Controversial as it questions the foundations of preventive medicine
Timely criticism of the health care industry and the costs of health care
Challenges established definitions of disease, specifically in cancer, cholesterol, diabetes, obesity
Robert M. Kaplan is Professor and Chair of the Department of Health Services at the UCLA School of Public Health. He is also a Professor of Medicine at the UCLA David Geffen School of Medicine. He has been elected president of four different academic societies and has served as editor-in-chief for two major journals. Kaplan is the author or editor of 16 books and more than 400 articles or chapters. In 2005, he was elected to the Institute of Medicine of the National Academies of Science.
Disease, Diagnoses, and Dollars is about the costs of health care and their impact on health. The book provides a timely criticism of the health care industry and the costs of health care. Within the U.S. health care system, there is evidence that regions that spend more do not have better outcomes, and some evidence suggests that quality of care is lower in the regions that spend more, not less, on health care. The author takes the controversial position that mass markets have been created for services that may offer little or no benefit to patients. He forcefully argues that the overuse of medications and tests runs up the costs of health care. The concluding chapters offer suggestions for policy makers and for patients. Methods for systematically evaluating the cost-effectiveness of new guidelines are discussed. The final chapter provides practical suggestions to enable patients to share in decisions about treatments or tests that can have uncertain benefits.
Disease, Outcomes, and Money.- The Disease-Reservoir Hypothesis.- Mental Models of Health and Healthcare.- What Is Disease and When Does It Begin?.- Screening for Cancer.- Deciding When Blood Pressure Is Too High.- The Cholesterol Cutoff.- Diabetes, Obesity, and the Metabolic Syndrome.- Cost-Effectiveness and Opportunity Costs.- Shared Medical Decision-Making.- Putting the Pieces Together.
Disease, Diagnoses, and Dollars
Facing the Ever-Expanding Market for Medical Care
Robert M. Kaplan, UCLA School of Public Health, Los Angeles, CA
Close to 50 Million Uninsured,
Steeply Rising Insurance Premiums,
Employers Cutting Healthcare Benefits . . .
There´s plenty wrong with this picture. In Disease, Diagnoses, and Dollars, public health expert Robert Kaplan takes America´s healthcare industry to task and challenges readers to examine their own roles in it.
Provocative, timely, and comprehensively researched, this book analyzes the current healthcare crisis in terms of medical culture, economics, and advertising. The findings reveal a system fraught with conflicts—contradictory healthcare policies, providers who over-test and over-prescribe, patients with unrealistic demands fueled by the media—and throughout, an absence of accountability. Much of preventive medicine, Kaplan persuasively argues, comes down to the selling of expensive pills and procedures that drive up costs while subjecting the population to unneeded risks and complications. And the end result, he argues, is excess care for many people, and a dearth of care for many more.
Kaplan´s informed, practical, and constructive approach makes Disease, Diagnoses, and Dollars a "must-read" volume for policymakers and professionals in public health and healthcare, and for business owners as well as ordinary citizens and consumers concerned with the viability of healthcare in America.
From the reviews:
"This book discusses points of tension in the U.S. healthcare system and places the burden on readers to critically think about the paradoxes consumers face. ... The intended audience includes health providers and consumers." (Carole A. Kenner, Doody´s Review Service, February, 2009)
"Disease, Diagnoses, and Dollars is an exceptionally practical, carefully argued study of what can be done to control health care costs by improving the approach to medical decision making. Kaplan persuasively demonstrates the practical wisdom he has learned from wide-ranging research and insightful clinical observations. His book challenges the assumptions of patients and physicians. I believe that many of his concrete recommendations can save not only dollars but the health of patients and the satisfaction of physicians in their professional practice." (James F. Bresnahan, JAMA, Vol 302, No. 3)
Here's a conundrum: the U.S. health care system is the largest sector in the biggest economy in the world, and the US spends significantly more per capita on health care than any other country.
The US spends more per capita on health care than any other country, yet it ranks last among comparison nations on the major health indicators. Here, Kaplan analyzes what can be done to turn this situation around and provides useful advice to policymakers.
Here's a conundrum: the U.S. health care system is the largest sector in the biggest economy in the world, and the US spends significantly more per capita on health care than any other country. Yet it ranks last among comparison nations on the major health indicators. Robert Kaplan attempts to tackle these anomalies head-on by taking the controversial position that mass markets have been created for services that may offer little or no benefit to patients. Kaplan forcefully argues that the overuse of medications and tests runs up the costs of health care, and offers potential solutions for policy makers and for patients.
From the reviews:
"This book discusses points of tension in the U.S. healthcare system and places the burden on readers to critically think about the paradoxes consumers face. ... The intended audience includes health providers and consumers." (Carole A. Kenner, Doody's Review Service, February, 2009)
"Disease, Diagnoses, and Dollars is an exceptionally practical, carefully argued study of what can be done to control health care costs by improving the approach to medical decision making. Kaplan persuasively demonstrates the practical wisdom he has learned from wide-ranging research and insightful clinical observations. His book challenges the assumptions of patients and physicians. I believe that many of his concrete recommendations can save not only dollars but the health of patients and the satisfaction of physicians in their professional practice." (James F. Bresnahan, JAMA, Vol 302, No. 3)
Über den Autor
Robert M. Kaplan is Professor and Chair of the Department of Health Services at the UCLA School of Public Health. He is also a Professor of Medicine at the UCLA David Geffen School of Medicine. He has been elected president of four different academic societies and has served as editor-in-chief for two major journals. Kaplan is the author or editor of 16 books and more than 400 articles or chapters. In 2005, he was elected to the Institute of Medicine of the National Academies of Science.
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Inhaltsverzeichnis
Disease, Outcomes, and Money.- The Disease-Reservoir Hypothesis.- Mental Models of Health and Healthcare.- What Is Disease and When Does It Begin?.- Screening for Cancer.- Deciding When Blood Pressure Is Too High.- The Cholesterol Cutoff.- Diabetes, Obesity, and the Metabolic Syndrome.- Cost-Effectiveness and Opportunity Costs.- Shared Medical Decision-Making.- Putting the Pieces Together.
Klappentext
Here's a conundrum: the U.S. health care system is the largest sector in the biggest economy in the world, and the US spends significantly more per capita on health care than any other country. Yet it ranks last among comparison nations on the major health indicators. Robert Kaplan attempts to tackle these anomalies head-on by taking the controversial position that mass markets have been created for services that may offer little or no benefit to patients. Kaplan forcefully argues that the overuse of medications and tests runs up the costs of health care, and offers potential solutions for policy makers and for patients.
Disease, Diagnoses, and Dollars is about the costs of health care and their impact on health. The book provides a timely criticism of the health care industry and the costs of health care. Within the U.S. health care system, there is evidence that regions that spend more do not have better outcomes, and some evidence suggests that quality of care is lower in the regions that spend more, not less, on health care. The author takes the controversial position that mass markets have been created for services that may offer little or no benefit to patients. He forcefully argues that the overuse of medications and tests runs up the costs of health care. The concluding chapters offer suggestions for policy makers and for patients. Methods for systematically evaluating the cost-effectiveness of new guidelines are discussed. The final chapter provides practical suggestions to enable patients to share in decisions about treatments or tests that can have uncertain benefits.
