Cardiovascular Health Care Economics

ISBN-13: 9781468497847 / Angielski / Miękka / 2012 / 436 str.

William S. Weintraub; William S. Weintraub

Opis

An illuminating and timely synthesis of methodological and clinical studies showing how medical costs can be established, how the value of clinical outcomes can be assessed, and how difficult choices can be rationally made. The methodological chapters review the conceptual and practical issues involved in estimating and interpreting health care costs, making health status and utility assessments, and statistically analyzing cost-effectiveness and clinical trials. The clinical chapters apply these methods to the major clinical areas of cardiology-primary prevention of coronary artery disease, acute coronary syndromes, angioplasty vs coronary bypass surgery, CABG vs medicine, congestive heart failure, arrhythmias, and cardiac surgery. Additional chapters consider the use of economic studies for policy purposes and the future of Medicare under a balanced budget in an aging America.

Recenzje

"This is a well-organized, well-written, data-rich book dealing with perhaps the greatest future challenge for further progress in cardiovascular medicine. the methods and message can be generalized to health care as a whole. The contributors and editor are authoritative leaders in cardiovascular economics. the text is an excellent starting point for anyone requiring information and insight into cardiovascular health care economics. For the health services researcher, the book provides a comprehensive review of the available data and thought on any specific area to help guide future study and elaboration. For the policy maker, health care payor, administrator, or clinician with an interest in or need to know economic information, Cardiovascular Health Care Economics will provide excellent background and data to guide decision making." - JAMA

Spis treści

Part I. Methods Nonfederal US Hospital Costs Steven D. Culler and Adam Atherly Estimating the Costs of Cardiac Care Provided by the Hospitals of the US Department of Veterans Affairs Paul G. Barnett, Patricia Lin, and Todd H. Wagner Estimating the Costs of Health Care Resources in Canada Gordon Blackhouse US Physician Costs: Conceptual and Methodological Issues and Selected Applications Edmund R. Becker Indirect Health Care Costs: An Overview Stephen J. Boccuzzi Health Status Assessment John A. Spertus and Mark W. Conard Utility Assessment John A. Spertus and Robert F. Nease, Jr. Introduction to Cost-Effectiveness Analysis Robert F. Nease, Jr. Cost-Effectiveness Analysis Alongside Clinical Trials: Statistical and Methodological Issues Elizabeth M. Mahoney and Haitao Chu Part II. Clinical Applications Costs of Care and Cost-Effectiveness Analysis: Primary Prevention of Coronary Artery Disease Kevin A. Schulman and Padma Kaul Economics of Therapy for Acute Coronary Syndromes Daniel B. Mark Cost-Effectiveness of Percutaneous Coronary Interventions David J. Cohen and Ameet Bakhai Economic Comparisons of Coronary Angioplasty and Coronary Bypass Surgery Mark A. Hlatky Costs of Coronary Artery Surgery and Cost-Effectiveness of CABG vs Medicine Sean C. Beinart and William S. Weintraub Costs of Care and Cost-Effectiveness Analysis: Other Cardiac Surgery Vinod H. Thourani and William S. Weintraub Congestive Heart Failure Mikhail Torosoff, Claude-Laurent Sader, and Edward F. Philbin, III Current Economic Evidence Using Noninvasive Cardiac Testing Leslee J. Shaw, Rita Redberg, and Charles Denham Cost-Effective Care in the Management of Conduction Disease and Arrhythmias David J. Malenka and Edward Catherwood Comparing Cost-Utility Analyses in Cardiovascular Medicine Wolfgang C. Winkelmayer, David J. Cohen, Marc L. Berger, and Peter J. Neumann Beyond Heart Disease: Cost-Effectiveness as a Guide to Comparing Alternate Approaches to Improving the Nation's Health Tammy O. Tengs and Nicholas P. Emptage Using Economic Studies for Policy Purposes Rajiv Shah and Kevin G. M. Volpp Medicare, the Aging of America, and the Balanced Budget Paul Heidenreich Afterword: The Future of Economics in Cardiovascular Care and Research William S. Weintraub Index

Blurb

Given the limited ability of government to fund health care and the staggering cost of cardiovascular disease to society-an estimated $351.8 billion for 2003 in direct medical costs and lost productivity-critical choices must be made to reduce the burden of cardiovascular health care and minimize its collateral losses. In an illuminating synthesis of methodological and clinical studies, Cardiovascular Health Care Economics shows how costs can be established, how the value of clinical outcomes can be assessed, and how difficult choices can be rationally made. In the methodological chapters, well-known experts review the conceptual and practical issues involved in estimating and interpreting health care costs, making health status and utility assessments, and statistically analyzing cost-effectiveness and clinical trials. The clinical chapters apply these methods to the major clinical areas of cardiology-primary prevention of coronary artery disease, acute coronary syndromes, angioplasty vs coronary bypass surgery, CABG vs medicine, congestive heart failure, arrhythmias, and cardiac surgery. Additional chapters consider the use of economic studies for policy purposes and the future of Medicare under a balanced budget in an aging America.
Comprehensive and timely, Cardiovascular Health Care Economics offers today's cardiologists, administrators, policymakers, and investigators an enlightening introduction and up-to-date reference to cardiovascular health care economics, as well as a sound basis for making the good choices that will assure continued access to high-quality health care in the decades to come.