ICU Resource Allocation in the New Millennium

Will We Say "No"?

Editors: Crippen, David (Ed.)

  • Written by leading international experts in critical care practice, biomedical ethics, and law and medicine
  • This is the first book since the advent of the global economic crisis and American health care reform to address resource allocation in critical care, the most expensive utilization in the hospital setting, and often the most demanded, especially in the context of the end of life.
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  • ISBN 978-1-4614-3866-3
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  • ISBN 978-1-4614-3865-6
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About this book

Intensive care medicine is one of the fastest growing services provided by hospitals and perhaps one of the most expensive.  Yet in response to the global financial crisis of the last few years, healthcare funding is slowing or decreasing throughout the world. 

 

How we manage health care resources in the intensive care unit (ICU) now and in a future that promises only greater cost constraints is the subject of this book, the third in an informal series of volumes providing a global perspective on difficult issues arising in the ICU. 

 

Taking 12 developed countries as their focus, leading experts provide a country-by-country analysis of current ICU resource allocation.  A second group of experts use the chapters as a departure point to analyze current ICU resource allocation at the level of the global medical village.  The process is repeated, but with an eye toward the future – first country by country, then at the global level – that takes into account initiatives and reforms now underway.

 

A fictional healthcare plan, the “Fair & Equitable Healthcare Plan,” is put forth to address weaknesses in existing approaches, and healthcare experts and ethicists are invited to respond to its often provocative provisions.

 

Itself structured as a dialogue, the book is an excellent way to start or to continue serious discussion about the allocation of ICU healthcare resources now and in the years ahead. 

About the authors

David W. Crippen, MD, FCCM is Professor of Critical Care Medicine at the University of Pittsburgh School of Medicine and Co-Director, Neurovascular ICU at the University of Pittsburgh Medical Center. He also holds secondary appointments as Professor in the Department of Emergency Medicine and in the Department of Neurologic Surgery. 

 

Dr. Crippen trained in general surgery, emergency medicine, and critical care medicine. He is a member of the Society for Critical Care Medicine, the European Society for Intensive Care Medicine, and the American College of Emergency Physicians. He is a Fellow of the American College of Critical Care Medicine, has been a Diplomate of the American Board of Emergency Medicine for 20 years, and received the European Diploma in Intensive Care Medicine.

 

Dr. Crippen is a prolific writer in the medical and popular literature and a frequent speaker at international medical meetings. He moderates the Critical Care Medicine Internet Group (CCM-L) with more than 800 members around the world. Dr. Crippen plays lead and rhythm guitar for the rock group The CODES, has raced motorcycles on off-road and road racing circuits, and collects and tours the world on vintage motorcycles.

Reviews

From the reviews:

“This monograph challenges the critical care community to evaluate the technical, moral, and financial limits of critical care. … Trainees, policy makers, and medical practitioners are an appropriate audience for this book, which features international perspectives on critical care resource utilization. … This book effectively frames the question of resource limitation and offers a short list of strategies to address this concern in the future.” (David J. Dries, Doody's Book Reviews, April, 2013)

“Simply compelling! … dynamic, balanced, and stimulating … challenges readers to question 'how things are done' and 'how things should be done' in the ever changing financial and ethical world of the ICU. … not only a must read for ICU clinicians of all disciplines but also for health economists, health policy makers, ethicists and even the lay public.” (Richard J. Brilli, Critical Care Medicine, Vol. 41 (4), April, 2013)

“It would appeal to individuals with an interest in the different systems of health care delivery, particularly from a global perspective. This book would also serve as an excellent foundation for anyone researching various care models throughout the globe. … intensive care physicians who wrestle daily with questions on how to deliver care in a system with limited resources and ever expanding patient expectations will take great interest in this book.” (Donald Griesdale, Canadian Journal of Anesthesia/Journal canadien d'anesthésie, Vol. 60, 2013)


Table of contents (39 chapters)

  • Australia: Where Have We Been?

    Seppelt, Ian M.

    Pages 3-10

  • Brazil: Where Have We Been?

    Carvalho, Frederico Bruzzi (et al.)

    Pages 11-16

  • Canada: Where Have We Been?

    Doig, Christopher James

    Pages 17-24

  • Germany: Where Have We Been?

    Kerz, Thomas

    Pages 25-31

  • India: Where Have We Been?

    Kapadia, Farhad (et al.)

    Pages 33-38

Buy this book

eBook $44.99
price for USA (gross)
  • ISBN 978-1-4614-3866-3
  • Digitally watermarked, DRM-free
  • Included format: EPUB, PDF
  • ebooks can be used on all reading devices
  • Immediate eBook download after purchase
Softcover $59.99
price for USA
  • ISBN 978-1-4614-3865-6
  • Free shipping for individuals worldwide
  • Usually dispatched within 3 to 5 business days.
Rent the ebook  
  • Rental duration: 1 or 6 month
  • low-cost access
  • online reader with highlighting and note-making option
  • can be used across all devices
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Bibliographic Information

Bibliographic Information
Book Title
ICU Resource Allocation in the New Millennium
Book Subtitle
Will We Say "No"?
Editors
  • David Crippen
Copyright
2013
Publisher
Springer-Verlag New York
Copyright Holder
Springer Science+Business Media New York
eBook ISBN
978-1-4614-3866-3
DOI
10.1007/978-1-4614-3866-3
Softcover ISBN
978-1-4614-3865-6
Edition Number
1
Number of Pages
XXIV, 351
Number of Illustrations and Tables
2 b/w illustrations, 9 illustrations in colour
Topics