Watch your back! : how the back pain industry is costing us more and giving us less - and what you can do to inform and empower yourself in seeking treatment
Watch your back! : how the back pain industry is costing us more and giving us less - and what you can do to inform and empower yourself in seeking treatment
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小心身后！
DOI：
10.7591/9780801454554
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发表时间：
2017
期刊：
影响因子：
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通讯作者：
R. Deyo
中科院分区：
文献类型：
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作者：
R. Deyo
这本书考虑了我们对背痛治疗的了解，并提出了一些关键问题。一些最流行的治疗方法真的有效吗？他们是否“治愈”甚至改善了他们声称要解决的问题？如果一些背痛治疗是无效的，甚至是有害的，为什么病人吵着要他们和医生提供他们？谁从过去三十年发展起来的庞大的背痛行业中受益？是病人吗？或者是医生、医院和生产背痛治疗技术的制造商？这一切对我们的医疗系统意味着什么？还是我们在提高质量、改善安全和降低医疗成本方面的努力？患者如何才能帮助自己，而不是帮助医疗行业？衡量患者满意度的努力是有助于提供更安全、更有效的治疗，还是鼓励相反的情况？在回答这些问题时，本书所做的不仅仅是描述和分析后台业务。它还探讨了医生与患者，制药公司和医疗设备制造商互动的复杂方式。结果可能会无意中导致无效甚至有害的治疗。
Excerpt] This book considers what we know about treatments for back pain and asks a number of critical questions. Are some of the most popular treatments really effective? Do they “cure” or even improve the problems they claim to address? If some back pain treatments are ineffective or even harmful, why do patients clamor for them and doctors provide them? Who benefits from the vast back pain industry that’s developed over the past thirty years? Is it patients? Or the doctors, hospitals, and manufacturers that produce the technology of back pain therapy? What does all this say about our medical system? Or our efforts to enhance quality, improve safety, and reduce health care costs? How can patients maneuver to help themselves rather than help the medical industry? Will efforts to measure patient satisfaction help deliver safer and more effective treatments or encourage the opposite? In answering these questions, this book does more than describe and analyze the back business. It also explores the complex ways that doctors interact with patients, drug companies, and medical device makers. The results can inadvertently lead to treatments that are ineffective or even harmful.