This book provides an introduction to decision analytic cost-effectiveness modelling, giving the theoretical and practical knowledge required to design and implement analyses that meet the methodological standards of health technology assessment organisations. The book guides you through building a decision tree and Markov model and, importantly, shows how the results of cost-effectiveness analyses are interpreted.Given the complex nature of cost-effectiveness modelling and the often unfamiliar language that runs alongside it, we wanted to make this book as accessible as possible whilst still providing a comprehensive, in-depth, practical guide that reflects the state of the art –  that includes the most recent developments in cost-effectiveness modelling. Although the nature of cost effectiveness modelling means that some parts are inevitably quite technical, across the 13 chapters we have broken down explanations of theory and methods into bite-sized pieces that you can work through at your own pace; we have provided explanations of terms and methods as we use them. Importantly, the exercises and online workbooks allow you to test your skills and understanding as you go along.

This book provides an introduction to decision analytic cost-effectiveness modelling, giving the theoretical and practical knowledge required to design and implement analyses that meet the methodological standards of health technology assessment organisations. The book guides you through building a decision tree and Markov model and, importantly, shows how the results of cost-effectiveness analyses are interpreted.Given the complex nature of cost-effectiveness modelling and the often unfamiliar language that runs alongside it, we wanted to make this book as accessible as possible whilst still providing a comprehensive, in-depth, practical guide that reflects the state of the art –  that includes the most recent developments in cost-effectiveness modelling. Although the nature of cost effectiveness modelling means that some parts are inevitably quite technical, across the 13 chapters we have broken down explanations of theory and methods into bite-sized pieces that you can work through at your own pace; we have provided explanations of terms and methods as we use them. Importantly, the exercises and online workbooks allow you to test your skills and understanding as you go along.

"e;Would you, please… just hold her until she dies?"e;A two-year vigil. A hand-drawn grid. A refusal to let go.Not one spiral notebook. Several. Opened and closed every two hours until the record of one small life filled more pages than anyone expected to need.Every page holds the same hand-drawn grid — columns ruled across lined paper: diapers, glucose, injections, feedings, time. A foster care diary reconstructed from original primary-source medical logs, documented across a 674-day vigil inside a quiet Michigan house while the medical system prepared for a different outcome. Two-hour cycles, recorded without interruption. High-risk infancy witnessed in real time by the woman who stayed.In the margins of those columns, where the grid ran out of room, Judy Wright wrote the rest. The observations that had no heading. A weight that held. A response that shouldn't have been there. The question she kept returning to, long after the institution had moved on: What about breast milk?Just Hold Her is a literary memoir built from those personal journals. A true story of fostering lived at the collision of maternal intuition and institutional protocol. Named Michigan's Foster Parents of the Year by the Michigan Supreme Court, Judy and her husband John had spent more than a decade navigating neonatal care and life-limiting diagnosis inside Michigan's foster care system, caring for dozens of medically fragile children. None of that prepared her for this. The medical narrative written in those margins became the most demanding record of all: the meticulous account of what it costs to stay when the system has already moved on.For readers of Joan Didion's The Year of Magical Thinking and Kathy Harrison's Another Place at the Table, Just Hold Her is a meticulous exploration of love at the limits of authority. A caregiver memoir in the tradition of When Breath Becomes Air. A witness story, not a rescue story. This literary memoir is for anyone who has loved without guarantees, carried responsibility without certainty, or learned that presence is sometimes the only answer left. "e;A fantastic read. A true testament to modern medicine, unconditional love, and compassion. I couldn't put it down."e;— Linda Thulin, Nurse, Caregiver, Mother What You Will EncounterThe hand-drawn grid: An intimate, date-driven record of two-hour medical cycles — glucose readings, injections, feedings — kept across a 674-day high-risk foster placement and reconstructed from the author's original primary-source medical logs and personal journals.The margins: The observations that fell outside the columns, where maternal intuition pressed against the edges of institutional protocol — where the most important questions refused to stay inside the lines.The conflict: A foster mother navigating neonatal care, life-limiting diagnosis, and a child welfare system that had already begun making other arrangements — documented in real time, without the distance of retrospect.The recognition: The story behind Michigan's Foster Parents of the Year — awarded by the Michigan Supreme Court — and what more than a decade of medically fragile foster care did and did not prepare one family for.The witness: A literary memoir that does not resolve into rescue. A true story of fostering that asks what it means to stay, to love without a guarantee, and to hold a child the world has already turned away from. When you purchase Just Hold Her, you are helping extend that same commitment to the next generation of foster youth through the John and Judy Wright Scholarship in partnership with the Ennis Center for Children.

This book provides an introduction to decision analytic cost-effectiveness modelling, giving the theoretical and practical knowledge required to design and implement analyses that meet the methodological standards of health technology assessment organisations. The book guides you through building a decision tree and Markov model and, importantly, shows how the results of cost-effectiveness analyses are interpreted.Given the complex nature of cost-effectiveness modelling and the often unfamiliar language that runs alongside it, we wanted to make this book as accessible as possible whilst still providing a comprehensive, in-depth, practical guide that reflects the state of the art –  that includes the most recent developments in cost-effectiveness modelling. Although the nature of cost effectiveness modelling means that some parts are inevitably quite technical, across the 13 chapters we have broken down explanations of theory and methods into bite-sized pieces that you can work through at your own pace; we have provided explanations of terms and methods as we use them. Importantly, the exercises and online workbooks allow you to test your skills and understanding as you go along.

This book provides an introduction to decision analytic cost-effectiveness modelling, giving the theoretical and practical knowledge required to design and implement analyses that meet the methodological standards of health technology assessment organisations. The book guides you through building a decision tree and Markov model and, importantly, shows how the results of cost-effectiveness analyses are interpreted.Given the complex nature of cost-effectiveness modelling and the often unfamiliar language that runs alongside it, we wanted to make this book as accessible as possible whilst still providing a comprehensive, in-depth, practical guide that reflects the state of the art –  that includes the most recent developments in cost-effectiveness modelling. Although the nature of cost effectiveness modelling means that some parts are inevitably quite technical, across the 13 chapters we have broken down explanations of theory and methods into bite-sized pieces that you can work through at your own pace; we have provided explanations of terms and methods as we use them. Importantly, the exercises and online workbooks allow you to test your skills and understanding as you go along.

"e;Would you, please… just hold her until she dies?"e;A two-year vigil. A hand-drawn grid. A refusal to let go.Not one spiral notebook. Several. Opened and closed every two hours until the record of one small life filled more pages than anyone expected to need.Every page holds the same hand-drawn grid — columns ruled across lined paper: diapers, glucose, injections, feedings, time. A foster care diary reconstructed from original primary-source medical logs, documented across a 674-day vigil inside a quiet Michigan house while the medical system prepared for a different outcome. Two-hour cycles, recorded without interruption. High-risk infancy witnessed in real time by the woman who stayed.In the margins of those columns, where the grid ran out of room, Judy Wright wrote the rest. The observations that had no heading. A weight that held. A response that shouldn't have been there. The question she kept returning to, long after the institution had moved on: What about breast milk?Just Hold Her is a literary memoir built from those personal journals. A true story of fostering lived at the collision of maternal intuition and institutional protocol. Named Michigan's Foster Parents of the Year by the Michigan Supreme Court, Judy and her husband John had spent more than a decade navigating neonatal care and life-limiting diagnosis inside Michigan's foster care system, caring for dozens of medically fragile children. None of that prepared her for this. The medical narrative written in those margins became the most demanding record of all: the meticulous account of what it costs to stay when the system has already moved on.For readers of Joan Didion's The Year of Magical Thinking and Kathy Harrison's Another Place at the Table, Just Hold Her is a meticulous exploration of love at the limits of authority. A caregiver memoir in the tradition of When Breath Becomes Air. A witness story, not a rescue story. This literary memoir is for anyone who has loved without guarantees, carried responsibility without certainty, or learned that presence is sometimes the only answer left. "e;A fantastic read. A true testament to modern medicine, unconditional love, and compassion. I couldn't put it down."e;— Linda Thulin, Nurse, Caregiver, Mother What You Will EncounterThe hand-drawn grid: An intimate, date-driven record of two-hour medical cycles — glucose readings, injections, feedings — kept across a 674-day high-risk foster placement and reconstructed from the author's original primary-source medical logs and personal journals.The margins: The observations that fell outside the columns, where maternal intuition pressed against the edges of institutional protocol — where the most important questions refused to stay inside the lines.The conflict: A foster mother navigating neonatal care, life-limiting diagnosis, and a child welfare system that had already begun making other arrangements — documented in real time, without the distance of retrospect.The recognition: The story behind Michigan's Foster Parents of the Year — awarded by the Michigan Supreme Court — and what more than a decade of medically fragile foster care did and did not prepare one family for.The witness: A literary memoir that does not resolve into rescue. A true story of fostering that asks what it means to stay, to love without a guarantee, and to hold a child the world has already turned away from. When you purchase Just Hold Her, you are helping extend that same commitment to the next generation of foster youth through the John and Judy Wright Scholarship in partnership with the Ennis Center for Children.