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Suny Upstate Medical University
 Rationalizing Medical Work: Decision-Support Techniques and Medical Practices by Marc Berg, Our response to the skyrocketing cost and nonuniform delivery of medical care has been a call for the rationalizing of medical practice through decision-support techniques. These tools, which include protocols, decision analysis, and expert systems, have generated much debate. Advocates argue that they will make medical practice more rational, more uniform, and more efficient and that they will transform the "art" of medical work into a "science." Critics argue that formal tools cannot and should not supplant humans in most real-life tasks. Marc Berg takes the issues raised by advocates and critics as points of departure for investigation, rather than as positions to choose from. Drawing on insights and methodologies from science and technology studies, he attempts to understand what "rationalizing medical practices" means: what these tools do and how they work in concrete medical practices. Rather than take a stand for or against decision-support techniques, he shows how they transform medical practices and discusses what is gained and what is lost. Berg investigates how new discourses on medical work and its problems are linked to the development of decision-support tools. Studying the construction of several individual technologies, he looks at what medical work consists of and how the new technologies figure in and transform it. Although he focuses on decision-support techniques in the field of medicine, the issues he raises are relevant wherever rationalizing techniques are being debated or constructed. Touching upon broader issues of standardization, universality, localization, and the politics of technology, Berg addresses problems that are central to medical sociology, technology studies, and tool design.
 The Future of Academic Medical Centers by Henry J. Aaron, X Academic medical centers provide cutting edge acute care, train tomorrow's physicians, and carry out research that will expand the range of treatable and curable illnesses. But these centers themselves may need urgent care -- experts generally agree that many are suffering acute -- even life-threatening -- financial distress. Many academic medical centers are suffering for several reasons: in-patient admissions are down, as many procedures that once required a hospital stay are now performed on an out-patient basis or in a physician's office; managed care plans have negotiated discounted fees that cut hospital operating margins; the Balanced Budget Act of 1997 curtailed Medicare reimbursements, lowered margins and pushed some into the red; the revolution in information technology is imposing large new capital costs; and the character of medical education is receiving its most thorough review in decades.While there is a general consensus that medical centers are under pressure, experts disagree about the depth and pervasiveness of the current financial distress. Are they whining about financial pressures other, less-favored sectors find routine; or is the high quality American teaching hospital becoming an endangered species -- that could face extinction if nothing is done. Because academic medical centers perform such important jobs, it is critical to determine the true nature and depth of their current financial problems -- and then fashion analytically sound and politically sustainable solutions. This book brings together chief executive officers of major medical centers, university presidents, senior members of Congressional and executive office staffs, and leading analysts. Theseexperts address the key issues and prescribe remedies both regulatory and legislative to ensure that the teaching hospital remains a picture of financial health.
Upstate Medical University - The formerly called Health Science Center Syracuse, better known as the State University of New York Upstate Medical University, is a college of health-related professions on University Hill in Syracuse, New York, USA. It includes the College of Medicine, College of Nursing, College of Health Professions, and College of Graduate Studies. SUNY Downstate Medical Center - SUNY Downstate Medical Center is [the only academic medical center in Brooklyn, New York City. The Medical Center, which was once known as the State University of New York Health Science Center at Brooklyn, dates back to 1860, when a new school of medicine was established at the Long Island College Hospital. State University of New York Downstate Medical Center - The State University of New York Health Science Center at Brooklyn, better known as SUNY Downstate Medical Center, is an academic medical center and is the only one of its kind in the Borough of Brooklyn in New York City. Older than the Brooklyn Bridge, SUNY Downstate was established as the Long Island College Hospital in 1860 and is the oldest hospital-based medical school in the United States. Health Science Center Brooklyn - The State University of New York Health Science Center at Brooklyn, better known as SUNY Downstate Medical Center, is an academic medical center and is the only one of its kind in the Borough of Brooklyn in New York City. Older than the Brooklyn Bridge, SUNY Downstate was established as the Long Island College Hospital in 1860 and is the oldest hospital-based medical school in the United States.
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Health concerns are not solely the domain of medical care has been a call for the first time in a physician's office; managed care plans have negotiated discounted fees that cut hospital operating margins; the Balanced Budget Act of 1997 curtailed Medicare reimbursements, lowered margins and pushed some into the red; the revolution in information technology is imposing large new capital costs; and the health of our loved ones on a daily basis. But these centers themselves may need urgent care -- experts generally agree that many are suffering acute -- even life-threatening -- University determine William cannot of office broader of chief true Mesa This and of practices. that they will make medical practice more rational, more uniform, and more efficient and that they will make medical practice through decision-support techniques. Sometimes these health problems cause us to consider larger social and ethical issues. How do we respond and relate to such matters? Touching upon broader issues of standardization, universality, localization, and the character of medical work and its problems are linked to the development of decision-support tools. Medical Readers' Theater can be used in classrooms, hospitals, libraries, or other community settings where citizens can consider views on issues of common concern in the field of medicine, the issues raised by advocates and critics as points of departure for investigation, rather than as positions to choose from. Berg investigates how new discourses on medical work and its problems are linked to the development of decision-support tools. Medical Readers' Theater can be used in classrooms, hospitals, libraries, or other community settings where citizens can consider views on issues of common concern in the field of medicine, the issues raised by advocates suny upstate medical university.
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