Health status and health policy: quality of life in health care evaluation and resource allocation
Gespeichert in:
| Hauptverfasser: | , |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
New York u.a.
Oxford Univ. Pr.
1993
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| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XXV, 478 S. graph. Darst. |
| ISBN: | 0195050274 |
Internformat
MARC
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| 264 | 1 | |a New York u.a. |b Oxford Univ. Pr. |c 1993 | |
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Datensatz im Suchindex
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| adam_text | Contents
Tables, xix
Figures, xxiii
1. HEALTH STATUS AND HEALTH DECISIONS, 3
The Challenge to Health Decision Making
Health Policy as Costs and Outcomes
Health Policy Questions for the 1990s
Health Status, Quality of Life, and Health Related Quality of Life
Objectives and Applications of Health Related Quality of Life Assessment
2. A STRATEGY FOR ALLOCATING RESOURCES TO HEALTH CARE, 27
Nature of the Health Decision Process
The Health Resource Allocation Strategy
Specifying Health Decisions
Resource Allocation in the Health Decision Process
3. THEORETICAL FOUNDATIONS FOR HEALTH RELATED
QUALITY OF LIFE, 58
The Contributions of Theory
Talcott Parsons and Functionalirm
Theories of Positive Well Being and Quality of Life
Values and Utility Theory
Psychophysics and the Measurement of Value
Building a Conceptual Framework
4. CONCEPTS OF HEALTH RELATED QUALITY OF LIFE, 76
Concepts. Domains, and Indicators
Death and Duration of Life
Impairments
Functional Status: Physical, Psychological, Social
Health Perceptions
Opportunity
Other Relevant Concepts and Domains
Classifying Health States
vi CONTENTS
5. TYPES OF HEALTH RELATED QUALITY OF LIFE ASSESSMENTS, 113
A Taxonomy of Health Related Quality of Life Measures
Indicators, Indexes, Profiles, and Batteries
Generic and Specific Measures
6. ASSIGNING VALUES TO HEALTH STATES, 143
Statistical Weighting
Preference Weighting
Derived Preference Weighting Methods
Explicit Weighting by Primary Data Collection
Comparison of Health State Preference Measurements
Comparing Statistical and Preference Weighting
7. SELECTING AN INSTRUMENT FOR PRIMARY DATA COLLECTION, 181
Steps in Collecting Health Related Quality of Life Data
Step 1. Define the Objectives of Assessment
Step 2. Specify Available Resources
Step 3. Identify the Population to Be Studied
Step 4. Conceptualize Relevant Outcomes
Information on Measures of Health Related Quality of Life
Step 5. Assess Methodological Characteristics of Potential Measures
Step 6. Assess Practical Considerations
The Selection Decision: What Questions Should I Ask?
Step 7. Conduct Pretest and Pilot Studies
Step 8. Prepare Data Collection and Analysis Plans
Step 9. Collect Data
Step 10. Analyze and Present Findings
8. DEVELOPING A STRATEGY FOR SECONDARY DATA ANALYSIS, 213
Selecting an Assessment Strategy
Major Sources of Existing Data
Constructing and Testing Measures
Interpretation for Health Decision Making
9. ESTIMATING PROGNOSIS AND YEARS OF HEALTHY LIFE, 231
Modeling and Estimating Prognosis
Years of Healthy Life
Calculation of Years of Healthy Life
Years of Healthy Life and Resource Allocation
10. COSTS IN THE HEALTH RESOURCE ALLOCATION STRATEGY, 254
Concepts and Definitions of Health Care Costs
Estimating Direct and Indirect Health Care Costs
CONTENTS xvii
Discounting Health Care Costs
National Costs Data for the Health Resource Allocation Strategy
11. RANKING COSTS AND OUTCOMES OF HEALTH CARE
ALTERNATIVES, 270
Calculation of Cost Utility Ratios
Meta Analysis and the Costs and Outcomes Comparison
Cost per Year of Healthy Life for Resource Allocation
Revising the Ranking
12. PREVENTING DISEASE AND PROMOTING HEALTH: GOALS
FOR THE NATION, 292
National Health Levels and Goals
Goals and Objectives for the Year 2000
Data Sources and Tracking Methods
Comparing Strategies for Prevention Effectiveness
13. IMPROVING HEALTH RELATED QUALITY OF LIFE THROUGH
TECHNOLOGY, 313
Technology and Health Care
Strategies for Identifying Effective Technologies
Estimating Years of Healthy Life for Technology Assessment
Costs and Outcomes of Medical Technology
14. IMPROVING ACCESS TO HEALTH CARE, 332
Rationing to Provide Universal Access to Health Care
The Oregon Plan
The Role of Access in Reducing Health Disparities
Sociopolitical Implications of Rationing to Improve Access
15. THE LIMITS OF RATIONALITY IN ALLOCATING HEALTH RESOURCES,
357
Contributions to Health Decisions
Political Challenges
Ethical Challenges
Limiting Potential Abuses
Addressing Unresolved Issues
Toward Equality of Opportunity for Health
APPENDIX I. FOUR MEASURES OF HEALTH RELATED QUALITY OF= LIFE
FOR IMPLEMENTING THE HEALTH RESOURCE ALLOCATION
STRATEGY, 377
A. Disability/Distress Index
B. Health Utilities Index
Kviii CONTENTS
C. Quality of Weil Being Scale and General Health Policy Model
D. EuroQol Instrument
APPENDIX II. SOURCES OF INFORMATION ABOUT MEASURES
OF HEALTH RELATED QUALITY OF LIFE, 409
GLOSSARY, 415
REFERENCES, 429
INDEX, 463
Tables
2.1 Eight Steps in the Health Resource Allocation Strategy, 31
2.2 Estimated Cost Per Year of Healthy Life Gained Using the Disability/
Distress Index, 40
2.3 Estimated Cost Per Year of Healthy Life Gained Using the Health
Utilities Index, 41
2.4 Estimated Cost Per Year of Healthy Life Gained Using the Quality of
Well Being Scale, 42
2.5 Comparison of Three Types of Economic Evaluations, 52
4.1 Core Concepts and Domains of Health Related Quality of Life, 77
4.2 Self Rated Versus Measured Physical Fitness in Persons 10 69 Years of Age,
Canadian Fitness Survey, 90
4 3 Mean Levels of General Well Being Scores at Follow up for Respondents to
National Health and Nutrition Examination Survey I Epidenuologic
Follow up Study (NHEFS), 91
4.4 Depression Status at Initial Survey (NHANES I) and at Follow UP (NHEFS)
for Persons Age 55 84 Years, 92
5.1 A Taxonomy of Health Related Quality of Life Measures, 114
5.2 Leading Symptoms Reported as Reasons for Visit to Physicians in the
National Ambulatory Medical Care Survey by Age and Gender, 1985, 117
5.3 The Sickness Impact Profile: Categories, Dimensions, and Selected
Statements, 123
5.4 Concepts and Questions from the Medical Outcomes Study 36 Item Short
Form Health Survey, 125
5.5 Concepts, Domains, and Measures of Health Related Quality of Life
Included in Previous National Center for Health Statistics Surveys. 128
5.6 Major Concepts of Health Related Quality of Life Contained in Selected
Generic Measures, 132
5.7 Selected Disease Specific Measures of Health Status and Quality of Life. 134
5.8 Selected Measures of Health Related Quality of Life Specific
to Older Adults, 138
6.1 Mental Health Items and Scoring Information for Scale Construction: MOS
Short Form Health Survey, 145
xx TABLES
6.2 Typical Cumulative or Guttman Scale Based on Mobility, 147
6.3 Long Term Health States Used to Describe End Stage Heart Disease Patients
under Different Modes of Treatment, 154
6.4 Sample Utilities for Selected Health States, 158
6.5 Methods of Explicit Preference Weighting, 159
6.6 Mean Utilities and Standard Deviations for End Stage Heart
Disease States, 174
7.1 Methodological Considerations in Health Related Quality
of Life Assessment, 195
7.2 Multitrait Multimethod Matrix from the Medical Outcomes Study Sample
(#=1,007), 201
7.3 Practical Considerations in Health Related Quality of Life Assessment, 203
7.4 Guide to Evaluating Health Related Quality of Life (HRQOL) Measures:
What Questions Should I Ask?, 206
8.1 Summary Description of National Health Surveys in the United States, 217
8.2 Comparison of Physical Activity Questions Asked in the Quality of Weil
Being and in the National Health Interview Survey for 1979 1980, 223
9.1 Abridged Life Tables for the Total Population, United States, 1988, 239
9.2 Calculation of Years of Healthy Life for the Total Population, United States,
1988, 245
9.3 Two Examples showing the Calculation of Years of Healthy Life Using
Cohort Data, 248
10.1 Types of Costs Included in the Economic Evaluation of Health Interventions,
255
10.2 Indirect Costs for All Diseases and Neoplasms U.S. Fiscal Year
1975, 257
10.3 Expected Resource Costs and Savings for Coronary Artery Bypass Surgery
and Medical Management of Severe and Mild Angina, 261
10.4 Selected Compromises between Conceptual Definitions and Empirical
Estimates of Health Care Costs, 263
10.5 Effect of Different Discount Rates for Health Programs Costing ,000 at
Start Up and Expected to Last Ten Years, 265
10.6 National Sources of Direct and Indirect Cost Data, 267
11.1 Interpretation of Effect Size for Five Health Status Variables Used in the
Health Insurance Experiment, 273
11.2 Format and Information for Expanded Costs and Outcomes Table, 281
11.3 Preliminary Ranking of Costs and Outcomes for Evaluating
Existing Health Interventions, 287
11.4 Final Ranking of Costs and Outcomes for Evaluating Existing
Health Interventions, 288
12.1 National Health Promotion and Disease Prevention Goals and
Targets for 1990, 295
TABLES xxi
12.2 Priority Areas for Promoting Health and Preventing Disease in Healthy People
2000, 299
12.3 Specific Health Status, Risk Reduction, and Services and Protection
Objectives for Priority Area 8, Educational and Community Based
Programs, 300
12.4 Three Scenarios for Assessing the Impact of Improving Quantity
and Quality of Life, 304
12.5 Costs of Treatment for Selected Preventable Conditions, 306
12.6 Characteristics of Studies Designed to Assess the Impact of Preventive
Services on the Medicare Population, 308
12.7 Comparison of Costs and Outcomes for Evaluating Existing Health Promotion
and Disease Prevention Strategies, 310
13.1 Adjusted Proportions and Selected Mean Scores for Objective and
Subjective Indicators of Quality of Life, According to Treatment for
End Stage Renal Disease, 315
13.2 Number of Selected Procedures Performed Per 1,000 Persons in the
United States, Selected Years, 316
13.3 Life Years and Years of Healthy Life for Low and Very Low Birth
Weight Infants, 323
13.4 Ranking of Costs and Outcomes of a University Medical Center based
Neonatal Intensive Care Unit (NICU) Using the Health Utilities Index
with Preferences from a Community Sample, 325
13.5 Ranking of Costs and Outcomes of Existing Health Interventions Using the
Disability Distress Index with Published Preferences and Expert Judgments
Used to Estimate Years of Healthy Life, 329
14.1 Provisions of the Oregon Basic Health Services Act of 1989, 339
14.2 Thirteen Community Values for Health Care Elicited by
Oregon Health Decisions, 343
14.3 Preliminary Cost Utility Ratios Used to Rank Medical Conditions and
Treatments Most and Least Economically Worthwhile, May 1990, 346
14.4 Ranked List of 17 Health Services Categories Incorporating Category Weights
and Oregon Health Services Commission Judgment, May 1991, 348
14.5 List of Health Services Assigned Highest and Lowest Priorities by Oregon
Health Services Commission, May 1991. 350
Figures
1.1 Health Expenditures as a Percentage of the U.S. Gross National Product:
1960 2000, 4
1.2a Life Expectancy at Birth, All Races: United States, 1960 1990, 5
1.2b Infant Mortality Rates per 1,000 Live Births, All Races: United States,
1960 1990, 5
1.2c Trends in Prevalence of Any Activity Limitation by Age Group:
United States, 1970 1990, 6
1.2d Percentage of Persons of All Ages Reporting Good To Excellent Health:
United States, 1973 1990, 7
1.3 Health Related Quality of Life for a Prototype Individual, 22
1.4 Years of Healthy Life for a Prototype Individual, 23
1.5 Years of Healthy Life for a Prototype Cohort, 24
2.1 Examples of Concepts and Domains for a Health State
Classification System, 34
2.2 Cost and Outcome Results in Evaluating Treatment Effectiveness, 39
2.3 Determinants of Health Related Quality of Life in the Health Resource
Allocation Strategy, 45
2.4 The Budget Constraint and the Health Resource Allocation Strategy, 55
3.1 Comparison of Category Rating and Magnitude Estimation Judgments, 71
3.2 Framework for Discussing Disease and Its Impact, 73
3.3 Theoretical Relationships Among Health Related Quality
of Life Concepts, 74
4.1 Life Expectancy at 65 Years of Age by Color and Gender: United States.
Selected Years 1900 1989, 80
4.2 Age adjusted Death Rates for Total United States Population, According
to the Five Leading Causes of Death, 1960 1989, 81
4.3 Age adjusted Prevalence of Hypertension Among Persons 20 74 Years
of Age According to Color and Gender: United States, 1960 62,
1971 74, and 1976 80, 84
4.4 Bed Disability Days for Persons 65 Years of Age and Over:
United States, 1977 90, 88
xxiv FIGURES
4.5 Limitations in Usual Social Role (Major Activity) Due to Chronic Conditions,
United States, 1970 1990, 96
4.6 Prevalence of Main Causes of Activity Limitation, by Age,
1983 1985, 97
4.7 Average Social Isolation Scores by Three Month Periods on Nottingham
Health Profile for Patients Before and After Heart Transplant, 99
4.8 Self Assessment of Health by Color: United States, 1990, 101
4.9 Satisfaction with Health and Physical Condition, General Social Survey:
United States, 1972 1991, 103
4.10 Percent of Males, for Selected Age Groups, Reporting Inability to Work
Because of Health: United States, 1970, 1975, 1980, and 1990, 105
5.1 Ordinary and Disability Free Life Expectancies by Color and Gender: United
States, Mid 1960s, 121
5.2 Health Profiles for Patients with Four Common Conditions from
Medical Outcomes Study, 126
5.3 Applications of Sickness Impact Profile to Different Populations
and Medical Conditions, 131
6.1 Category Scale for Judging Relative Desirability of Health States, 162
6.2 Standard Gamble Decision Tree for a Chronic Health State Considered Better
than Death, 165
6.3 Chance Board for Assigning Preferences Using the Standard Gamble, 166
6.4 Standard Gamble Decision Tree for a Chronic Health State Considered Worse
than Death, 167
6.5 Standard Gamble Decision Tree for a Temporary Health State, 167
6.6 Time Tradeoff Decision Diagram for a Chronic Health State Preferred
to Death, 168
6.7 Time Tradeoff Decision Diagram for a Chronic Health State Considered Worse
than Death, 169
6.8 Time Tradeoff Board for Assigning Preferences to Health States
Considered Better than Death, 171
6.9 Answer Sheet and Utilities for Time Tradeoff for States Considered
Better than Death, 172
6.10 Time Tradeoff Board for Assigning Preferences to Health States
Considered Worse than Death, 173
6.11 Utility Independence Assumptions and Model Forms, 175
7.1 Ten Steps in a Health Related Quality of Life (HRQOL) Assessment, 183
7.2 Implementation Schedule for Health Related Quality of Life (HRQOL)
Assessment (Year 1 begins May 1, 1992), 185
7.3 Self Versus Proxy Ratings of Health Status for Two Age Groups,
NHIS, 1985, 189
9.1 Prognosis for a Prototype Group of Individuals, 232
FIGURES xxv
9.2 Schematic Representation of the Transition Probabilities Associated with
Moving Between States of Health Related Quality of Life, 235
9.3 Remaining Years of Life Measured in Terms of Ordinary and Active Life
Expectancies for Persons in an Independent Functional State:
Selected Ages, 241
9.4 Comparison of Years of Healthy Life Using Three Different Health Related
Quality of Life Measures, 243
10.1 Direct Health Care Costs, National Health Expenditures 1990, 256
11.1 Years of Healthy Life Added by Intervention for a Prototype Individual, 271
11.2 Calculation of Additional Years of Healthy Life Gained, 272
11.3 Graphical Presentation of Comparative Health Outcomes and Costs, 283
12.1 Years of Healthy Life with and without Preventive/Promotion Behavior
for a Prototype Individual, 297
12.2 Average NHIS QWB by Gender and Age, 1980 National Health
Interview Survey, 303
12.3 Hypothetical Years of Healthy Life Gained Attributed to Medicare Preventive
Services, 309
14.1 Primary Source of Health Insurance, Current Population Surveys, 1991, 334
14.2 Primary Sources of Health Expenditures, United States, 1990, 335
14.3 Infant Mortality Rates, According to Color/Ethnicity of Mother, United
States, 1983 85 Birth Cohorts, 353
|
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| author | Patrick, Donald L. Erickson, Pennifer |
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| geographic | USA (DE-588)4078704-7 gnd |
| geographic_facet | USA |
| id | DE-604.BV009652308 |
| illustrated | Illustrated |
| indexdate | 2024-07-09T17:38:37Z |
| institution | BVB |
| isbn | 0195050274 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-006381755 |
| oclc_num | 299456313 |
| open_access_boolean | |
| owner | DE-384 DE-703 DE-N2 DE-19 DE-BY-UBM |
| owner_facet | DE-384 DE-703 DE-N2 DE-19 DE-BY-UBM |
| physical | XXV, 478 S. graph. Darst. |
| publishDate | 1993 |
| publishDateSearch | 1993 |
| publishDateSort | 1993 |
| publisher | Oxford Univ. Pr. |
| record_format | marc |
| spelling | Patrick, Donald L. Verfasser aut Health status and health policy quality of life in health care evaluation and resource allocation Donald L. Patrick ; Pennifer Erickson New York u.a. Oxford Univ. Pr. 1993 XXV, 478 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Qualité de la vie Gesundheitswesen (DE-588)4020775-4 gnd rswk-swf Gesundheitspolitik (DE-588)4113743-7 gnd rswk-swf Gesundheitsfürsorge (DE-588)4136585-9 gnd rswk-swf Gesundheitsökonomie (DE-588)4130935-2 gnd rswk-swf Lebensqualität (DE-588)4034922-6 gnd rswk-swf Gesundheitsgefährdung (DE-588)4071808-6 gnd rswk-swf USA (DE-588)4078704-7 gnd rswk-swf USA (DE-588)4078704-7 g Gesundheitsfürsorge (DE-588)4136585-9 s Gesundheitsökonomie (DE-588)4130935-2 s DE-604 Gesundheitsgefährdung (DE-588)4071808-6 s Lebensqualität (DE-588)4034922-6 s Gesundheitswesen (DE-588)4020775-4 s Gesundheitspolitik (DE-588)4113743-7 s Erickson, Pennifer Verfasser aut HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=006381755&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Patrick, Donald L. Erickson, Pennifer Health status and health policy quality of life in health care evaluation and resource allocation Qualité de la vie Gesundheitswesen (DE-588)4020775-4 gnd Gesundheitspolitik (DE-588)4113743-7 gnd Gesundheitsfürsorge (DE-588)4136585-9 gnd Gesundheitsökonomie (DE-588)4130935-2 gnd Lebensqualität (DE-588)4034922-6 gnd Gesundheitsgefährdung (DE-588)4071808-6 gnd |
| subject_GND | (DE-588)4020775-4 (DE-588)4113743-7 (DE-588)4136585-9 (DE-588)4130935-2 (DE-588)4034922-6 (DE-588)4071808-6 (DE-588)4078704-7 |
| title | Health status and health policy quality of life in health care evaluation and resource allocation |
| title_auth | Health status and health policy quality of life in health care evaluation and resource allocation |
| title_exact_search | Health status and health policy quality of life in health care evaluation and resource allocation |
| title_full | Health status and health policy quality of life in health care evaluation and resource allocation Donald L. Patrick ; Pennifer Erickson |
| title_fullStr | Health status and health policy quality of life in health care evaluation and resource allocation Donald L. Patrick ; Pennifer Erickson |
| title_full_unstemmed | Health status and health policy quality of life in health care evaluation and resource allocation Donald L. Patrick ; Pennifer Erickson |
| title_short | Health status and health policy |
| title_sort | health status and health policy quality of life in health care evaluation and resource allocation |
| title_sub | quality of life in health care evaluation and resource allocation |
| topic | Qualité de la vie Gesundheitswesen (DE-588)4020775-4 gnd Gesundheitspolitik (DE-588)4113743-7 gnd Gesundheitsfürsorge (DE-588)4136585-9 gnd Gesundheitsökonomie (DE-588)4130935-2 gnd Lebensqualität (DE-588)4034922-6 gnd Gesundheitsgefährdung (DE-588)4071808-6 gnd |
| topic_facet | Qualité de la vie Gesundheitswesen Gesundheitspolitik Gesundheitsfürsorge Gesundheitsökonomie Lebensqualität Gesundheitsgefährdung USA |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=006381755&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT patrickdonaldl healthstatusandhealthpolicyqualityoflifeinhealthcareevaluationandresourceallocation AT ericksonpennifer healthstatusandhealthpolicyqualityoflifeinhealthcareevaluationandresourceallocation |