{ "item_title" : "Organisation and Management of Intensive Care", "item_author" : [" D. Reis Miranda", "D. W. Ryan", "Wilmar Schaufeli "], "item_description" : "From the viewpoint of a health economist, the intensive care unit (leU) is a particularly fascinating phenomenon. It is the epitome of high-tech medicine and frequently portrayed as the place where life-saving miracles are routinely wrought. But the popular imagina- tion is also caught up in the darker side, when agonizing decisions have to be made to avoid futile and inhuman continuation of expen- sive treatments. My analytical interests led me to approach these issues by asking what the evidence tells us about which leu activities are very bene- ficial in relationship to their costs and which are not. This quickly translates into a slightly different question, namely, which patients are most appropriately treated in an leu and which not. Unfor- tunately, it is very hard to answer these questions because it has pro- ved very difficult to investigate these issues in the manner which is now regarded as the gold standard: ' namely by conducting rando- mized clinical trials or alternative courses of action. I think this is a pity, and I am not at all convinced that it would be unethical to do so in many cases, because there is wide variation in practice and ge- nuine doubt as to which practices are best -the two conditions that need to be fulfilled before such a trial is justifiable.", "item_img_path" : "https://covers3.booksamillion.com/covers/bam/3/64/264/328/3642643280_b.jpg", "price_data" : { "retail_price" : "109.99", "online_price" : "109.99", "our_price" : "109.99", "club_price" : "109.99", "savings_pct" : "0", "savings_amt" : "0.00", "club_savings_pct" : "0", "club_savings_amt" : "0.00", "discount_pct" : "10", "store_price" : "" } }

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