Most developed countries are struggling to finance first-class health care for everyone in their community, leading to renewed emphasis on appropriate and equitable provision of health care, placing interventions that are both high in volume and expense under the microscope. This book provides readers with an understanding of the key issues that dictate the provision of total hip replacement, one of the most cost-effective procedures available within health care. A highlight of the book is its multinational and multidisciplinary approach presenting perspectives from public health, individual patients and doctors, economists and health care purchasers and managers.

1;Preface;52;Contents;73;Contributors;94;1 Introduction: The Provision of Hip Joint Replacement ;125;Part I Health Technology Assessment of Hip Arthoplasty;145.1;2 International Variations in Hip Replacement Rates;155.1.1;2.1 Introduction;155.1.2;2.2 Methods;165.1.3;2.3 Results;185.1.4;2.4 Discussion;265.1.5;References;285.2;3 Health Technology Assessment of Hip Replacement;305.2.1;3.1 Background and Objectives;305.2.2;3.2 Methods;315.2.3;3.3 Results;325.2.4;3.4 Conclusions;335.2.5;References;345.3;4 The Economic Perspective on Joint Replacement and Equity;365.3.1;4.1 Introduction;365.3.2;4.2 How Does Economic Evaluation De. ne Whether Joint Replacement Is Worthwhile?;365.3.3;4.3 What Should Joint Replacement Be Compared to?;375.3.4;4.4 Framework of Analysis;375.3.5;4.5 Whose Costs, Outcomes and Values Are Important in Choosing Joint Replacement?;385.3.6;4.6 Who Should Receive Joint Replacement Surgery?;395.3.7;4.7 Summary;405.3.8;References;415.4;5 The Cost of the Procedure;425.4.1;5.1 Introduction;425.4.2;5.2 Costs;425.4.3;5.3 Cost of Total Hip Arthroplasty;435.4.4;5.4 Economic Evaluation;465.4.5;5.5 Economic Evaluation in THA;475.4.6;5.6 Strategies to Reduce Costs;495.4.7;5.7 Conclusion;515.4.8;References;525.5;6 Trends in Hip Replacement Rates;555.5.1;References;596;Part II Indication for Hip Replacement;616.1;7 Appropriateness: Consensus in the Criteria for Indications;626.1.1;7.1 Introduction;626.1.2;7.2 Appropriateness of Total Hip Replacement;626.1.3;7.3 Waiting Lists: Urgency and Appropriateness of Times to Surgery;646.1.4;7.4 Appropriateness and Unmet Need: In the Community and in the Queue;666.1.5;7.5 Conclusion;666.1.6;References;676.2;8 Radiographic Assessment of Indications for Total Hip Replacement;696.2.1;8.1 Is There Any Role of Radiological Assessment for Considering Total Hip Replacement?;696.2.2;8.2 Which Are the Di. erent Radiological Aspects Which Might Be of Interest when Considering Total Articular Replacement?;736.2.3;8.3 In Conclusion;746.2.4;References;746.3;9 Patients' Views on Total Joint Replacement in the UK;756.3.1;9.1 Introduction;756.3.2;9.2 Methodology;756.3.3;9.3 Results;766.3.4;9.4 Discussion;806.3.5;References;816.4;10 Population Requirement for Primary Hip-Replacement Surgery in England: A Comparison with Knee-Replacement ;826.4.1;10.1 Introduction;826.4.2;10.2 Patients and Methods;836.4.3;10.3 Results;856.4.4;10.4 Discussion;866.4.5;References;887;Part III Outcome Measurement;897.1;11 What Are the Outcomes After Hip Joint Replacement for OA?;907.1.1;References;937.2;12 Outcomes of Hip Replacement Vary;947.2.1;12.1 The Definition of a Result;947.2.2;12.2 Individual Change;947.2.3;12.3 Why Does Outcome Vary?;957.2.4;12.4 Radiographic Stage of OA;967.2.5;12.5 Waiting Time;977.2.6;12.6 Determinants of Poor Outcome;977.2.7;References;987.3;13 Evaluation of the Implant;1007.3.1;13.1 Introduction;1007.3.2;13.2 Radiographic Assessment of Loosening;1017.3.3;13.3 Stress Shielding;1017.3.4;13.4 Assessment of Bony Ingrowth;1027.3.5;13.5 Radiographic Assessment of Bone Destruction;1027.3.6;13.7 Implant Position;1037.3.7;13.8 Migration Measurement;1037.3.8;References;1047.4;14 Result Analysis of Hip Arthroplasty Registers;1057.4.1;14.1 National Hip Arthroplasty Registers and Their Objective;1057.4.2;14.2 Structure of Arthroplasty Registers;1087.4.3;14.3 Requirements on Documentation;1097.4.4;14.4 Acceptance, Compliance and Transparency;1107.4.5;14.5 Parameters, Items;1117.4.6;14.6 Evaluation of Factors In. uencing Survival of THA;1117.4.7;14.7 Result Processing;1147.4.8;14.8 Outcome Key Parameters;1157.4.9;14.9 Comparison and Linkage of Registers;1177.4.10;14.10 Bene. ts and Advantages of AR;1177.4.11;14.11 International Registers;1217.4.12;References;1217.5;15 The Patient's View: Indicators of Subjective Health and Their Use in Outcome Assessment;1267.5.1;15.1 Introduction;1267.5.2;15.2 Patient-Reported O

ISBN	9783540741374
Artikelnummer	9783540741374
Medientyp	E-Book - PDF
Auflage	2. Aufl.
Copyrightjahr	2009
Verlag	Springer-Verlag
Umfang	149 Seiten
Sprache	Englisch
Kopierschutz	Digitales Wasserzeichen