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Decision Making in Health and Medicine
M. G. Myriam Hunink
Milton C. Weinstein
Eve Wittenberg
Michael F. Drummond
Joseph S. Pliskin
John B. Wong
Paul P. Glasziou
其他書名
Integrating Evidence and Values
出版
Cambridge University Press
, 2014-10-16
主題
Medical / Epidemiology
Medical / General
Medical / Public Health
ISBN
1316062317
9781316062319
URL
http://books.google.com.hk/books?id=7mSnBAAAQBAJ&hl=&source=gbs_api
註釋
Decision making in health care involves consideration of a complex set of diagnostic, therapeutic and prognostic uncertainties. Medical therapies have side effects, surgical interventions may lead to complications, and diagnostic tests can produce misleading results. Furthermore, patient values and service costs must be considered. Decisions in clinical and health policy require careful weighing of risks and benefits and are commonly a trade-off of competing objectives: maximizing quality of life vs maximizing life expectancy vs minimizing the resources required. This text takes a proactive, systematic and rational approach to medical decision making. It covers decision trees, Bayesian revision, receiver operating characteristic curves, and cost-effectiveness analysis, as well as advanced topics such as Markov models, microsimulation, probabilistic sensitivity analysis and value of information analysis. It provides an essential resource for trainees and researchers involved in medical decision modelling, evidence-based medicine, clinical epidemiology, comparative effectiveness, public health, health economics, and health technology assessment.