Med Decis Making - Theoretical foundation of patient v. population preferences in calculating QALYs.

Tópicos

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{ health(3367) inform(1360) care(1135) }
{ framework(1458) process(801) describ(734) }
{ inform(2794) health(2639) internet(1427) }
{ cost(1906) reduc(1198) effect(832) }
{ can(774) often(719) complex(702) }
{ measur(2081) correl(1212) valu(896) }
{ imag(2675) segment(2577) method(1081) }
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{ extract(1171) text(1153) clinic(932) }
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{ model(2656) set(1616) predict(1553) }
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{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ first(2504) two(1366) second(1323) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
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{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ process(1125) use(805) approach(778) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

The cost-effectiveness of health care interventions is often evaluated using quality-adjusted life years (QALYs) as a measure of outcome. There is a debate on whether QALYs should use patient preferences as opposed to community preferences. This article shows that patient preferences have a theoretical foundation in preference-utilitarian theory and welfare economics. In contrast, this study found no compelling theoretical basis for community preferences. There is a need for further development of a normative framework to inform the choice of preference source.

Resumo Limpo

costeffect health care intervent often evalu use qualityadjust life year qali measur outcom debat whether qali use patient prefer oppos communiti prefer articl show patient prefer theoret foundat preferenceutilitarian theori welfar econom contrast studi found compel theoret basi communiti prefer need develop normat framework inform choic prefer sourc

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