Community & Home Care - Home, Medical Ethics, Medical & Biomedical Technology - General & Miscellaneous, Medical Technology, Ethics & Moral Philosophy - Applied - Bioethics/Medical, Health Care Providers
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Overview
High-technology medical devices--for treatments such as kidney dialysis, total parenteral nutrition, the infusion of antibiotics, and respiratory ventilation--are making it possible for people with chronically acute conditions to live longer. And with the current fiscal pressures to reduce the length of hospital stays, these people are being discharged to their homes, assisted by portable life-support systems. The introduction of high-tech devices into the home setting, however, poses a new set of ethical and social challenges.
Bringing the Hospital Home was conceived to examine these issues and to spur public discussion of them. The book brings together scholars, clinicians, and advocates from a variety of fields to address topics that include the natures and uses of the technologies, the impact of high-tech home care on patients and families, policy questions that influence program design, health economics, and death and dying in the home.
The book contains no figures.
Editorials
From The Critics
Reviewer: Allen I. Goldberg, MD, MM, FACPE(Loyola University Medical Center)Description: Chapters by clinicians, scholars, and policy analysts provide a wide spectrum of professional perspectives regarding life-sustaining technologies in this book. The book raises a broad range of ethical, social, legal, and economic issues caused by the creation of a population requiring prolonged use of medical technologies at home.
Purpose: The authors reflect upon growth of high-technology home care (HTHC) and study HTHC impact on patients, families, and provider-patient relationships. The book raises social and ethical challenges and provides philosophical and policy insights for program planning. HTHC status is very timely for public debate about the allocation of healthcare resources and escalation of home care costs. Chapters provide a broad diversity of professional perspectives but not viewpoints of some participants in HTHC evolution (e.g., consumers).
Audience: The author anticipates broad readership: healthcare practitioners, home care professionals and provider organizations, medical ethicists, and public policy experts. The book would also appeal to a wider audience, including all participants/beneficiaries of HTHC: consumers; employers, labor unions, and others determining home care benefit packages; and other sectors of the healthcare industry (payers/providers). All readers would find the book highly credible because of the expertise of the contributing authors.
Features: The book contains extensive, current references. The table of contents and index are well-designed and especially useful to guide readers through encyclopedic coverage of issues. Attractive chapter organization and concise, clear writing make reading easy.
Assessment: The book covers HTHC of all ages, discusses multiple technologies, and targets specific disease entities. Because of the complexity of the subject matter, the work is encyclopedic, bringing together in one volume experiences of over a quarter of a century. This makes it a valuable resource for further investigation of the issues. This is a new edition and unique contribution. Promotion should target university and public libraries and bookstores.
Allen I. Goldberg
Chapters by clinicians, scholars, and policy analysts provide a wide spectrum of professional perspectives regarding life-sustaining technologies in this book. The book raises a broad range of ethical, social, legal, and economic issues caused by the creation of a population requiring prolonged use of medical technologies at home. The authors reflect upon growth of high-technology home care (HTHC) and study HTHC impact on patients, families, and provider-patient relationships. The book raises social and ethical challenges and provides philosophical and policy insights for program planning. HTHC status is very timely for public debate about the allocation of healthcare resources and escalation of home care costs. Chapters provide a broad diversity of professional perspectives but not viewpoints of some participants in HTHC evolution (e.g., consumers). The author anticipates broad readership: healthcare practitioners, home care professionals and provider organizations, medical ethicists, and public policy experts. The book would also appeal to a wider audience, including all participants/beneficiaries of HTHC: consumers; employers, labor unions, and others determining home care benefit packages; and other sectors of the healthcare industry (payers/providers). All readers would find the book highly credible because of the expertise of the contributing authors. The book contains extensive, current references. The table of contents and index are well-designed and especially useful to guide readers through encyclopedic coverage of issues. Attractive chapter organization and concise, clear writing make reading easy. The book covers HTHC of all ages, discusses multiple technologies, andtargets specific disease entities. Because of the complexity of the subject matter, the work is encyclopedic, bringing together in one volume experiences of over a quarter of a century. This makes it a valuable resource for further investigation of the issues. This is a new edition and unique contribution. Promotion should target university and public libraries and bookstores.4 Stars! from Doody
Book Details
Published
January 28, 1995
Publisher
Baltimore : Johns Hopkins University Press, c1995.
Pages
259
Format
Hardcover
ISBN
9780801849909