Intro -- Contents -- Contributors -- Preface -- SECTION I. Medical Decisions, Technology, and Social Needs -- Chapter 1. Medical Technology and Public Policy -- Chapter 2. Decision Making and the Evolution of Modern Medicine -- Chapter 3. Medical Decisions and Society -- Chapter 4. Use of Computers in a Clinical Library -- SECTION II. The Process of Clinical Decision Making -- Chapter 5. The Clinical Decision-Making Process -- Chapter 6. Cognitive Models of Medical Problem Solvers -- Chapter 7. Decision Making in Primary Care: The Case of Obesity -- Chapter 8. Evaluating Skills in Clinical Decision Making -- SECTION III. Clinical Decisions and the Clinical Laboratory -- Chapter 9. The Role of the Laboratory in Clinical Decision Making -- Chapter 10. Assessing the Effectiveness of Laboratory Test Selection and Use -- Chapter 11. Use or Misuse: Variations in Clinical Laboratory Testing -- Chapter 12. Factors Leading to Appropriate Clinical Laboratory Workload Growth -- Chapter 13. Reducing the Use of the Clinical Laboratory: How Much Can Be Saved? -- SECTION IV. Medical Education and Effective Laboratory Use -- Chapter 14. Teaching Effective Use of the Laboratory to Medical Students -- Chapter 15. Training House Staff in Effective Laboratory Use -- Chapter 16. Continuing Medical Education and Effective Laboratory Use -- Chapter 17. Modifying Physician Patterns of Laboratory Use -- Chapter 18. Problem Solving in Medicine: Can We Teach It? -- SECTION V. Tools for Supporting the Decision-Making Process -- Chapter 19. Decision Making in Radiology: ROC Curves -- Chapter 20. The Timing of Surgery for Resection of an Abdominal Aortic Aneurysm: Decision Analysis in Clinical Practice -- Chapter 21. Biostatistical Tools: Promises and Accomplishments -- Chapter 22. Test Selection and Early Risk Scale in Acute Myocardial Infarction.

Chapter 23. Clinical Algorithms and Patient Care -- Chapter 24. Improved Clinical Strategies for the Management of Common Problems -- Chapter 25. Computer-Based Support for Medical Decision Makers -- Chapter 26. INTERNIST: Can Artificial Intelligence Help? -- SECTION VI. Research Initiatives Toward Effective Decision Making and Laboratory Use -- Chapter 27. Research and Operational Strategies: An Overview -- Chapter 28. The Predictive Value Model and Patient Care Decisions -- Chapter 29. Use of a Laboratory Database to Monitor Medical Care -- Chapter 30. Doctor Billing in a Federal Institution -- Chapter 31. The Use of Reference Values and the Concept of Reference State: A Contribution to Improved Laboratory Use -- Chapter 32. The Nominal Group Process Reports -- Appendix. Discussion -- Index -- A -- B -- C -- D -- E -- F -- H -- I -- J -- K -- L -- M -- N -- O -- P -- Q -- R -- S -- T -- U -- V.

As the national expenditure for health care continues to mount, pressures from within and outside of medicine are encouraging more effective and economical use of medical resources. Though much of the current attention is focused on a few high-cost, technologically dramatic procedures, the rapidly growing use of laboratory tests makes up a substantial portion of heal care costs. Evidence suggests that a significant amount of laboratory use is ineffective and unnecessary and could be eliminated with no harmful effects on the quality of care. This book, which is based on the Conference on Clinical Decision Making and Laboratory Use held at the University of Minnesota in 1980, focuses on the problems faced by health care professionals as they attempt to control laboratory costs and suggests ways of making rational and effective decisions. The 32 chapters deal with the following topics: Medical Decisions, Technology, and Social Needs; The Process of Clinical Decision Making; Clinical Decisions and the Clinical Laboratory; Medical Education and Effective Laboratory Use; Tools for Supporting the Decision-Making Process; and Research Initiatives Toward Effective Decision Making and Laboratory Use. Physicians, clinic and hospital administrators, laboratory directors, and health care planners will find this book a useful source of information in establishing their own procedures for clinical decision making.

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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2018. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.