By Stefan Timmermans

Brandeis Univ., Waltham, MA. offers a well timed exam of evidence-based medication and explores such recommendations as energy, objectivity, and standardization. deals the advantages and downsides of standardizing biomedicine and its impression at the whole perform of medication. Hardcover, softcover additionally to be had.

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Additional resources for The Gold Standard: The Challenge of Evidence-Based Medicine and Standardization in Health Care

Sample text

The political heritage of standards is apparent in Taylor’s promotion of scientific management as a behaviorist tool to solve labor problems, standardization as an alternative tool for governmental and legal antitrust actions, the deliberate positioning of private industry bodies, action groups, and government organizations to seize the standard-setting process, and the emergence of evidence-based medicine against the threat of third parties to regulate health care. Critics and supporters agree that standards emerge out of political concerns and can be used to implement or thwart regulation.

Such standards evolve depending on what is acceptable in a medical subspecialty in a specific region. Some rural hospitals with limited equipment will be kept to a different standard of care than large university teaching hospitals. In emergency medicine, lawyer William Ginsburg argued that electric defibrillation should be the standard of care during sudden cardiac arrest occurring outside hospitals. He supported his position with literature reports, official positions of professional emergency organizations, expectations of the general public, and juries in courts of law.

This community service is brought about in two ways. First, through the study of methods and results as shown in the records, the hospital is able to give better and more efficient service, and, second, by giving convincing evidence of efficiency and an available measure of its service the hospital can seek and obtain more confidence, respect, and generous financial support and thus extend its scope and increase its ability to serve. ” An early textbook of medical record keeping nicely sums this up: The basis of this standardized service is to know what the hospital is doing, and to record its work in such a way as to enable an appraisement to be made of it.

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