Organisation and Management of Intensive Care

A Prospective Study in 12 European Countries

  • Dinis Reis Miranda
  • David W. Ryan
  • Wilmar B. Schaufeli
  • Václav Fidler
Part of the Update in Intensive Care and Emergency Medicine book series (UICM, volume 29)

Table of contents

  1. Front Matter
    Pages I-XX
  2. Part I

    1. Front Matter
      Pages 1-1
    2. Dinis Reis Miranda, David W. Ryan, Wilmar B. Schaufeli, Václav Fidler
      Pages 3-4
    3. Dinis Reis Miranda, David W. Ryan, Wilmar B. Schaufeli, Václav Fidler
      Pages 5-12
    4. Dinis Reis Miranda, David W. Ryan, Wilmar B. Schaufeli, Václav Fidler
      Pages 13-37
    5. Dinis Reis Miranda, David W. Ryan, Wilmar B. Schaufeli, Václav Fidler
      Pages 38-49
    6. Dinis Reis Miranda, David W. Ryan, Wilmar B. Schaufeli, Václav Fidler
      Pages 50-54
    7. Dinis Reis Miranda, David W. Ryan, Wilmar B. Schaufeli, Václav Fidler
      Pages 55-58
  3. Part II

    1. Front Matter
      Pages 59-59
    2. Dinis Reis Miranda, David W. Ryan, Wilmar B. Schaufeli, Václav Fidler
      Pages 61-113
    3. D. Reis Miranda, J. van der Veen, R. Moreno, W. van Rossum, W. Schaufeli, P. Le Blanc et al.
      Pages 114-238
    4. R. Moreno, A. van Dort, K. Rowan, G. Apolone, Václav Fidler
      Pages 239-269
  4. Back Matter
    Pages 271-287

About this book

Introduction

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.

Keywords

care health care economics health services research human resources intensive care intensive care unit non-profit organization

Editors and affiliations

  • Dinis Reis Miranda
    • 1
  • David W. Ryan
    • 2
  • Wilmar B. Schaufeli
    • 3
  • Václav Fidler
    • 4
  1. 1.Health Services Research UnitUniversity Hospital GroningenGroningenThe Netherlands
  2. 2.ICUFreeman HospitalNewcastle upon TyneUK
  3. 3.Department of Social and Organisational PsychologyUniversity of UtrechtUtrechtThe Netherlands
  4. 4.Faculty of MedicineUniversity of GroningenGroningenThe Netherlands

Bibliographic information

  • DOI https://doi.org/10.1007/978-3-642-60270-2
  • Copyright Information Springer-Verlag Berlin Heidelberg 1998
  • Publisher Name Springer, Berlin, Heidelberg
  • eBook Packages Springer Book Archive
  • Print ISBN 978-3-642-64328-6
  • Online ISBN 978-3-642-60270-2
  • Series Print ISSN 0933-6788