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Health valuation

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https://www.readbyqxmd.com/read/27913593/higher-heart-rate-variability-is-associated-with-vmpfc-activity-and-increased-resistance-to-temptation-in-dietary-self-control-challenges
#1
Silvia U Maier, Todd A Hare
: Higher levels of self-control in decision making have been linked to better psychosocial and physical health. A similar link to health outcomes has been reported for heart rate variability (HRV), a marker of physiological flexibility. Here, we sought to link these two, largely separate, research domains by testing the hypothesis that greater HRV would be associated with better dietary self-control in humans. Specifically, we examined whether total HRV at sedentary rest (measured as the standard deviation of normal-to-normal intervals, SDNN) can serve as a biomarker for the neurophysiological adaptability that putatively underlies self-controlled behavior...
December 2, 2016: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
https://www.readbyqxmd.com/read/27903479/cost-effectiveness-analysis-of-the-use-of-a-prophylactic-antibiotic-for-patients-undergoing-lower-limb-amputation-due-to-diabetes-or-vascular-illness-in-colombia
#2
REVIEW
Mateo Ceballos, Luis Esteban Orozco, Carlos Oliver Valderrama, Diana Isabel Londoño, Luz Helena Lugo
BACKGROUND: The use of a prophylactic antibiotic in an amputation surgery is a key element for the successful recovery of the patient. We aim to determine, from the perspective of the Colombian health system, the cost-effectiveness of administering a prophylactic antibiotic among patients undergoing lower limb amputation due to diabetes or vascular illness in Colombia. METHODS: A decision tree was constructed to compare the use and non-use of a prophylactic antibiotic...
November 26, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27896782/mixed-method-versus-full-top-down-microcosting-for-organ-recovery-cost-assessment-in-a-french-hospital-group
#3
Abdelbaste Hrifach, Coralie Brault, Sandrine Couray-Targe, Lionel Badet, Pascale Guerre, Christell Ganne, Hassan Serrier, Vanessa Labeye, Pierre Farge, Cyrille Colin
BACKGROUND: The costing method used can change the results of economic evaluations. Choosing the appropriate method to assess the cost of organ recovery is an issue of considerable interest to health economists, hospitals, financial managers and policy makers in most developed countries. OBJECTIVES: The main objective of this study was to compare a mixed method, combining top-down microcosting and bottom-up microcosting versus full top-down microcosting to assess the cost of organ recovery in a French hospital group...
December 2016: Health Economics Review
https://www.readbyqxmd.com/read/27893070/contingent-valuation-analysis-of-an-otolaryngology-and-ophthalmology-emergency-department-the-value-of-acute-specialty-care
#4
Matthew R Naunheim, Elliot D Kozin, Rosh K Sethi, H G Ota, Stacey T Gray, Mark G Shrime
Importance: Specialty emergency departments (EDs) provide a unique mechanism of health care delivery, but the value that they add to the medical system is not known. Evaluation of patient preferences to determine value can have a direct impact on resource allocation and direct-to-specialist care. Objective: To assess the feasibility of contingent valuation (CV) methodology using a willingness-to-pay (WTP) survey to evaluate specialty emergency services, in the context of an ophthalmology- and otolaryngology-specific ED...
November 23, 2016: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/27884556/-effectiveness-of-non-pharmacological-interventions-in-the-quality-of-life-of-caregivers-of-alzheimer
#5
Bárbara Amador-Marín, María Dolores Guerra-Martín
OBJECTIVE: Explore the effectiveness of non-pharmacological interventions to improve the quality of life of family caregivers of Alzheimer's patients. METHODS: We conducted a systematic review, in pairs, in the following databases: PubMed, Scopus, CINAHL, PsycINFO, WOS, Cochrane Library, IME, Cuiden Plus and Dialnet. Inclusion criteria were: 1. Studies published between 2010-2015. 2. Language: English, Portuguese and Spanish. 3. Randomized controlled clinical trials...
November 21, 2016: Gaceta Sanitaria
https://www.readbyqxmd.com/read/27882528/an-empirical-comparison-of-the-eq-5d-5l-demqol-u-and-demqol-proxy-u-in-a-post-hospitalisation-population-of-frail-older-people-living-in-residential-aged-care
#6
Julie Ratcliffe, Thomas Flint, Tiffany Easton, Maggie Killington, Ian Cameron, Owen Davies, Craig Whitehead, Susan Kurrle, Michelle Miller, Enwu Liu, Maria Crotty
OBJECTIVE: To empirically compare the measurement properties of the DEMQOL-U and DEMQOL-Proxy-U instruments to the EQ-5D-5L and its proxy version (CEQ-5D-5L) in a population of frail older people living in residential aged care in the post-hospitalisation period following a hip fracture. METHODS: A battery of instruments to measure health-related quality of life (HRQoL), cognition, and clinical indicators of depression, pain and functioning were administered at baseline and repeated at 4 weeks' follow-up...
November 23, 2016: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27881282/measuring-and-valuing-informal-care-for-economic-evaluation-of-hiv-aids-interventions-methods-and-application-in-malawi
#7
Levison S Chiwaula, Paul Revill, Deborah Ford, Misheck Nkhata, Travor Mabugu, James Hakim, Cissy Kityo, Adrienne K Chan, Fabian Cataldo, Diana Gibb, Bernard van den Berg
BACKGROUND: Economic evaluation studies often neglect the impact of disease and ill health on the social network of people living with HIV (PLHIV) and the wider community. An important concern relates to informal care requirements which, for some diseases such as HIV/AIDS, can be substantial. OBJECTIVES: To measure and value informal care provided to PLHIV in Malawi. METHODS: A modified diary that divided a day into natural calendar changes was used to measure informal care time...
September 2016: Value in Health Regional Issues
https://www.readbyqxmd.com/read/27878690/willingness-to-pay-and-the-sensitivity-of-willingness-to-pay-for-interdisciplinary-musculoskeletal-clinics-a-contingent-valuation-study-in-quebec-canada
#8
Thomas G Poder, Jie He
Orthopedics is a discipline that requires a continuum of care in close collaboration with physicians, nurses, and healthcare professionals to ensure effective rehabilitation. In some cases, the wait time for a consultation may be very long, which can jeopardize the patient's rehabilitation and sometimes even cause complications that lead to a loss of autonomy. In Quebec, there is a severe shortage of healthcare professionals-and of orthopedic surgeons, in particular-specializing in musculoskeletal problems...
December 2016: Int J Health Econ Manag
https://www.readbyqxmd.com/read/27873226/is-dimension-order-important-when-valuing-health-states-using-discrete-choice-experiments-including-duration
#9
Brendan Mulhern, Richard Norman, Paula Lorgelly, Emily Lancsar, Julie Ratcliffe, John Brazier, Rosalie Viney
BACKGROUND: Discrete choice experiments with duration (DCETTO) can be used to estimate utility values for preference-based measures, such as the EQ-5D-5L. For self-completion, the health dimensions are presented in a standard order. However, for valuation, this may result in order effects. Thus, it is important to understand whether health state dimension ordering affects values. The aim of this study was to examine the importance of dimension ordering on DCE values using EQ-5D-5L. METHODS: A choice experiment presenting two health profiles and a third immediate death option was developed...
November 21, 2016: PharmacoEconomics
https://www.readbyqxmd.com/read/27858368/valuing-meta-health-effects-for-use-in-economic-evaluations-to-inform-reimbursement-decisions-a-review-of-the-evidence
#10
REVIEW
Richard De Abreu Lourenco, Marion Haas, Jane Hall, Rosalie Viney
OBJECTIVE: This review explores the evidence from the literature regarding how meta-health effects (effects other than health resulting from the consumption of health care) are valued for use in economic evaluations. METHODS: A systematic review of the published literature (the EMBASE, MEDLINE, PsycINFO, CINAHL, EconLit and SocINDEX databases were searched for publications in March 2016, plus manual searching) investigated the associations between study methods and the resulting values for meta-health effects estimated for use in economic evaluations...
November 17, 2016: PharmacoEconomics
https://www.readbyqxmd.com/read/27857828/determining-the-value-of-medical-technologies-to-treat-ultra-rare-disorders-a-consensus-statement
#11
Michael Schlander, Silvio Garattini, Peter Kolominsky-Rabas, Erik Nord, Ulf Persson, Maarten Postma, Jeff Richardson, Steven Simoens, Oriol de Solà-Morales, Keith Tolley, Mondher Toumi
BACKGROUND: In most jurisdictions, policies have been adopted to encourage the development of treatments for rare or orphan diseases. While successful as assessed against their primary objective, these policies have prompted concerns among payers about the economic burden that might be caused by an annual cost per patient in some cases exceeding 100,000 Euro. At the same time, many drugs for rare disorders do not meet conventional standards for cost-effectiveness or 'value for money'...
2016: Journal of Market Access & Health Policy
https://www.readbyqxmd.com/read/27849348/reconsidering-the-economic-value-of-multiple-sclerosis-therapies
#12
Tiffany Shih, Craig Wakeford, Dennis Meletiche, Jesse Sussell, Adrienne Chung, Yanmei Liu, Jin Joo Shim, Darius Lakdawalla
OBJECTIVES: To illustrate a more comprehensive view of value associated with medicines treating a highly severe illness and to apply these insights to estimate the costs and benefits of 3 treatments for multiple sclerosis (MS): Avonex, Tysabri, and Tecfidera. STUDY DESIGN: Retrospective study spanning 2002 to 2013. We used economic theory to derive the value of therapy to patients with MS and to individuals who face the risk of contracting MS in the future, under the alternative assumptions that therapies were fully insured or paid for out of pocket...
November 1, 2016: American Journal of Managed Care
https://www.readbyqxmd.com/read/27846666/-health-related-quality-of-life-in-the-context-of-early-benefit-assessment-of-drugs-according-to-%C3%A2-35a-of-the-german-social-code-book-v-a-challenging-endpoint-for-all-the-involved-stakeholders
#13
H Bender, C-M Dintsios
Considering repeated demands to present data on health-related quality of life (HRQoL) in the context of early benefit assessment of drugs in Germany, on the one hand, and the ongoing methodical debates on this outcome, on the other, the question about its significance in the evaluation procedure has been raised. Published documents of the first 90 early benefit assessments were extracted in order to estimate the importance of HRQoL in the assessment process for each involved stakeholder, and synoptically evaluated...
November 15, 2016: Das Gesundheitswesen
https://www.readbyqxmd.com/read/27814749/cost-effectiveness-analysis-of-the-single-implant-mandibular-overdenture-versus-conventional-complete-denture-study-protocol-for-a-randomized-controlled-trial
#14
Túlio Eduardo Nogueira, Shahrokh Esfandiari, Cláudio Rodrigues Leles
BACKGROUND: Preliminary clinical studies on the single-implant mandibular overdenture (SIMO) have reported favorable results as an alternative to the conventional complete dentures for rehabilitation of the edentulous mandible. Clinical and patient-reported outcomes were assessed but no evidence is available with respect to the cost-effectiveness of this treatment, which is particularly important to test whether the incremental cost associated with the implant treatment is justified facing the benefits from the intervention...
November 4, 2016: Trials
https://www.readbyqxmd.com/read/27806745/willingness-to-pay-for-measures-of-managing-the-health-effects-of-heat-wave-in-beijing-china-a-cross-sectional-survey
#15
Yi Zhang, Chen Chen, Jie Ban, Jin Hui Zhao, Dan Dan Xu, Peng Fei Zhu, Tian Tian Li
OBJECTIVE: There are evidences that heat wave events cause deaths and emergency cases. This article used the contingent valuation method to find the willingness to pay for the protective measures and investigated the factors that influence the willingness to pay. METHODS: A cross-sectional face-to-face household survey was completed by 637 urban long-term residents and 591 rural long-term residents aged 15-79 in Beijing, China. Binary logistic regression was used to identify factors that influenced the payment rate or payment amount for the protective measures, including independent variables for district, gender, age, education, income, air conditioner ownership, heat wave experience, and chronic non-communicable disease...
September 2016: Biomedical and Environmental Sciences: BES
https://www.readbyqxmd.com/read/27803596/the-prioritization-preferences-of-pan-canadian-oncology-drug-review-members-and-the-canadian-public-a-stated-preferences-comparison
#16
C Skedgel
The pan-Canadian Oncology Drug Review (pcodr) is responsible for making coverage recommendations to provincial and territorial drug plans about cancer drugs. Within the pcodr process, small groups of experts (including public representatives) consider the characteristics of each drug and make a funding recommendation. It is important to understand how the values and preferences of those decision-makers compare with the values and preferences of the citizens on whose behalf they are acting. In the present study, stated preference methods were used to elicit prioritization preferences from a representative sample of the Canadian public and a small convenience sample of pcodr committee members...
October 2016: Current Oncology
https://www.readbyqxmd.com/read/27798797/many-miles-to-go-a-systematic-review-of-the-state-of-cost-utility-analyses-in-brazil
#17
REVIEW
Alessandro G Campolina, Luciana M Rozman, Tassia C Decimoni, Roseli Leandro, Hillegonda M D Novaes, Patrícia Coelho De Soárez
BACKGROUND: Little is known about the quality and quantity of cost-utility analyses (CUAs) in Brazil. OBJECTIVE: The objective of this study was to provide a systematic review of published CUAs of healthcare technologies in Brazil. METHODS: We performed a systematic review of economic evaluations studies published in MEDLINE, EMBASE, LILACS (Latin American and Caribbean Health Sciences Literature), SciELO (Scientific Electronic Library Online), NHS EED (National Health Service Economic Evaluation Database), HTA (Health Technology Assessment) Database, Web of Science, Scopus, Bireme (Biblioteca Regional de Medicina), BVS ECOS (Health Economics database of the Brazilian Virtual Library of Health), and SISREBRATS (Sistema de Informação da Rede Brasileira de Avaliação de Tecnologias em Saúde [Brazilian Network for the Evaluation of Health Technologies]) from 1980 to 2013...
October 31, 2016: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27798795/can-a-circular-payment-card-format-effectively-elicit-preferences-evidence-from-a-survey-on-a-mandatory-health-insurance-scheme-in-tunisia
#18
Olivier Chanel, Khaled Makhloufi, Mohammad Abu-Zaineh
BACKGROUND: The choice of elicitation format is a crucial but tricky aspect of stated preferences surveys. It affects not only the quantity and quality of the information collected on respondents' willingness to pay (WTP) but also the potential errors/biases that prevent their true WTP from being observed. OBJECTIVES: We propose a new elicitation mechanism, the circular payment card (CPC), and show that it helps overcome the drawbacks of the standard payment card (PC) format...
October 31, 2016: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27796774/employing-quality-control-and-feedback-to-the-eq-5d-5l-valuation-protocol-to-improve-the-quality-of-data-collection
#19
Fredrick Dermawan Purba, Joke A M Hunfeld, Aulia Iskandarsyah, Titi Sahidah Fitriana, Sawitri S Sadarjoen, Jan Passchier, Jan J V Busschbach
OBJECTIVES: In valuing health states using generic questionnaires such as EQ-5D, there are unrevealed issues with the quality of the data collection. The aims were to describe the problems encountered during valuation and to evaluate a quality control report and subsequent retraining of interviewers in improving this valuation. METHODS: Data from the first 266 respondents in an EQ-5D-5L valuation study were used. Interviewers were trained and answered questions regarding problems during these initial interviews...
October 31, 2016: Quality of Life Research
https://www.readbyqxmd.com/read/27790801/are-health-state-valuations-from-the-general-public-biased-a-test-of-health-state-reference-dependency-using-self-assessed-health-and-an-efficient-discrete-choice-experiment
#20
Marcel F Jonker, Arthur E Attema, Bas Donkers, Elly A Stolk, Matthijs M Versteegh
Health state valuations of patients and non-patients are not the same, whereas health state values obtained from general population samples are a weighted average of both. The latter constitutes an often-overlooked source of bias. This study investigates the resulting bias and tests for the impact of reference dependency on health state valuations using an efficient discrete choice experiment administered to a Dutch nationally representative sample of 788 respondents. A Bayesian discrete choice experiment design consisting of eight sets of 24 (matched pairwise) choice tasks was developed, with each set providing full identification of the included parameters...
October 27, 2016: Health Economics
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