The summary below summarizes the highlights of each chapter to aid those who wish to avoid delving into the details of each chapter. They can pick and choose any chapter that might pique their interest
Chapter1: Experts assert that one-third of healthcare can be omitted without adverse health outcomes.
Chapter 2: One in five patients incur harm while receiving care in hospitals in OECD countries.
Chapter 3 :The Cochrane Collaboration is a not-for-profit organization that produces and maintains systemic reviews of the effects of healthcare interventions.
Chapter 4:There are potential harms(harms greater than benefits) associated with interventions based on testing because of false positive and false negative results which are not uncommon in medical practice
Chapter 5:A medical reversal occurs when a better-designed study contradicts an accepted medical practice, such as a medication, diagnostic test, or procedure.
Chapter 6: Healthcare quality (IOM) is defined as the degree to which healthcare services for individuals and populations increase the likelihood of desired health outcomes consistent with currrent professional knowledge. Elaborating further, care delivered should be safe, effective, patient-centered, timely, efficient and equitable.
Right care in the right place at the right time at an affordable cost(as per the Australian Institute of Health )
Chapter 7: Healthcare consumers are under increasing financial pressure. The consequences include rising annual out-of-pocket expenses, higher rates of underinsurance, and self-rationing of healthcare.
Chapter 8: Most Americans and most health brokers make poor health insurance choices as there are too many confusing choices with a bewildering array of options.
Chapter 9: LOW-VALUE CARE is defined as care that is of “little benefit to patients, have potential to cause harm, incur unnecessary costs to patients or waste limited health resources.”
Chapter 10: Evidence-based medicine applies the best available research to patient-oriented care. It requires integrating evidence with clinical expertise and patient values.
Chapter 11: Medical screening can lead to Overdiagnosis. Unnecessary harm can occur by pursuing early screening. Overdetection identifies abnormalities that may not progress, progress slowly, or resolve spontaneously.
Chapter 12: This chapter provides miscellaneous resources that patients can research for specific issues
Chapter 13: This chapter provides tips and resources to tackle high medical bills
Chapter 14: US spends $ 500 billion on drug prescription costs. US Hospitals spend $ 200 billlion on medical devices.US pays twice as much as other developed countries
Chapter 15: Two thirds of annual hospital ED visits are avoidable. ED costs are ten times higher than at physician offices or urgent care centers.
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