This is a unique, in-depth discussion of the uses and conduct of cost-effectiveness analyses (CEA) as decision-making aids in the health and medical fields. The product of over two years of deiberation by a multi-disciplinary Public Health Service appointed panel that included economists, ethicists, psychometricians, and clinicians, it explores cost-effectiveness in the context of societal decision-making for resource allocation purposes. It proposes that analystsinclude a "reference-case" analysis in all CEA's designed to inform resource allocation and puts forth the most expicit set of guidelines (together with their rationale) ever outlined of the conduct of CEAs. Important theoretical and practical issues encountered in measuring costs and effectiveness,valuing outcomes, discounting, and dealing with uncertainty are examined in separate chapters. These discussions are complemented by additional chapters on framing and reporting of CEAs that aim to clarify the purpose of the analysis and the effective communication of its findings. Primarily intended for analysts in medicine and public health who wish to improve practice and comparability of CEAs, this book will also be of interest to decision-makers in government, managed care, and industrywho wish to consider the roles and limitations of CEA and become familiar with criteria for evaluating these studies.From the Harlem Renaissance to the present, African American writers have drawn on the rich heritage of jazz and blues, transforming musical forms into the written word. In this companion volume to The Hearing Eye, distinguished contributors ranging from Bertram Ashe to Steven C. Tracy explore the musical influence on such writers as Sterling Brown, J.J. Phillips, Paul Beatty, and Nathaniel Mackey. Here, too, are Graham Lock's engaging interviews withcontemporary poets Michael S. Harper and Jayne Cortez, along with studies of the performing self, in Krin Gabbard's account of Miles Davis and John Gennari's investigation of fictional and factual versions of Charlie Parker. The book also looks at African Americans in and on film, from blackface minstrelsy to theefforts of Duke Ellington and John Lewis to rescue jazz from its stereotyping in Hollywood film scores as a signal for sleaze and criminality. Concluding with a proposal by Michael Jarrett for a new model of artistic influence, Thriving on a Riff makes the case for the seminal cross-cultural role of jazz and blues.
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