Health economics and health preference concepts to orthopedics practitioners

Abstract

The aim of this study was to describe concepts of health economics in order to update and provide the orthopedic practitioner decision making parameters based on preferences. Four basic types of studies of economical evaluation were presented (cost minimization analysis, cost-benefit, cost-effectiveness and cost-utility), as well as the origin, the concept, advantages and disadvantages of using QALY and utility. It was discussed the importance of costs and of SF-6D, an instrument able to get through the utility data from the Medical Outcomes Study 36-item Short Form Health Survey (SF-36). Physicians, especially orthopedic practitioners, are increasingly using technologies which are progressively expensive, thus, they should be able to understand health economics concepts, the importance of utility in clinical decision making process and economic analysis in health.09+

Patient and Economic Burden of Presbyopia: A Systematic Literature Review

“…Utilities represent the strength of individual preferences for different health states, and are an important measure for determining patient’s quality of life. 64 Utility values range between 0 (representing death) and 1 (perfect health), with higher values representing better quality of life with the associated health condition. 64 In this review, two studies were identified that estimated utility values in presbyopia patients using a patient preference-based, time trade-off methodology.…”

“… 64 Utility values range between 0 (representing death) and 1 (perfect health), with higher values representing better quality of life with the associated health condition. 64 In this review, two studies were identified that estimated utility values in presbyopia patients using a patient preference-based, time trade-off methodology. 65 , 66 …”

Direct and indirect utilities of patients with mild to moderate versus severe carpal tunnel syndrome

“…The CSG is based on the Standard Gamble, which is the classical method of measuring cardinal preferences for health outcomes and serves as the foundation on which other utility measurements are reviewed (SF-6D is based on the Standard Gamble) (Araujo et al., 2014; Garza and Wyrwich, 2003; Neumann et al., 2000). It is known that the Standard Gamble results in higher utilities due to participant risk aversion, as participants are often reluctant to gamble their current health against death (Araujo et al., 2014). To mitigate this, we used the CSG, which introduced an intermediate anchor state, so patients did not have to gamble against death, but instead gamble their current health against median nerve transection.…”

Self-administered acupressure for symptom management among Chinese family caregivers with caregiver stress: a randomized, wait-list controlled trial

“…The survey is scored by recoding the items, computing the raw scale scores, and transforming the scores to a range from 0 to 100 according to the standard scoring algorithm. Higher scores indicate a better health status.Health economics assessment (HEA) will be assessed to determine the cost minimization [32] related to the intervention, with items on: (i) number of physician visits, (ii) use of prescription drugs, and (iii) incidence of inpatient hospitalization.A demographic questionnaire (DQ) will be used to collect information on age, education level, marital status, number and age of children, employment status, financial hardship, number of care recipients, total number of hours of caregiving per week (for the older adult care recipient and children, if appropriate), length of caring (years/months of caregiving), assistance received from other family members (including number of people providing care), paid/occasional caregivers, receipt of comprehensive social security assistance, need for financial support, and number of years living in Hong Kong. Information will also be collected regarding the care recipient’s health and dependency including age, health problems, disabilities, and degree of dependency on the caregiver.…”

“…Health economics assessment (HEA) will be assessed to determine the cost minimization [32] related to the intervention, with items on: (i) number of physician visits, (ii) use of prescription drugs, and (iii) incidence of inpatient hospitalization.…”