Better Doctors, Better Patients, Better Decisions: Envisioning Health Care 2020

Better Doctors, Better Patients, Better Decisions: Envisioning Health Care 2020

by Gerd Gigerenzer
     
 

ISBN-10: 0262016036

ISBN-13: 9780262016032

Pub. Date: 03/25/2011

Publisher: MIT Press

Contrary to popular opinion, one of the main problems in providing uniformly excellent health care is not lack of money but lack of knowledge--on the part of both doctors and patients. The studies in this book show that many doctors and most patients do not understand the available medical evidence. Both patients and doctors are "risk illiterate"--frequently…  See more details below

Overview

Contrary to popular opinion, one of the main problems in providing uniformly excellent health care is not lack of money but lack of knowledge--on the part of both doctors and patients. The studies in this book show that many doctors and most patients do not understand the available medical evidence. Both patients and doctors are "risk illiterate"--frequently unable to tell the difference between actual risk and relative risk. Doctors often cannot interpret test results; patients cannot make informed decisions if they are given bad information. Surprisingly, treatments vary widely from one region to another. For example, in one referral region in Iowa, sixty percent of prostate patients had surgery, while in another region only fifteen percent had the same surgery. This unwarranted disparity in treatment decisions is the rule rather than the exception in the United States and Europe. All of this contributes to much wasted spending in health care.

The contributors to Better Doctors, Better Patients, Better Decisions investigate the roots of the problem, from the emphasis in medical research on technology and blockbuster drugs to the lack of education for both doctors and patients. They call for a new, more enlightened health care, with better medical education, journals that report study outcomes completely and transparently, and patients in control of their personal medical records, not afraid of statistics but able to use them to make informed decisions about their treatments.

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Product Details

ISBN-13:
9780262016032
Publisher:
MIT Press
Publication date:
03/25/2011
Series:
Strungmann Forum Reports
Pages:
416
Product dimensions:
6.20(w) x 9.10(h) x 1.30(d)
Age Range:
18 Years

Table of Contents

The Ernst Strüngmann Forum vii

List of Contributors ix

Health Literacy: Is the Patient the Problem?

1 Launching the Century of the Patient Gerd Gigerenzer J. A. Muir Gray 3

2 When Misinformed Patients Try to Make Informed Health Decisions Wolfgang Gaissmaier Gerd Gigerenzer 29

3 Reducing Unwarranted Variation in Clinical Practice by Supporting Clinicians and Patients in Decision Making Albert G. Mulley John E. Wennberg 45

4 Do Patients Want Shared Decision Making and How Is This Measured? Martin Härter Daniela Simon 53

Health Illiteracy: Roots in Research

5 Health Research Agendas and Funding David E. Nelson 61

6 Reporting of Research: Are We in for Better Health Care by 2020? Holger Schünemann Davina Ghersi Julia Kreis Gerd Antes Jean Bousquet 83

7 Medical Journals Can Be Less Biased J. A. Muir Gray 103

8 What Is Needed for Better Health Care: Better Systems, Better Patients or Both? Markus A. Feufel Gerd Antes Johann Steurer Gerd Gigerenzer J. A. Muir Gray Marjukka Mäkelä Albert G. Mulley David E. Nelson Jay Schulkin Holger Schünemann John E. Wennberg Claudia Wild 117

Health Illiteracy: Spread to the Public

9 Statistical Illiteracy in Doctors Odette Wegwarth Gerd Gigerenzer 137

10 Statistical Illiteracy in Journalism: Are Its Days Numbered? Bruce Bower 153

11 Improving Health Care Journalism Holger Wormer 169

12 Barriers to Health Information and Building Solutions Talya Miron-Shatz Ingrid Mühlhauser Bruce Bower Michael Diefenbach Ben Goldacre Richard S. W. Smith David Spiegelhalter Odette Wegwarth 191

Health Care 2020

13 How Can Better Evidence Be Delivered? Norbert Donner-Banzhoff Hilda Bastian Angela Coulter Glyn Elwyn Günther Jonitz David Klemperer Wolf-Dieter Ludwig 215

14 The Drug Facts Box: Making Informed Decisions about Prescription Drugs Possible Lisa M. Schwartz Steven Woloshin 233

15 Reengineering Medical Education David A. Davis 243

16 The Chasm between Evidence and Practice: Extent, Causes, and Remedies Richard S. W. Smith 265

17 The Future of Diagnostics: From Optimizing to Satisficing Henry Brighton 281

18 Direct-to-Consumer Advertising: Status Quo and Suggestions to Enhance the Delivery of Independent Medication Information Wolf-Dieter Ludwig Gisela Schott 295

19 How Will Health Care Professionals and Patients Work Together in 2020? A Manifesto for Change Ralph Hertwig Heather Buchan David A. Davis Wolfgang Gaissmaier Martin Härter Kai Kolpatzik France Légaré Norbert Schmacke Holger Wormer 317

Abbreviations 339

Glossary 343

Bibliography 347

Subject Index 387

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