Conflicted care : (Record no. 81326)

MARC details
000 -LEADER
fixed length control field 03816cam a2200421 i 4500
001 - CONTROL NUMBER
control field on1333689347
003 - CONTROL NUMBER IDENTIFIER
control field OCoLC
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20240726104855.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 220510s2022 cau ob 001 0 eng
010 ## - LIBRARY OF CONGRESS CONTROL NUMBER
LC control number 2022022354
040 ## - CATALOGING SOURCE
Original cataloging agency DLC
Language of cataloging eng
Description conventions rda
Transcribing agency DLC
Modifying agency OCLCF
-- NT
-- YDX
020 ## - INTERNATIONAL STANDARD BOOK NUMBER
International Standard Book Number 9781503633483
Qualifying information
042 ## - AUTHENTICATION CODE
Authentication code pcc
043 ## - GEOGRAPHIC AREA CODE
Geographic area code n-us---
050 04 - LIBRARY OF CONGRESS CALL NUMBER
Classification number R723
Item number .C664 2022
049 ## - LOCAL HOLDINGS (OCLC)
Holding library MAIN
100 1# - MAIN ENTRY--PERSONAL NAME
Personal name Nelson, Hyeyoung Oh,
Relator term Author
245 10 - TITLE STATEMENT
Title Conflicted care :
Remainder of title doctors navigating patient welfare, finances, and legal risk /
Statement of responsibility, etc. Hyeyoung Oh Nelson.
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Stanford, California :
Name of publisher, distributor, etc. Stanford University Press,
Date of publication, distribution, etc. (c)2022.
300 ## - PHYSICAL DESCRIPTION
Extent 1 online resource (unpaged)
336 ## - CONTENT TYPE
Content type term text
Content type code txt
Source rdacontent
337 ## - MEDIA TYPE
Media type term computer
Media type code c
Source rdamedia
338 ## - CARRIER TYPE
Carrier type term online resource
Carrier type code cr
Source rdacarrier
347 ## - DIGITAL FILE CHARACTERISTICS
File type data file
Source rda
504 ## - BIBLIOGRAPHY, ETC. NOTE
Bibliography, etc. note Includes bibliographies and index.
505 00 - FORMATTED CONTENTS NOTE
Formatted contents note Doctors' dilemmas --
Title Conflicting logics --
-- Notation --
-- Consultations --
-- Discharge --
-- Costs.
520 0# - SUMMARY, ETC.
Summary, etc. "An eye-opening and compelling ethnography about how doctors make decisions The oath that doctors take to "do no harm" suggests that patient welfare is at the center of what it means to be a successful medical professional. It is also understood, however, that hospitals are not only vessels for medical care--they are businesses, educational institutions, and complex bureaucracies with intricate codes of etiquette that dictate how each staff member should approach situations with patients. In Conflicted Care, Hyeyoung Oh Nelson provides an in-depth look at the decision-making processes of physicians at a large, prestigious academic medical center--that she calls Pacific Medical Center--and finds that more often than not patient well-being is only one of several factors governing day-to-day decisions. The steps physicians take reveal a kind of hidden curriculum of the medical world, one that is guided by status and hierarchy, bureaucracy, norms for consulting with third-parties, regulations for interactions with patients, and medical uncertainty. While at an institutional and individual level patient care continues to be integral to everything the physicians do, they are forced to reconcile that vow with these other, often-conflicting internal logics. Harm, Nelson argues, is thus built into the practice of medicine in the United States. This harm can take the form of unnecessary treatments and consultations or inadequate treatment for pain to motivate specialist intervention that would otherwise be resisted. These and other practices have the overall consequence of significantly driving up inpatient care costs, which then results in patients forgoing needed, ongoing treatment once they receive their medical bills. Drawing on a deep ethnography of physicians in the Internal Medicine Service unit, Nelson offers a sharp assessment of current policies aimed at alleviating medical costs and explains why they are ineffective. She concludes by offering novel policy and practice recommendations for health care practitioners, policy makers, and healthcare institutions"--
Assigning source
530 ## - COPYRIGHT INFORMATION:
COPYRIGHT INFORMATION COPYRIGHT NOT covered - Click this link to request copyright permission:
Uniform Resource Identifier <a href="b">b</a>
650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Medical care
Geographic subdivision United States
General subdivision Decision making
Form subdivision Case studies.
650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Clinical medicine
Geographic subdivision United States
General subdivision Decision making
Form subdivision Case studies.
650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Physicians
Geographic subdivision United States
General subdivision Psychology
Form subdivision Case studies.
650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Academic medical centers
Geographic subdivision United States
Form subdivision Case studies.
655 #1 - INDEX TERM--GENRE/FORM
Genre/form data or focus term Electronic Books.
856 40 - ELECTRONIC LOCATION AND ACCESS
-- Click to access digital title | log in using your CIU ID number and my.ciu.edu password.
Uniform Resource Identifier <a href="httpss://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&db=nlabk&AN=3360258&site=eds-live&custid=s3260518">httpss://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&db=nlabk&AN=3360258&site=eds-live&custid=s3260518</a>
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Online Book (LOGIN USING YOUR MY CIU LOGIN AND PASSWORD)
DONATED BY:
VENDOR EBSCO
Classification part R.
PUBLICATION YEAR 2022
LOCATION ONLINE
REQUESTED BY:
--
-- NFIC
Source of classification or shelving scheme
994 ## -
-- 92
-- NT
902 ## - LOCAL DATA ELEMENT B, LDB (RLIN)
a 1
b Cynthia Snell
c 1
d Cynthia Snell
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Shelving location Date acquired Source of acquisition Total Checkouts Full call number Barcode Date last seen Uniform Resource Identifier Price effective from Koha item type
        Non-fiction G. Allen Fleece Library G. Allen Fleece Library ONLINE 07/07/2023 EBSCO   R723.5 on1333689347 07/07/2023 httpss://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&db=nlabk&AN=3360258&site=eds-live&custid=s3260518 07/07/2023 Online Book (LOGIN USING YOUR MY CIU LOGIN AND PASSWORD)