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Ambulatory Hysteroscopy - An evidence-Based Guide to Diagnosis and Therapy in the Outpatient Setting

The Ulster Medical Society
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  • Book Reviews
  • Medicine
  • Psychology


©  The Ulster Medical Society, 2007. 60 The Ulster Medical Journal Home Telehealth: Connecting Care Within The Community. Eds Richard Wootton, Susan L Dimmick, Joseph C Kvedar. Royal Society of Medicine Press, London, April 2006.280pp. £29.95. ISBN 1-85315-657-4. At first glance this book is a collection of chapters about a somewhat obscure subject with the usual balance between offerings of excellence and those with impenetrable prose. On closer inspection however this is a deeply subversive book which attempts to undermine the “twin towers” of healthcare in the industrialised world: that hospitals are veritable temples of healing and that community care provided by an increasing number of skilled doctors, nurses, social workers, occupational therapists, psychologists, dieticians, speech and language therapists, audiologists, physiotherapists, healthcare assistants and many, many others is a shining example of excellence. The book’s editors are much too clever to state their subversive views explicitly, but they come through clearly in the book’s content. There is for example a chapter which purports to show that patients actually like to be followed up at home using technology and even prefer it to being followed-up in hospital clinics or having regular visits by a nurse. Well how subversive is that? However the real aim of this diabolical book comes in the next chapter entitled “Business models and return on investment”. This claims that home telehealth is cheaper because it keeps people out of hospital. It even quotes an example from obstetrics in support of this notion. Are they saying that people having babies shouldn’t all be admitted to hospital? Preposterous! No specialty or disease seems safe from the contributors’ demonic rants: renal medicine, palliative care, asthma, congestive heart failure, AIDS, wound care and even cardiology are all identified as targets suitable for increased delivery of care at home using technology. Unbel

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