Patient-centered measurement : ethics, epistemology, and dialogue in contemporary medicine /
"Contemporary medicine is Janus-faced. Evidence-based medicine is one face of it, emphasizing evidence, statistics, and method. Patient-centered care is the other, prioritizing patient experiences, judgement, and values. Government agencies, policy makers, major insurers and clinicians have sou...
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| Format: | eBook |
| Language: | English |
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New York, NY :
Oxford University Press,
[2024]
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| Online Access: | Connect to the full text of this electronic book |
| Summary: | "Contemporary medicine is Janus-faced. Evidence-based medicine is one face of it, emphasizing evidence, statistics, and method. Patient-centered care is the other, prioritizing patient experiences, judgement, and values. Government agencies, policy makers, major insurers and clinicians have sought ways to bring these faces together. This book is about one such approach, patient-centered measurement. Patient-centered measurement is the idea that patient perspectives on, for instance, physical functioning or quality of life, should play an evidentiary role in determining how effective a drug is taken to be, the degree to which a hospital provides good quality care or whether a particular intervention should be funded by an insurer. This idea may sound prosaic, but in fact it's nothing short of revolutionary. Patient-centered measurement treats patient perspectives on par with more traditional metrics such as mortality, morbidity, and safety. It says, patient views matter-not as an afterthought, and not only at the bedside, but in the nuts and bolts of creating our evidence base. What's more, these measures are popular. They are part of FDA initiatives, the UK's development of the NHS, and Denmark's policy to improve patient care. Yet despite these policies, initiatives and recommendations, patient-centered measures present a puzzle. And this puzzle has its source in the Janus-faced nature of medicine. How can measurement, which relies on standardization, represent patient perspectives, which, if not idiosyncratic are at least various and changeable? This book aims to solve that puzzle"-- |
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| Physical Description: | 1 online resource. |
| Bibliography: | Includes bibliographical references and index. |
| ISBN: | 9780197572108 0197572103 019757209X 9780197572092 9780197572085 0197572081 |