Assessing Patients?? Utilities
Can the Ends Justify the Means
Bibliographic Data
| ID | 9098124 |
|---|---|
| Authors | Albert G Mulley (Massachusetts General Hospital, corresponding author) |
| Year | 1989 |
| Volume | 27 |
| Issue | Supplement |
| Pages | S269-S281 |
| Publication date | 1989-03-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-198903001-00021 |
| PMID | 2646492 |
| OpenAlex | W2085608459 |
| Language | EN |
| Citations received | 21 |
Each of the elements of a utility assessment strategy--defining and describing health states of interest, identifying subjects, choosing a scaling task, aggregating across subjects, determining reliability and validity--is controversial. The controversy is in part explained by the interdisciplinary nature of the problem; different disciplinary conceptualizations of utility lead to different priorities for methodologic problem solving. Controversy is further explained by widely divergent potential applications of utility assessments, including individual decisions made with and without (or by) an agent, and decisions made for populations that may be homogeneous or heterogeneous with regard to utilities for the same health states. Issues can be clarified by focusing on the purpose of the utility assessment and, in the case of clinical decision making, on the most relevant disease-specific outcomes. The prostatectomy decision is an example. Although questions of measurement validity need continuing attention, more attention should be paid to validating uses of utility assessments: Can utility assessments distinguish prospectively, among patients who subsequently experience the same health outcome, those for whom it is associated with a high or low level of well-being? Can utility assessments be used to predict behavior? Can a decision process that includes utility assessments affect decisions in a manner that improves overall well-being? Approaches to such questions are complicated by changes in utilities over time, departures from the normative model of decision making, the effects of decision-making responsibility, and biases introduced by the decision-making process
Decision aids · Economics · Expected utility hypothesis · Management science · Normative · Process (computing) · Reliability (semiconductor) · Risk analysis (engineering) · Computer Science · Economic and Environmental Valuation · Health Systems, Economic Evaluations, Quality of Life · Healthcare Policy and Management · Medicine · Psychology
Qualidade de vida e medidas de utilidade
Assessing the need for health status measures
Research Issues Related to Optimal Oral Health Outcomes
Finale Panel
Relationship Between Health Utility and Psychometric Health Status Measures
Quality of Life, Health Status, and Clinical Research
Value Judgment in the Oregon Medicaid Experiment
Methodological Issues of Patient Utility Measurement Experience From Two Clinical Trials
Strategies for Improving and Expanding the Application of Health Status Measures in Clinical Settings
A comparison of two approaches for assessing patient importance weights to conduct an Extended Q-TWiST analysis
Evaluating the quality of life associated with rifabutin prophylaxis forMycobacterium avium complex in persons with Aids
Dental health state utilities among dental patients
On the relation between decision quality and autonomy in times of patient-centered care
Development of instruments to measure the quality of breast cancer treatment decisions
Implementing breast cancer decision aids in community sites
Future risk communication
Validity and Interpretation of Preference-Based Measures of Health-Related Quality of Life
Assessing the Performance of Utility Techniques in the Absence of a Gold Standard
Measurement of the Validity of Utility Elicitations Performed by Computerized Interview
Preferences for Current Health and Their Association With Outcomes in Patients With Kidney Disease
A psychometric analysis of the measurement level of the rating scale, time trade-off, and standard gamble
| Citations per year | 0.57 |
|---|---|
| Citation span | 1989 - 2022 (34) |
| Highly cited | No |