Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-04T20:27:17.976Z Has data issue: false hasContentIssue false

The Effectiveness of Medical Care

Published online by Cambridge University Press:  21 June 2016

Mary D. Nettleman*
Affiliation:
Division of Clinical Epidemiology, Department of Internal Medicine, The University of Iowa Hospitals and Clinics, Iowa City, Iowa
*
Department of Internal Medicine, Division of Clinical Epidemiology, C41GH, The University of Iowa Hospitals and Clinics, Iowa City, IA 52242

Extract

Medical care has come a long way in the last century. People live longer; deadly diseases are prevented, cured, or ameliorated. In short, medical care is more effective than at any previous time. In this sense, effectiveness is a straightforward concept that measures changes in life expectancy, quality of life, and occurrence of disease. Effectiveness is sometimes difficult to quantitate; yet it is an important part of clinical decision making. For example, is the use of universal precautions effective in preventing the spread of the human immunodeficiency virus? Is antibiotic prophylaxis effective in preventing postoperative wound infections? Is chest percussion effective in the therapy of' pneumonia? Is a brain biopsy more effective than empiric therapy in treating encephalitis?

Type
Special Sections
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1988

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Weinstein, MC, Fineberg, HV: Clinical Decision Analysis. Philadelphia. WB Saunders Co, 1980.Google Scholar
2. Nettleman, MD: Decision analysis: A tool for infection control. Infect Control Hosp Epidemiol 1988; 9:8891.CrossRefGoogle ScholarPubMed
3. Nightingale, SD: Risk preference and laboratory use. Med Decis Making 1987; 7:168173.CrossRefGoogle ScholarPubMed
4. Hilden, J: The nonexistence of interpersonal utility scales: A missing link in medical decision theory? Med Decis Making 1985; 5:215228.CrossRefGoogle ScholarPubMed
5. Matchar, DB. Pauker, SG: Endarterectomy in carotid artery disease: A decision analysis. JAMA 1987; 258:793798.CrossRefGoogle ScholarPubMed
6. Beck, JR, Pauker, SG: The Markov process in medical prognosis. Med Decis Making 1983; 3:419458.CrossRefGoogle ScholarPubMed