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Health valuation

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https://www.readbyqxmd.com/read/29129043/economic-evaluation-of-environmental-epidemiological-projects-in-national-industrial-complexes
#1
Youngchul Shin
In this economic evaluation of environmental epidemiological monitoring projects, we analyzed the economic feasibility of these projects by determining the social cost and benefit of these projects and conducting a cost/benefit analysis. Here, the social cost was evaluated by converting annual budgets for these research and survey projects into present values. Meanwhile, the societal benefit of these projects was evaluated by using the contingent valuation method to estimate the willingness to pay of residents living in or near industrial complexes...
November 13, 2017: Environmental Health and Toxicology
https://www.readbyqxmd.com/read/29124528/systematic-review-of-economic-burden-of-heart-failure
#2
REVIEW
Asrul Akmal Shafie, Yui Ping Tan, Chin Hui Ng
The aim of this study is to perform a systematic review of the costing methodological approaches adopted by published cost-of-illness (COI) studies. A systematic review was performed to identify cost-of-illness studies of heart failure published between January 2003 and September 2015 via computerized databases such as Pubmed, Wiley Online, Science Direct, Web of Science, and Cumulative Index to Nursing and Allied Health Literature (CINAHL). Costs reported in the original studies were converted to 2014 international dollars (Int$)...
November 10, 2017: Heart Failure Reviews
https://www.readbyqxmd.com/read/29105894/estimating-the-opportunity-costs-of-bed-days
#3
Frank G Sandmann, Julie V Robotham, Sarah R Deeny, W John Edmunds, Mark Jit
Opportunity costs of bed-days are fundamental to understanding the value of healthcare systems. They greatly influence burden of disease estimations and economic evaluations involving stays in healthcare facilities. However, different estimation techniques employ assumptions that differ crucially in whether to consider the value of the second-best alternative use forgone, of any available alternative use, or the value of the actually chosen alternative. Informed by economic theory, this paper provides a taxonomic framework of methodologies for estimating the opportunity costs of resources...
November 6, 2017: Health Economics
https://www.readbyqxmd.com/read/29091169/-multi-criteria-decision-analysis-for-health-technology-resource-allocation-and-assessment-so-far-and-so-near
#4
Alessandro Gonçalves Campolina, Patrícia Coelho De Soárez, Fábio Vieira do Amaral, Jair Minoro Abe
Multi-criteria decision analysis (MCDA) is an emerging tool that allows the integration of relevant factors for health technology assessment (HTA). This study aims to present a summary of the methodological characteristics of MCDA: definitions, approaches, applications, and implementation stages. A case study was conducted in the São Paulo State Cancer Institute (ICESP) in order to understand the perspectives of decision-makers in the process of drafting a recommendation for the incorporation of technology in the Brazilian Unified National Health System (SUS), through a report by the Brazilian National Commission for the Incorporation of Technologies in the SUS (CONITEC)...
October 26, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/29069442/uv-based-evaluation-of-ergosterol-for-monitoring-the-fungal-exposure-in-italian-buffalo-farms
#5
Filomena Monica Vella, Bruna Laratta
This study provided a reliable way to identify and estimate the ergosterol in farm environments, since it is renowned that it is a specific indicator for the occurrence of molds and yeasts. The quick valuation of exposure to airborne microorganisms is essential to assess the risk to which the health of employees is subjected in working places characterized by great humidity. From this view, it is worth estimating the total biomass of molds and yeast, including viable and non-viable forms, which may cause respiratory concerns to human...
December 1, 2017: FEMS Microbiology Letters
https://www.readbyqxmd.com/read/29066428/willingness-to-pay-for-elderly-telecare-service-using-the-internet-and-digital-terrestrial-broadcasting
#6
Satoshi Kaga, Teppei Suzuki, Katsuhiko Ogasawara
BACKGROUND: In Japan over the past few years, more attention has been focused on unnoticed solitary death in the context of an aging society and the trend toward nuclear family. A number of institutions and companies have implemented a prevention measure with digital terrestrial broadcasting telecare services for the elderly: Hokkaido University; TV-Asahi Corporation; Hitachi, Ltd; Iwamizawa City; Hokkaido Television Broadcasting Co, Ltd; and Hamanasu Information Co, Ltd. Although this system is provided free of charge as a demonstration test, determining the appropriate price for the service is required for its sustainable operation...
October 24, 2017: Interactive Journal of Medical Research
https://www.readbyqxmd.com/read/29065119/the-quality-of-life-burden-of-knee-osteoarthritis-in-new-zealand-adults-a-model-based-evaluation
#7
J Haxby Abbott, Ilana M Usiskin, Ross Wilson, Paul Hansen, Elena Losina
BACKGROUND: Knee osteoarthritis is a leading global cause of health-related quality of life loss. The aim of this project was to quantify health losses arising from knee osteoarthritis in New Zealand (NZ) in terms of quality-adjusted life years (QALYs) lost. METHODS: The Osteoarthritis Policy Model (OAPol), a validated Monte Carlo computer simulation model, was used to estimate QALYs lost due to knee osteoarthritis in the NZ adult population aged 40-84 over their lifetimes from the base year of 2006 until death...
2017: PloS One
https://www.readbyqxmd.com/read/29052157/a-review-of-generic-preference-based-measures-for-use-in-cost-effectiveness-models
#8
REVIEW
John Brazier, Roberta Ara, Donna Rowen, Helene Chevrou-Severac
Generic preference-based measures (GPBMs) of health are used to obtain the quality adjustment weight required to calculate the quality-adjusted life year in health economic models. GPBMs have been developed to use across different interventions and medical conditions and typically consist of a self-complete patient questionnaire, a health state classification system, and preference weights for all states defined by the classification system. Of the six main GPBMs, the three most frequently used are the Health Utilities Index version 3, the EuroQol 5 dimensions (3 and 5 levels), and the Short Form 6 dimensions...
October 19, 2017: PharmacoEconomics
https://www.readbyqxmd.com/read/29047072/involving-members-of-the-public-in-health-economics-research-insights-from-selecting-health-states-for-valuation-to-estimate-quality-adjusted-life-year-qaly-weights
#9
Elizabeth Goodwin, Kate Boddy, Lynn Tatnell, Annie Hawton
Over recent years, public involvement in health research has expanded considerably. However, public involvement in designing and conducting health economics research is seldom reported. Here we describe the development, delivery and assessment of an approach for involving people in a clearly defined piece of health economics research: selecting health states for valuation in estimating quality-adjusted life-years (QALYs). This involvement formed part of a study to develop a condition-specific preference-based measure of health-related quality of life, the Multiple Sclerosis Impact Scale (MSIS-8D), and the work reported here relates to the identification of plausible, or realistic, health states for valuation...
October 19, 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/29038186/incidence-duration-and-cost-of-futile-treatment-in-end-of-life-hospital-admissions-to-three-australian-public-sector-tertiary-hospitals-a-retrospective-multicentre-cohort-study
#10
Hannah E Carter, Sarah Winch, Adrian G Barnett, Malcolm Parker, Cindy Gallois, Lindy Willmott, Ben P White, Mary Anne Patton, Letitia Burridge, Gayle Salkield, Eliana Close, Leonie Callaway, Nicholas Graves
OBJECTIVES: To estimate the incidence, duration and cost of futile treatment for end-of-life hospital admissions. DESIGN: Retrospective multicentre cohort study involving a clinical audit of hospital admissions. SETTING: Three Australian public-sector tertiary hospitals. PARTICIPANTS: Adult patients who died while admitted to one of the study hospitals over a 6-month period in 2012. MAIN OUTCOME MEASURES: Incidences of futile treatment among end-of-life admissions; length of stay in both ward and intensive care settings for the duration that patients received futile treatments; health system costs associated with futile treatments; monetary valuation of bed days associated with futile treatment...
October 16, 2017: BMJ Open
https://www.readbyqxmd.com/read/29036013/patient-experience-based-value-sets-are-they-stable
#11
A Simon Pickard, Yu-Ting Hung, Fang-Ju Lin, Todd A Lee
BACKGROUND: Although societal preference weights are desirable to inform resource-allocation decision-making, patient experienced health state-based value sets can be useful for clinical decision-making, but context may matter. OBJECTIVE: To estimate EQ-5D value sets using visual analog scale (VAS) ratings for patients undergoing knee replacement surgery and compare the estimates before and after surgery. METHODS: We used the Patient Reported Outcome Measures data collected by the UK National Health Service on patients undergoing knee replacement from 2009 to 2012...
October 13, 2017: Medical Care
https://www.readbyqxmd.com/read/29028757/patient-experience-based-value-sets-are-they-stable
#12
A Simon Pickard, Yu-Ting Hung, Fang-Ju Lin, Todd A Lee
BACKGROUND: Although societal preference weights are desirable to inform resource-allocation decision-making, patient experienced health state-based value sets can be useful for clinical decision-making, but context may matter. OBJECTIVE: To estimate EQ-5D value sets using visual analog scale (VAS) ratings for patients undergoing knee replacement surgery and compare the estimates before and after surgery. METHODS: We used the Patient Reported Outcome Measures data collected by the UK National Health Service on patients undergoing knee replacement from 2009 to 2012...
November 2017: Medical Care
https://www.readbyqxmd.com/read/29026791/willingness-to-pay-for-complementary-health-care-insurance-in-iran
#13
Shirin Nosratnejad, Arash Rashidian, Ali Akbari Sari, Najme Moradi
BACKGROUND: Complementary health insurance is increasingly used to remedy the limitations and shortcomings of the basic health insurance benefit packages. Hence, it is essential to gather reliable information about the amount of Willingness to Pay (WTP) for health insurance. We assessed the WTP for health insurance in Iran in order to suggest an affordable complementary health insurance. METHODS: The study sample consisted of 300 household heads all over provinces of Iran in 2013...
September 2017: Iranian Journal of Public Health
https://www.readbyqxmd.com/read/29022120/experience-based-utility-and-own-health-state-valuation-for-a-health-state-classification-system-why-and-how-to-do-it
#14
John Brazier, Donna Rowen, Milad Karimi, Tessa Peasgood, Aki Tsuchiya, Julie Ratcliffe
In the estimation of population value sets for health state classification systems such as the EuroQOL five dimensions questionnaire (EQ-5D), there is increasing interest in asking respondents to value their own health state, sometimes referred to as "experience-based utility values" or, more correctly, own rather than hypothetical health states. Own health state values differ to hypothetical health state values, and this may be attributable to many reasons. This paper critically examines whose values matter; why there is a difference between own and hypothetical values; how to measure own health state values; and why to use own health state values...
October 11, 2017: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29020343/disability-weights-for-infectious-diseases-in-four-european-countries-comparison-between-countries-and-across-respondent-characteristics
#15
Charline Maertens de Noordhout, Brecht Devleesschauwer, Joshua A Salomon, Heather Turner, Alessandro Cassini, Edoardo Colzani, Niko Speybroeck, Suzanne Polinder, Mirjam E Kretzschmar, Arie H Havelaar, Juanita A Haagsma
Background: In 2015, new disability weights (DWs) for infectious diseases were constructed based on data from four European countries. In this paper, we evaluated if country, age, sex, disease experience status, income and educational levels have an impact on these DWs. Methods: We analyzed paired comparison responses of the European DW study by participants' characteristics with separate probit regression models. To evaluate the effect of participants' characteristics, we performed correlation analyses between countries and within country by respondent characteristics and constructed seven probit regression models, including a null model and six models containing participants' characteristics...
September 11, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/29019161/assessing-the-use-of-a-feedback-module-to-model-eq-5d-5l-health-states-values-in-hong-kong
#16
Eliza L Y Wong, Juan Manuel Ramos-Goñi, Annie W L Cheung, Amy Y K Wong, Oliver Rivero-Arias
BACKGROUND: An international valuation protocol exists for obtaining societal values for each of the 3125 health states of the five-level EuroQol-five dimensions (EQ-5D-5L) questionnaire. A feedback module (FM) that can be related to theoretical models used in behavioral economics was recently included in this protocol. OBJECTIVES: Our objective was to assess the impact of using an FM to estimate an EQ-5D-5L value set in Hong Kong. METHODS: EQ-5D-5L health states were elicited using a composite time trade-off (C-TTO) and a discrete-choice (DC) experiment...
October 10, 2017: Patient
https://www.readbyqxmd.com/read/28992929/antibiotic-use-by-farmers-to-control-mastitis-as-influenced-by-health-advice-and-dairy-farming-systems
#17
A Poizat, F Bonnet-Beaugrand, A Rault, C Fourichon, N Bareille
Mastitis is a bacterial disease common in dairy farms. Although knowledge about mastitis and its optimal technical management and treatment is now available, some dairy farmers still use antibiotics in inappropriate ways. Antibiotic use by farmers can be influenced by personal restraints and motivations, but it can be assumed that external drivers are also influential. The main purpose of this article is thus to analyse the choices of antibiotic and alternative medicine use for mastitis treatment and investigate the possible influence of two unexplored external drivers in dairy farms: (i) the health advice offered to farmers by farm advisors and veterinarians, (ii) the dairy farming system, as defined by combining the market valuation chosen for the milk, the level of intensification, and the perceived pressure related to investments...
October 1, 2017: Preventive Veterinary Medicine
https://www.readbyqxmd.com/read/28990449/a-systematic-review-and-meta-analysis-of-childhood-health-utilities
#18
Joseph Kwon, Sung Wook Kim, Wendy J Ungar, Kate Tsiplova, Jason Madan, Stavros Petrou
BACKGROUND: A common feature of most reviews or catalogues of health utilities has been their focus on adult health states or derivation of values from adult populations. More generally, utility measurement in or on behalf of children has been constrained by several methodological concerns. The objective of this study was to conduct the first comprehensive systematic review and meta-analysis of primary utility data for childhood conditions and descriptors, and to determine the effects of methodological factors on childhood utilities...
October 1, 2017: Medical Decision Making: An International Journal of the Society for Medical Decision Making
https://www.readbyqxmd.com/read/28988342/spectrum-of-outcomes-following-traumatic-brain-injury-relationship-between-functional-impairment-and-health-related-quality-of-life
#19
Anastasia Tsyben, Mathew Guilfoyle, Ivan Timofeev, Fahim Anwar, Judith Allanson, Joanne Outtrim, David Menon, Peter Hutchinson, Adel Helmy
BACKGROUND: The outcome following traumatic brain injury (TBI) is heterogeneous and poorly defined and physical disability scales like the extended Glasgow Outcome Score (GOSE) while providing valuation information in terms of broad categorisation of outcome are unlikely to capture the full spectrum of deficits. Quality of life questionnaires such as SF-36 are emerging as potential tools to help characterise factors important to patients' recovery. This study assessed the association between physical disability and subjective health rating...
October 7, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28985757/bayesian-nonparametric-estimation-of-eq-5d-utilities-for-united-states-using-the-existing-united-kingdom-data
#20
Samer A Kharroubi
BACKGROUND: Valuations of health state descriptors such as EQ-5D or SF6D have been conducted in different countries. There is a scope to make use of the results in one country as informative priors to help with the analysis of a study in another, for this to enable better estimation to be obtained in the new country than analyzing its data separately. METHODS: Data from 2 EQ-5D valuation studies were analyzed using the time trade-off technique, where values for 42 health states were devised from representative samples of the UK and US populations...
October 6, 2017: Health and Quality of Life Outcomes
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