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Health valuation

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https://www.readbyqxmd.com/read/29338685/functional-health-state-description-and-valuation-by-people-aged-65-and-over-a-pilot-study
#1
Riaan Botes, Karin M Vermeulen, Adelita V Ranchor, Erik Buskens
BACKGROUND: Assessing quality of life among the elderly is a complex and multifaceted issue. Elderly people might find valuing and describing their personal experience of quality of life (QoL) demanding and cumbersome. This study therefore sought to determine the feasibility of administering two questionnaires in two samples of elderly people. METHODS: A preference-based instrument (EQ-5D + C) and a currently achieved functioning questionnaire (CAF) were utilized...
January 16, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29317210/quality-indicators-in-the-treatment-of-patients-with-depression-bipolar-disorder-or-schizophrenia-consensus-study
#2
Miquel Bernardo, Consuelo de Dios, Víctor Pérez, Emilio Ignacio, Manuel Serrano, Eduard Vieta, José Joaquín Mira, Mercedes Guilabert, Miquel Roca
OBJECTIVE: To define a set of indicators for mental health care, monitoring quality assurance in schizophrenia, depression and bipolar disorders in Spain. MATERIAL AND METHOD: Qualitative research. Consensus-based study involving 6 psychiatrists on the steering committee and a panel of 43 psychiatrists working in several health services in Spain. An initial proposal of 44 indicators for depression, 42 for schizophrenia and 58 for bipolar disorder was elaborated after reviewing the literature...
January 6, 2018: Revista de Psiquiatrí́a y Salud Mental
https://www.readbyqxmd.com/read/29316514/risk-based-cost-benefit-analysis-for-evaluating-microbial-risk-mitigation-in-a-drinking-water-system
#3
Viktor Bergion, Andreas Lindhe, Ekaterina Sokolova, Lars Rosén
Waterborne outbreaks of gastrointestinal diseases can cause large costs to society. Risk management needs to be holistic and transparent in order to reduce these risks in an effective manner. Microbial risk mitigation measures in a drinking water system were investigated using a novel approach combining probabilistic risk assessment and cost-benefit analysis. Lake Vomb in Sweden was used to exemplify and illustrate the risk-based decision model. Four mitigation alternatives were compared, where the first three alternatives, A1-A3, represented connecting 25, 50 and 75%, respectively, of on-site wastewater treatment systems in the catchment to the municipal wastewater treatment plant...
December 27, 2017: Water Research
https://www.readbyqxmd.com/read/29307076/investigating-the-willingness-to-pay-for-a-contributory-national-health-insurance-scheme-in-saudi-arabia-a-cross-sectional-stated-preference-approach
#4
Mohammed Khaled Al-Hanawi, Kirit Vaidya, Omar Alsharqi, Obinna Onwujekwe
BACKGROUND: The Saudi Healthcare System is universal, financed entirely from government revenue principally derived from oil, and is 'free at the point of delivery' (non-contributory). However, this system is unlikely to be sustainable in the medium to long term. This study investigates the feasibility and acceptability of healthcare financing reform by examining households' willingness to pay (WTP) for a contributory national health insurance scheme. METHODS: Using the contingent valuation method, a pre-tested interviewer-administered questionnaire was used to collect data from 1187 heads of household in Jeddah province over a 5-month period...
January 6, 2018: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/29305782/an-empirical-comparison-of-the-measurement-properties-of-the-eq-5d-5l-demqol-u-and-demqol-proxy-u-for-older-people-in-residential-care
#5
Tiffany Easton, Rachel Milte, Maria Crotty, Julie Ratcliffe
PURPOSE: This study aimed to empirically compare the measurement properties of self-reported and proxy-reported (in cases of severe cognitive impairment) generic (EQ-5D-5L) and condition-specific (DEMQOL-U and DEMQOL-Proxy-U) preference-based HRQoL instruments in residential care, where the population is characterised by older people with high rates of cognitive impairment, dementia and disability. METHODS: Participants were recruited from seventeen residential care facilities across four Australian states...
January 5, 2018: Quality of Life Research
https://www.readbyqxmd.com/read/29305706/experience-based-values-a-framework-for-classifying-different-types-of-experience-in-health-valuation-research
#6
Patricia Cubi-Molla, Koonal Shah, Kristina Burström
Whether health values should be elicited from the perspective of patients or the general public is still an open debate. The overall aim of this paper is to increase knowledge on the role of experience in health preference-based valuation research. The objectives of this paper are threefold. First, we elaborate the idea of experience-based (EB) values under the informed value or knowledge viewpoint. We think the whole scope of knowledge about the health states involved in valuation exercises is not fully integrated in the previous literature...
January 5, 2018: Patient
https://www.readbyqxmd.com/read/29304943/using-a-discrete-choice-experiment-involving-cost-to-value-a-classification-system-measuring-the-quality-of-life-impact-of-self-management-for-diabetes
#7
Donna Rowen, Katherine Stevens, Alexander Labeit, Jackie Elliott, Brendan Mulhern, Jill Carlton, Hasan Basarir, Julie Ratcliffe, John Brazier
OBJECTIVES: To describe the use of a novel approach in health valuation of a discrete-choice experiment (DCE) including a cost attribute to value a recently developed classification system for measuring the quality-of-life impact (both health and treatment experience) of self-management for diabetes. METHODS: A large online survey was conducted using DCE with cost on UK respondents from the general population (n = 1497) and individuals with diabetes (n = 405). The data were modeled using a conditional logit model with robust standard errors...
January 2018: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/29304046/eye-tracking-to-explore-attendance-in-health-state-descriptions
#8
Anna Selivanova, Paul F M Krabbe
INTRODUCTION: A crucial assumption in health valuation methods is that respondents pay equal attention to all information components presented in the response task. So far, there is no solid evidence that respondents are fulfilling this condition. The aim of our study is to explore the attendance to various information cues presented in the discrete choice (DC) response tasks. METHODS: Eye tracking was used to study the eye movements and fixations on specific information areas...
2018: PloS One
https://www.readbyqxmd.com/read/29279514/an-evaluation-of-clinical-economics-and-cases-of-cost-effectiveness
#9
Tomoyuki Takura
In order to maintain and develop a universal health insurance system, it is crucial to utilize limited medical resources effectively. In this context, considerations are underway to introduce health technology assessments (HTAs), such as cost-effectiveness analyses (CEAs), into the medical treatment fee system. CEAs, which is the general term for these methods, are classified into four categories, such as cost-effectiveness analyses based on performance indicators, and in the comparison of health technologies, the incremental cost-effectiveness ratio (ICER) is also applied...
December 27, 2017: Internal Medicine
https://www.readbyqxmd.com/read/29260341/consensus-based-cross-european-recommendations-for-the-identification-measurement-and-valuation-of-costs-in-health-economic-evaluations-a-european-delphi-study
#10
Lisanne I van Lier, Judith E Bosmans, Hein P J van Hout, Lidwine B Mokkink, Wilbert B van den Hout, G Ardine de Wit, Carmen D Dirksen, Henk L G R Nies, Cees M P M Hertogh, Henriëtte G van der Roest
OBJECTIVES: Differences between country-specific guidelines for economic evaluations complicate the execution of international economic evaluations. The aim of this study was to develop cross-European recommendations for the identification, measurement and valuation of resource use and lost productivity in economic evaluations using a Delphi procedure. METHODS: A comprehensive literature search was conducted to identify European guidelines on the execution of economic evaluations or costing studies as part of economic evaluations...
December 19, 2017: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29241900/a-latent-class-of-their-own-response-patterns-in-trading-off-quantity-and-quality-of-life-in-time-trade-off-exercises
#11
F E van Nooten, K Houghton, J van Exel, M van Agthoven, W B F Brouwer, D E Stull
BACKGROUND: Conflicting results regarding associations of time trade-off (TTO) valuations with respondent characteristics have been reported, mostly on the basis of regression analyses. Alternative approaches, such as the latent class analysis (LCA), may add to the further understanding of variations in TTO responses. OBJECTIVES: To identify whether subgroups of respondents can be identified on the basis of their responses to TTO exercises and to investigate which respondent characteristics are associated with membership of the identified subgroups...
December 2017: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/29234174/quality-assessment-of-published-articles-in-iranian-journals-related-to-economic-evaluation-in-health-care-programs-based-on-drummond-s-checklist-a-narrative-review
#12
REVIEW
Aziz Rezapour, Abdosaleh Jafari, Kosha Mirmasoudi, Hamid Talebianpour
Health economic evaluation research plays an important role in selecting cost-effective interventions. The purpose of this study was to assess the quality of published articles in Iranian journals related to economic evaluation in health care programs based on Drummond's checklist in terms of numbers, features, and quality. In the present review study, published articles (Persian and English) in Iranian journals related to economic evaluation in health care programs were searched using electronic databases...
September 2017: Iranian Journal of Medical Sciences
https://www.readbyqxmd.com/read/29233524/the-real-deal-willingness-to-pay-and-satiety-expectations-are-greater-for-real-foods-versus-their-images
#13
Carissa A Romero, Michael T Compton, Yueran Yang, Jacqueline C Snow
Laboratory studies of human dietary choice have relied on computerized two-dimensional (2D) images as stimuli, whereas in everyday life, consumers make decisions in the context of real foods that have actual caloric content and afford grasping and consumption. Surprisingly, few studies have compared whether real foods are valued more than 2D images of foods, and in the studies that have, differences in the stimuli and testing conditions could have resulted in inflated bids for the real foods. Moreover, although the caloric content of food images has been shown to influence valuation, no studies to date have investigated whether 'real food exposure effects' on valuation reflect greater sensitivity to the caloric content of real foods versus images...
November 23, 2017: Cortex; a Journal Devoted to the Study of the Nervous System and Behavior
https://www.readbyqxmd.com/read/29229891/cost-effectiveness-of-oral-agents-in-relapsing-remitting-multiple-sclerosis-compared-to-interferon-based-therapy-in-saudi-arabia
#14
Mai F Alsaqa'aby, Varun Vaidya, Noura Khreis, Thamer Al Khairallah, Ahmed H Al-Jedai
BACKGROUND: Promising clinical and humanistic outcomes are associated with the use of new oral agents in the treatment of relapsing-remitting multiple sclerosis (RRMS). This is the first cost-effectiveness study comparing these medications in Saudi Arabia. OBJECTIVES: We aimed to compare the cost-effectiveness of fingolimod, teriflunomide, dimethyl fumarate, and interferon (IFN)-b1a products (Avonex and Rebif) as first-line therapies in the treatment of patients with RRMS from a Saudi payer perspective...
November 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/29216594/indicators-to-support-healthy-urban-gardening-in-urban-management
#15
Dieneke Schram-Bijkerk, Piet Otte, Liesbet Dirven, Anton M Breure
Urban gardening is part of a trend towards more parks and green areas in cities, consumption of organic, locally grown products, and a closer relationship with one's own living environment. Our literature review shows that urban gardens provide opportunities for physical activity and allow people to consume homegrown fruit and vegetables. Urban gardens may also reduce stress levels of gardeners and improve social cohesion. In this way, they can help to prevent health problems. Good quality of urban soil and the functioning of soil ecosystems are indispensable prerequisites for these...
December 4, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/29215495/caregiver-perceptions-and-health-related-quality-of-life-changes-in-cerebral-palsy-patients-after-spinal-arthrodesis
#16
Amit Jain, Brian Sullivan, Suken A Shah, Amer F Samdani, Burt Yaszay, Michelle C Marks, Paul D Sponseller
STUDY DESIGN: Retrospective analysis of a prospective registryObjective: Our objective was to prospectively assess caregivers' perceptions regarding changes in the health-related quality of life (HRQL) of patients with cerebral palsy (CP) after spinal arthrodesis. We assessed caregiver perceptions from 3 perspectives: 1) qualitative assessment of changes in global quality of life, comfort, and health; 2) relative valuation of spine surgery versus other common interventions in CP patients; and 3) quantitative changes in HRQL scores...
December 5, 2017: Spine
https://www.readbyqxmd.com/read/29214852/factor-structure-of-the-brief-comprehensive-effects-of-alcohol-scale-in-adolescents
#17
Lindsay S Ham, Byron L Zamboanga, Alan Meca, Heidemarie Blumenthal, Sam A Hardy, Lauren E Hurd
Alcohol use among adolescents is a public health concern; therefore, it is important that studies that examine factors associated with adolescent drinking behaviors utilize measures that are well-validated for use with this population. The current study examined the factor structure and convergent validity of the Brief Comprehensive Effects of Alcohol scale, a measure of alcohol outcome expectancies and evaluations of expected outcomes, among adolescents ( N = 1,074; 50% girls; Mage = 15.96 years, SD = 1.13, range = 13-18; 74% White) drawn from three independent studies ( nsite 1 = 594; nsite 2 = 97; and nsite 3 = 383)...
March 1, 2017: Assessment
https://www.readbyqxmd.com/read/29206847/-gaining-or-losing-the-importance-of-the-perspective-in-primary-care-health-services-valuation
#18
Jesús Martín-Fernández, Gloria Ariza-Cardiel, Luz Mª Peña-Longobardo, Elena Polentinos-Castro, Juan Oliva-Moreno, Ana Isabel Gil-Lacruz, Héctor Medina-Palomino, Isabel Del Cura-González
RATIONALE AND OBJECTIVES: Economic theory classifies an intervention as socially beneficial if the total Willingness to Pay (WTP) of those who gain exceeds the total Willingness to accept (WTA) of those who are harmed. This paper examines the differences in health system users' valuation of a health care service in primary care setting based on the WTP and WTA perspectives, discussing the impact of personal and service variables, including risk attitudes, on these disparities. METHOD: Six hundred and sixty two subjects who asked for care in health centres in the Region of Madrid (Spain) were interviewed, using the contingent valuation method to estimate WTP and WTA...
2017: PloS One
https://www.readbyqxmd.com/read/29202828/calculation-of-the-disease-burden-associated-with-environmental-chemical-exposures-application-of-toxicological-information-in-health-economic-estimation
#19
REVIEW
Philippe Grandjean, Martine Bellanger
Calculation of costs and the Burden of Disease (BoD) is useful in developing resource allocation and prioritization strategies in public and environmental health. While useful, the Disability-Adjusted Life Year (DALY) metric disregards subclinical dysfunctions, adheres to stringent causal criteria, and is hampered by gaps in environmental exposure data, especially from industrializing countries. For these reasons, a recently calculated environmental BoD of 5.18% of the total DALYs is likely underestimated. We combined and extended cost calculations for exposures to environmental chemicals, including neurotoxicants, air pollution, and endocrine disrupting chemicals, where sufficient data were available to determine dose-dependent adverse effects...
December 5, 2017: Environmental Health: a Global Access Science Source
https://www.readbyqxmd.com/read/29194233/quality-of-life-related-to-oral-subcutaneous-and-intravenous-biologic-treatment-of-inflammatory-bowel-disease-a-time-trade-off-study
#20
Przemysław Holko, Paweł Kawalec, Małgorzata Mossakowska
OBJECTIVES: Novel oral treatments (including biologics) of inflammatory bowel disease (IBD) are emerging. Apart from improvement of health, treatment convenience may be of value to patients. This 'process utility' can be estimated under the quality-of-life framework. We investigated the process utility associated with subcutaneous and intravenous biologic treatments compared with a hypothetical oral biologic treatment of IBD. MATERIALS AND METHODS: A time trade-off study to estimate utilities for health states among adult patients with IBD was carried out...
November 29, 2017: European Journal of Gastroenterology & Hepatology
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