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[null,"1.","Record Nr.",null,"UNINA9910220091803321"]
[null,null,"Autore",null,"Garber Steven <1950->"]
[null,null,"Titolo",null,"Redirecting innovation in U.S. health care : options to decrease spending and increase value / / Steven Garber [and six others]"]
[null,null,"Pubbl/distr/stampa",null,"Santa Monica, California : , : RAND Corporation, , 2014"]
[{"$nulls":4},"©2014"]
[null,null,"ISBN",null,"0-8330-8549-2"]
[{"$nulls":4},"0-8330-8547-6"]
[null,null,"Descrizione fisica",null,"1 online resource (135 p.)"]
[null,null,"Disciplina",null,"362.10973"]
[null,null,"Soggetti",null,"Medical care - United States"]
[{"$nulls":4},"Medical care, Cost of - United States"]
[{"$nulls":4},"Medical innovations"]
[null,null,"Lingua di pubblicazione",null,"Inglese"]
[null,null,"Formato",null,"Materiale a stampa"]
[null,null,null,"Livello bibliografico","Monografia"]
[null,null,null,"Note generali","Description based upon print version of record."]
[null,null,null,"Nota di bibliografia","Includes bibliographical references."]
[null,null,"Nota di contenuto",null,"Cover; Title Page; Copyright; Preface; Contents; Figures; Summary; Acknowledgments; Abbreviations; Chapter One: Introduction; Project Goals; What Determines Value for Health Care Products?; Chapter Two: The Context for Medical Product Innovation; Three Stages of Innovation; Primary Actors in Inventing Medical Products; Drug and Device Companies; HIT Companies; Goals of Medical Product Inventors; Private Investors; Financial Incentives of Medical Product Inventors; Influencers of Medical Product Invention; National Institutes of Health; U.S. Food and Drug Administration"]
[{"$nulls":4},"U.S. Patent and Trademark Office Office of the National Coordinator for Health Information Technology; Primary Actor and Influencers in Approval of Medical Technologies; Primary Actors in Adoption of Medical Products; Physicians; Hospitals; Influencers of Providers; Summary: Context for Medical Product Innovation; Chapter Three: Methods; Literature Reviews; Technical Expert Panel; Expert Interviews; Case Studies; Policy Options; Chapter Four: Analysis; Lack of Basic Scientific Knowledge; Lack of an Adequate Knowledge Base Can Hinder Product Inventors"]
[{"$nulls":4},"Sources of Financial Support for Increasing Basic Scientific Knowledge Federal Funding Is Critical to Expanding the Basic Scientific Base; Case Study Summary: Haemophilus influenzae Type b (Hib) Vaccine; How Scientific Uncertainty Affects Medical Product Invention; Costs and "]
[{"$nulls":4},"Risks of FDA Approval; Could the FDA Ensure Safety with Quicker and Less Costly Processes?; Delays Entail Both Health and Financial Costs; Case Study Summary: A Cardiovascular Polypill; Unpredictability and Ineffective Communication Complicate the Approval Process; FDA Caution May Be a Root Cause of Regulatory Delay"]
[{"$nulls":4},"Case Study Summary: Avastin for Metastatic Breast Cancer Regulatory Risk Figures Prominently in Investment and Invention Decisions; How Regulatory Uncertainty Affects Investment and Invention; Limited Rewards for Medical Products That Could Lower Spending; Many Patients and Providers Are Fairly Insensitive to Prices; Generous Health Insurance Tends to Reduce Consumers' Sensitivity to Price; Fee-for-Service Payment Also Tends to Reduce Price Sensitivity; Lack of Price Transparency Also Reduces Price Sensitivity; Medicare Is Not Allowed to Consider Costs in Coverage and Reimbursement Decisions"]
[{"$nulls":4},"Limited Time Horizons and Fragmented Decision making Case Study Summary: Electronic Health Records; Inadequate Rewards for Products That Decrease Spending; Implications for Inventors and Investors; Treatment Creep; Case Study Summary: Implantable Cardioverter-Defibrillator; Manufacturers Can Promote Low-Value Use; Case Study Summary: Prostate-Specific Antigen; Defensive Medicine Is a Form of Treatment Creep; Off-Label Use of Medical Products Is Widespread, but Health Effects Are Unknown; It Is Difficult to Control Undesirable Instances of Off-Label Use"]
[{"$nulls":4},"Treatment Creep Can Substantially Affect Incentives for Innovators"]
[null,null,null,"Sommario/riassunto","New medical technologies are a leading driver of U.S. health care spending. This report identifies promising policy options to change which medical technologies are created, with two related policy goals: (1) Reduce total health care spending with the smallest possible loss of health benefits, and (2) ensure that new medical products that increase spending are accompanied by health benefits that are worth the spending increases."]
[null,"2.","Record Nr.",null,"UNINA9910958513803321"]
[null,null,"Titolo",null,"Crisis standards of care : summary of a workshop series / / Clare Stroud ... [et al.], rapporteurs; Forum on Medical and Public Health Preparedness for Catastrophic Events, Board on Health Sciences Policy, Institute of Medicine of the National Academies"]
[null,null,"Pubbl/distr/stampa",null,"Washington, D.C., : National Academies Press, c2010"]
[null,null,"ISBN",null,"0-309-15037-X"]
[{"$nulls":4},"1-282-55453-0"]
[{"$nulls":4},"9786612554537"]
[{"$nulls":4},"0-309-12667-3"]
[null,null,"Edizione",null,"[1st ed.]"]
[null,null,"Descrizione fisica",null,"1 online resource (175 p.)"]
[null,null,"Disciplina",null,"362.18"]
[null,null,"Soggetti",null,"Disaster medicine - Standards - United States"]
[{"$nulls":4},"Emergency medical services - Standards - United States"]
[{"$nulls":4},"Integrated delivery of health care - Standards - United States"]
[null,null,"Lingua di pubblicazione",null,"Inglese"]
[null,null,"Formato",null,"Materiale a stampa"]
[null,null,null,"Livello bibliografico","Monografia"]
[null,null,null,"Note generali","Description based upon print version of record."]
[null,null,null,"Nota di bibliografia","Includes bibliographical references (p. 65-68)."]
[null,null,"Nota di contenuto",null,"\"\"Front Matter\"\"; \"\"Reviewers\"\"; \"\"Contents\"\"; \"\"Workshop Summary\"\"; \"\"Appendix A: References\"\"; \"\"Appendix B: Summary of *Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations: A Letter Report*\"\"; \"\"Appendix C: Workshop Agendas\"\"; \"\"Appendix D: Participant Feedback Survey Responses\"\"; \"\"Appendix E: Biographical Sketches of Workshop Planning Committee Members, Invited Speakers, and Panelists\"\""]
[null,null,null,"Sommario/riassunto","\"During a wide-reaching catastrophic public health emergency or disaster, existing surge capacity plans may not be sufficient to enable healthcare providers to continue to adhere to normal treatment procedures and follow usual standards of care. This is a particular concern for emergencies that may severely strain resources across a large geographic area, such as a pandemic influenza or the detonation of a nuclear device. Under these circumstances, it may be impossible to provide care according to the standards of care used in non-disaster situations, and, under the most extreme circumstances, it may not even be possible to provide basic life sustaining interventions to all patients who need them. Although recent efforts to address these concerns have accomplished a tremendous amount in just a few years, a great "]
[{"$nulls":4},"deal remains to be done in even the most advanced plan. This workshop summary highlights the extensive work that is already occurring across the nation. Specifically, the book draws attention to existing federal, state, and local policies and protocols for crisis standards of care; discusses current barriers to increased provider and community engagement; relays examples of existing interstate collaborations; and presents workshop participants' ideas, comments, concerns, and potential solutions to some of the most difficult challenges.\"--Publisher's description."]