ections on the Demand for Critical Care in the
Global Medical Village .......................................................................... 197
Timothy G. Buchman and Donald W. Chal fi n
27 First Critique of Buchman and Chal fi n’s Analysis ............................. 209
Leslie P. Scheunemann and Douglas B. White
28 Second Critique of Buchman and Chal fi n’s Analysis ......................... 217
Lynn Barkley Burnett
Contents xix
29 Third Critique of Buchman and Chal fi n’s Analysis ........................... 227
Charles L. Sprung
30 Fourth Critique of Buchman and Chal fi n’s Analysis ......................... 235
Richard Burrows
Part II The Fair and Equitable Health Care Act
31 The Fair and Equitable Health Care Act ............................................. 247
David W. Crippen
32 First Critique of the Fair and Equitable
Health Care Act ...................................................................................... 251
Michael A. Rie and W. Andrew Kofke
33 Fixing the Foundation of Critical Care at the End-Stage of Life:
Second Critique of the Fair and Equitable Health Care Act ............. 261
Jack K. Kilcullen
34 Third Critique of the Fair and Equitable Health
Care Act .................................................................................................. 277
Leslie M. Whetstine
Part III Legal and Nursing Viewpoints
35 Medical Judgment Versus Capitulation ............................................... 287
Gilbert Ross
36 Nursing Aspects of Inappropriate Patient Care .................................. 293
Melanie S. Smith
Part IV Conclusions
37 Where Is “Universal” Health Care Headed
in the Global Village?............................................................................. 299
Michael A. Kuiper and Steven M. Hollenberg
38 The New Shape of Intensive Care In the USA..................................... 315
Derek C. Angus
39 Health Care in the Year 2050 ................................................................ 323
Brian Wowk
Afterword ........................................................................................................ 335
Index ................................................................................................................ 339
