Table of contents

  1. Front Matter
    Pages i-xxi
  2. Framework of CLINECS

  3. Ethics and Philosophy

    1. Lawrence J. Schneiderman
      Pages 15-20
    2. Franz Porzsolt, Heike Leonhardt-Huober
      Pages 21-29
    3. Hans Russ, Johannes Clouth, Franz Porzsolt
      Pages 36-42
  4. Psychology

    1. Robert M. Kaplan
      Pages 43-55
    2. Franz Porzsolt, Marina Kojer, Martina Schmidl, Elfriede R. Greimel, Jörg Sigle, Jörg Richter et al.
      Pages 56-65
    3. Hana Kajnar
      Pages 74-86
  5. Clinical Practice

  6. Economically Oriented Analyses

    1. Robert M. Kaplan, Scott D. Ramsey
      Pages 171-183
    2. Reinhold Kilian, Franz Porzsolt
      Pages 184-198
    3. Franz Porzsolt, Heike Leonhardt-Huober, Robert M. Kaplan
      Pages 199-204
  7. Clinical Epidemiology

    1. Amit K. Ghosh, Dirk Stengel, Nancy Spector, Narayana S. Murali, Franz Porzsolt
      Pages 205-216
    2. Dirk Stengel, Franz Porzsolt
      Pages 217-231
    3. Franz Porzsolt, Dirk Stengel, Amit K. Ghosh, Robert M. Kaplan
      Pages 257-264
  8. Conclusion and Outlook

  9. Back Matter
    Pages 304-313

About this book


Are our patients getting what they want for their health care money?

Should we change anything to give our patients more of what they want?

Do we even know what they want?

When service delivery, patient expectations, and the bottom line are in conflict, quality generally suffers. But such conflict can be minimized, say the editors of Optimizing Health.

Answering elusive questions on how quality emerges in medical care, Franz Porzsolt and Robert Kaplan synthesize findings from closely interrelated aspects of clinical practice, clinical epidemiology, health economics, psychology, and ethics. The resulting systems perspective of this timely book merges thinking from clinical medicine and economics to form the hybrid term "CLINECS". The book challenges readers to rethink the standard criteria for assessing benefit to patients, and shows how evidence-based medicine can be incorporated into actual public health settings, clarifying key medical goals regarding patient autonomy. An international panel of experts offers practical, workable guidelines for:

-Understanding the value of services from the patient’s point of view

-Involving patients in medical decision-making

-Avoiding overdiagnosis and overly aggressive treatment

-Reconciling outcomes research and clinical research

-Measuring patient quality of life—even for those who are cognitively impaired

-Improving efficacy and effectiveness throughout the system

Optimizing Health outlines an agenda of critical importance to health care professionals, researchers, and policymakers. This vision also makes it a bedrock graduate-level text for tomorrow’s clinicians and administrators. This is material that will be studied, discussed, debated, but most of all, benefited from.


Anästhesie-Informations-Management-System Public Health School of Public Health cancer diagnosis economics efficiency ethics evaluation health care medicine psychology quality of life sociology surgery

Editors and affiliations

  • Franz Porzsolt
    • 1
  • Robert M. Kaplan
    • 2
  1. 1.Clinical EconomicsUniversity Hospital UlmUlmGermany
  2. 2.Schools of Public Health and MedicineUniversity of CaliforniaLos Angeles

Bibliographic information

  • DOI
  • Copyright Information Springer Science+Business Media, LLC 2006
  • Publisher Name Springer, Boston, MA
  • eBook Packages Medicine Medicine (R0)
  • Print ISBN 978-0-387-33920-7
  • Online ISBN 978-0-387-33921-4
  • Buy this book on publisher's site