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LEADER: 05725cam 2200805 i 4500
001 ocn881436995
003 OCoLC
005 20211009003544.0
008 140827s2015 mau b 001 0 eng
010 $a 2014031802
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020 $a9780807071649$q(hardback)
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020 $a0807077585$q(paperback)
020 $z9780807071656$q(ebook)
035 $a(OCoLC)881436995$z(OCoLC)905111888$z(OCoLC)905112071
037 $bRandom House Inc, Attn Order Entry 400 Hahn rd, Westminster, MD, USA, 21157$nSAN 201-3975
042 $apcc
043 $an-us---
050 00 $aRA427.3$b.W45 2015
060 4 $aWA 900.1
082 00 $a362.1$223
084 $aMED018000$aMED037000$aMED078000$2bisacsh
100 1 $aWelch, H. Gilbert.
245 10 $aLess medicine, more health :$b7 assumptions that drive too much medical care /$cDr. H. Gilbert Welch.
264 1 $aBoston :$bBeacon Press,$c[2015]
264 4 $c©2015
300 $axxii, 218 pages ;$c24 cm
336 $atext$btxt$2rdacontent
337 $aunmediated$bn$2rdamedia
338 $avolume$bnc$2rdacarrier
504 $aIncludes bibliographical references (pages 198-210) and index.
505 0 $aIntroduction: Our enthusiasm for everything medical -- Assumption #1: All risks can be lowered -- Assumption #2: It's always better to fix the problem -- Assumption #3: Sooner is always better -- Assumption #4: It never hurts to get more information -- Assumption #5: Action is always better than inaction -- Assumption #6: Newer is always better -- Assumption #7: It's all about avoiding death --Conclusion: Seeking medical care is not the most important thing you can do for your health.
520 $aYou might think the biggest problem in medical care is that it costs too much. Or that health insurance is too expensive, too uneven, too complicated -- and gives you too many forms to fill out. But the central problem is that too much medical care has too little value. Dr. H. Gilbert Welch is worried about too much medical care. It's not to deny that some people get too little medical care, rather that the conventional concern about "too little" needs to be balanced with a concern about "too much": too many people being made to worry about diseases they don't have -- and are at only average risk to get; too many people being tested and exposed to the harmful effects of the testing process; too many people being subjected to treatments they don't need -- or can't benefit from. The American public has been sold the idea that seeking medical care is one of the most important steps to maintain wellness. Surprisingly, medical care is not, in fact, well correlated with good health. So more medicine does not equal more health; in reality the opposite may be true. The general public harbors assumptions about medical care that encourage overuse, assumptions like it's always better to fix the problem, sooner (or newer) is always better, or it never hurts to get more information. Less Medicine, More Health pushes against established wisdom and suggests that medical care can be too aggressive. Drawing on his twenty-five years of medical practice and research, Dr. Welch notes that while economics and lawyers contribute to the excesses of American medicine, the problem is essentially created when the general public clings to these powerful assumptions about the value of tests and treatments -- a number of which are just plain wrong. By telling stories backed by data, Dr. Welch challenges patients and the health-care establishment to rethink some very fundamental practices.
650 0 $aMedical care$zUnited States$xEvaluation.
650 0 $aHealth risk assessment.
650 0 $aMedicare.
650 7 $aMEDICAL$xDiagnosis.$2bisacsh
650 7 $aMEDICAL$xHealth Risk Assessment.$2bisacsh
650 7 $aMEDICAL$xPublic Health.$2bisacsh
650 7 $aHealth risk assessment.$2fast$0(OCoLC)fst00953250
650 7 $aMedical care$xEvaluation.$2fast$0(OCoLC)fst01013794
650 7 $aMedicare.$2fast$0(OCoLC)fst01014815
651 7 $aUnited States.$2fast$0(OCoLC)fst01204155
650 7 $aMedizinische Versorgung$2gnd
650 7 $aFinanzierung$2gnd
650 7 $aVerteilung$2gnd
650 7 $aGesundheitsökonomie$2gnd
650 12 $aDiagnostic Techniques and Procedures$xethics.
655 4 $aNonfiction.
856 42 $3Cover image$u9780807071649.jpg
938 $aBrodart$bBROD$n109637291
938 $aBaker and Taylor$bBTCP$nBK0015138375
938 $aCoutts Information Services$bCOUT$n28504317
938 $aYBP Library Services$bYANK$n11861503
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