Patient Care under Uncertainty (eBook)

Charles F. Manski (Autor)

eBook Download: PDF | EPUB

2019
184 Seiten
Princeton University Press (Verlag)
978-0-691-19536-0 (ISBN)

Infos

How cutting-edge economics can improve decision-making methods for doctorsAlthough uncertainty is a common element of patient care, it has largely been overlooked in research on evidence-based medicine. Patient Care under Uncertainty strives to correct this glaring omission. Applying the tools of economics to medical decision making, Charles Manski shows how uncertainty influences every stage, from risk analysis to treatment, and how this can be reasonably confronted.In the language of econometrics, uncertainty refers to the inadequacy of available evidence and knowledge to yield accurate information on outcomes. In the context of health care, a common example is a choice between periodic surveillance or aggressive treatment of patients at risk for a potential disease, such as women prone to breast cancer. While these choices make use of data analysis, Manski demonstrates how statistical imprecision and identification problems often undermine clinical research and practice. Reviewing prevailing practices in contemporary medicine, he discusses the controversy regarding whether clinicians should adhere to evidence-based guidelines or exercise their own judgment. He also critiques the wishful extrapolation of research findings from randomized trials to clinical practice. Exploring ways to make more sensible judgments with available data, to credibly use evidence, and to better train clinicians, Manski helps practitioners and patients face uncertainties honestly. He concludes by examining patient care from a public health perspective and the management of uncertainty in drug approvals.Rigorously interrogating current practices in medicine, Patient Care under Uncertainty explains why predictability in the field has been limited and furnishes criteria for more cogent steps forward.

Autor

Charles F. Manski is Board of Trustees Professor of Economics at Northwestern University and a member of the National Academy of Sciences. His books include Public Policy in an Uncertain World, Identification for Prediction and Decision, and Social Choice with Partial Knowledge of Treatment Response (Princeton).

Produkt-Details

• Erscheint lt. Verlag: 10.9.2019
• Zusatzinfo: 4 tables.
• Verlagsort: Princeton
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Gesundheitswesen
• Themenwelt: Studium ► Querschnittsbereiche ► Prävention / Gesundheitsförderung
• Themenwelt: Sozialwissenschaften ► Pädagogik ► Sozialpädagogik
• Themenwelt: Sozialwissenschaften ► Politik / Verwaltung ► Staat / Verwaltung
• Themenwelt: Sozialwissenschaften ► Soziologie
• Themenwelt: Wirtschaft ► Volkswirtschaftslehre ► Ökonometrie
• Schlagworte: Accuracy and precision • Admissible Rule • Adobe • Alternative hypothesis • Ambiguity • American Society of Clinical Oncology • Attributable risk • average treatment effect • Bayesian • Bayesian probability • Bayes' Theorem • biopsy • Blind experiment • Blood pressure • BRCA mutation • Breast Cancer • Calculation • Cardiovascular Disease • Case study • Chemotherapy • clinical trial • Clinician • Compliance (medicine) • Complication (medicine) • Confidence interval • Covariate • credibility • Decision Analysis • Decision-Making • Decision problem • Decision Theory • Determinant • Disease • Dissection • effect size • efficacy • epidemiology • estimation • Evidence-based Medicine • Experiment • external validity • Extrapolation • Guideline • Health Care • idealization • inference • instrumental variable • internal validity • Loss Function • Lyme disease • Lymphadenectomy • Lymphatic system • Lymph Node • Malignancy • Mathematical Optimization • medical advice • Medical Device • Medical Diagnosis • Medical History • Medical literature • Medical Research • Medical ultrasound • melanoma • Meta-analysis • Metastasis • missing data • New drug application • observational study • Outcome (probability) • Patient Preference • Personalized medicine • pharmaceutical drug • Physician • Population health • Prediction • Probability • Probability Distribution • Public Health • Pulmonary artery catheter • Quantity • Rational Expectations • result • risk assessment • Sample Size • Sample space • sentinel lymph node • social welfare function • State of nature • Statistic • Statistical hypothesis testing • statistical power • Subset • Suggestion • Survival rate • Symptom • theory • treatment outcome • Type I and type II errors • Uncertainty • Value of Information
• ISBN-10: 0-691-19536-6 / 0691195366
• ISBN-13: 978-0-691-19536-0 / 9780691195360