Medical decision making: a health economic primer
Gespeichert in:
| Hauptverfasser: | , |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Berlin
Springer
[2023]
|
| Ausgabe: | Third edition |
| Schlagworte: | |
| Online-Zugang: | Inhaltstext Auszug Inhaltsverzeichnis |
| Beschreibung: | XXIV, 316 Seiten Illustrationen 23.5 cm x 15.5 cm |
| ISBN: | 9783662646564 3662646560 |
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| 245 | 1 | 0 | |a Medical decision making |b a health economic primer |c Stefan Felder, Thomas Mayrhofer |
| 250 | |a Third edition | ||
| 264 | 1 | |a Berlin |b Springer |c [2023] | |
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| 653 | |a Bayes' Theorem | ||
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| 653 | |a Medical Decision Making | ||
| 653 | |a Test and Treatment Thresholds | ||
| 653 | |a Valuing Health and Life | ||
| 653 | |a Treatment Decisions with Diagnostic Tests | ||
| 653 | |a Valuing Health and Life | ||
| 653 | |a Public health | ||
| 653 | |a Health economics | ||
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Datensatz im Suchindex
| _version_ | 1817968293074436096 |
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| adam_text |
Contents 1 Introduction . 1.1 Outline . 1.2 Notes. References . 2 Basic Tools in Medical Decision Making . 2.1 Prevalence, Incidence and Risk. 2.2 Discriminatory Power and Predictive Values . 2.3 Probability, Odds and the Likelihood Ratio. 2.4 Continuous Test Outcomes and Cut-off Values. 2.5 Notes. 2.6 Exercises. References . 3 Basic Tools in Economics: Preferences, Expected Utility, Risk Aversion and Prudence . PreferencesandUtility . Decisions Under Uncertainty: Menu of Actions, States of Nature and Consequences . 3.3
The Elementary Utility Function and the Expected Utility Rule. 3.4 The Axiom of Independence and the Expected Utility Rule. 3.5 The QALY Concept . 3.6 Risk Aversion. 3.7 Prudence. 3.8 Medical Decision Making: An Economic Perspective. 3.9 Non-Expected Utility Theories . 3.10 Notes. 3.11 Exercises. References . 3.1 3.2 1 2 5 5 7 7 8 11 15 19 19 21 23 24 27 28 31 34 37 41 46 47 49 49 50 xi
xii 4 Contents Treatment Decisions . The Treatment Decisionunder Diagnostic Risk . 4.1.1 The Treatment Threshold . 4.1.2 The Protective Effect of Treatment . 4.1.3 Risk Aversion and the Treatment Decision. 4.1.4 PreventiveTreatment . 4.1.5 Choosing Between Several Treatments. 4.2 The Treatment Decision Under Therapeutic Risk. 4.2.1 The Treatment Success Probability Threshold. 4.2.2 Including the Protective Effect of Treatment . 4.2.3 The Role of Risk Aversion . 4.2.4 Choosing Between Several Treatments. 4.3 The Treatment Decision under Diagnostic and Therapeutic Risk. 79 4.4 Notes. 4.5 Exercises. References . 4.1 5 Test and Treatment Decisions. The Value of Information of a Diagnostic Test
. 5.1.1 The Perfect Test . 5.1.2 The Imperfect Test. 5.1.3 Decision Curve Analysis. 5.1.4 Threshold Analysis with Several Treatment Options . 104 5.1.5 Threshold Analysiswith a Genetic Test . 5.2 Risk Attitude and the Test and Test-Treatment Thresholds. 5.2.1 The Perfect Test . 5.2.2 The Imperfect Test . 5.3 Testing Under the Therapeutic Risk . 5.4 The Test and Test-Treatment Thresholds when both the Diagnostic and the Therapeutic Risk are Present. 5.5 Potential Harm from a Test . 5.6 Notes. 5.7 Exercises. References . 5.1 6 Prudence and Medical Decision Making. 6.3 6.4 Prudence and the Treatment Threshold . Prudence and the Test and Treatment Decisions. 6.2.1 The Perfect Test . 6.2.2 The
Imperfect Test. Prudence and Protection. Prudence and Prevention . 6-5 Prudence and the Therapeutic Risk 6.1 6.2 /.^^Հ՜^՚Հ^.· 53 54 54 60 63 68 69 71 71 74 75 77 83 83 84 87 88 88 93 99 Ю6 Ю9 1θ9 112 11$ 116 12° 123 124 126 127 128 133 133 136 140 140 I42
Contents 7 6.6 Notes. 6.7 Exercises. References . 143 144 144 Optimal Strategy for Multiple Diagnostic Tests . 147 148 155 157 164 168 169 169 171 7.1 Choosing among Two Tests. 7.2 Combining Two Tests. 7.3 Test and Test-Treatment Thresholds for Composite Tests. 7.4 The Optimal Sequence of and Potential Harm fromTesting. 7.5 Parallel or Sequential Testing? . 7.6 Notes. 7.7 Exercises. References . 8 The Optimal Cutoff of a Diagnostic Test. 8.1 8.2 8.3 Endogenous Test Characteristics. The Optimal Cut-Off . Test and Test-Treatment Thresholds and the Optimal Cut-Off
. 182 8.4 Multiple Tests with Endogenous Sensitivity and Specificity: Triple Test and Amniocentesis . 184 8.4.1 The ROC Curve of the Triple Test. 8.4.2 The Value of Information and Optimal Use of the Triple Test with Amniocentesis. 8.4.3 Deciding on the Test Outcome. 8.5 Notes. 8.6 Exercises. References . 9 xiii The Total Value of Information of a Test. 9.1 Exogenous Test Characteristics. 9.1.1 Performance as a Function of the Prior Probability of Disease . 194 9.1.2 Overall Performance . 9.1.3 A Social Perspective . 9.2 Endogenous Test Characteristics. 9.2.1 Performance as a Function of the Prior Probability of Disease . 200 9.2.2 Overall Performance
. 9.3 Application toPrenatal Diagnostics . 9.3.1 Age-Specific Performance . 9.3.2 Overall Performance . 9.4 Notes. 9.5 Exercises. References . 173 174 177 185 186 189 191 191 192 193 194 196 199 200 201 201 202 204 207 207 208
xiv Contents 10 The Economics of Medical Decision Making . 10.1 Welfarism and Non-Welfarism . 10.1.1 The QALY Approach. 10.1.2 The Welfarist Approach . 10.2 The Diagnostic Risk . 10.2.1 The Treatment Decision . 10.2.2 Risk Aversion and the Treatment Decision. 10.2.3 Prudence and the Treatment Decision. 10.2.4 Treatment and Testing . 10.2.5 Treatment and Composite Testing . 10.3 The Therapeutic Risk . 10.3.1 Risk Aversion and the Treatment Decision. 10.4 Treatment Decision with Both Risks . 10.5 The Effect of Income, Health and Death on the Treatment Decision . 10.6 Notes. 10.7 Exercises. References . 11 Valuing Health and Life . 11.1 Treatment and Health . · 11.2 Treatment and Survival. 11.3 The Value of Health and Life
. 11.4 Optimal Allocation of Health Across Individuals 11.4.1 The Health Model . 11.4.2 The Health-Survival Model . 11.4.3 The QALY Model . 11.5 Conclusion . 11.6 Appendix . 11.7 Notes. 11.8 Exercises. References . 12 Revealed Preference in Medical Decisions . 12.1 The Diagnostic Risk . 12.1.1 The Pauker-Kassirer Model . 12.1.2 Adding the Test Option . 12.1.3 The Protective Effect of Treatment . 12.1.4 Revealing a Lower Bound on the Value of Life 12.2 The Therapeutic Risk . 12.2.1 The Eeckhoudt Model . 12.2.2 The Protective Effect of Treatment . 12.3 Regulation and Revealed Preferences. 12.3.1 Prenatal Diagnostics . 12.3.2 PSA Test . 209 210 210 211 214 214 215 215 216 219 221 222 223 224 229 230 231 233 234 240 245 249 250 253 255 257 258 259 259 260 261 262 262 264 265 267 268 268 269 270 271 272
Contents XV 12.3.3 Primary Prevention of Atherosclerotic Cardiovascular Disease . 12.3.4Ventral Hernia Repairs: Laparoscopic or Open? . 12.4 Notes. 12.5 Exercises. References . 273 274 276 276 276 13.1 Imperfect Physician Agency . 13.2 Non-expected Utility Theories Under Risk . 13.3 Non-expected UtilityTheories Under Uncertainty. 13.4 Conclusion . 13.5 Notes. 13.6 Exercises. References . 279 280 283 290 295 296 297 298 References . 301 Index. 311 13 Imperfect Agency and Non-expected Utility Models . |
| adam_txt |
Contents 1 Introduction . 1.1 Outline . 1.2 Notes. References . 2 Basic Tools in Medical Decision Making . 2.1 Prevalence, Incidence and Risk. 2.2 Discriminatory Power and Predictive Values . 2.3 Probability, Odds and the Likelihood Ratio. 2.4 Continuous Test Outcomes and Cut-off Values. 2.5 Notes. 2.6 Exercises. References . 3 Basic Tools in Economics: Preferences, Expected Utility, Risk Aversion and Prudence . PreferencesandUtility . Decisions Under Uncertainty: Menu of Actions, States of Nature and Consequences . 3.3
The Elementary Utility Function and the Expected Utility Rule. 3.4 The Axiom of Independence and the Expected Utility Rule. 3.5 The QALY Concept . 3.6 Risk Aversion. 3.7 Prudence. 3.8 Medical Decision Making: An Economic Perspective. 3.9 Non-Expected Utility Theories . 3.10 Notes. 3.11 Exercises. References . 3.1 3.2 1 2 5 5 7 7 8 11 15 19 19 21 23 24 27 28 31 34 37 41 46 47 49 49 50 xi
xii 4 Contents Treatment Decisions . The Treatment Decisionunder Diagnostic Risk . 4.1.1 The Treatment Threshold . 4.1.2 The Protective Effect of Treatment . 4.1.3 Risk Aversion and the Treatment Decision. 4.1.4 PreventiveTreatment . 4.1.5 Choosing Between Several Treatments. 4.2 The Treatment Decision Under Therapeutic Risk. 4.2.1 The Treatment Success Probability Threshold. 4.2.2 Including the Protective Effect of Treatment . 4.2.3 The Role of Risk Aversion . 4.2.4 Choosing Between Several Treatments. 4.3 The Treatment Decision under Diagnostic and Therapeutic Risk. 79 4.4 Notes. 4.5 Exercises. References . 4.1 5 Test and Treatment Decisions. The Value of Information of a Diagnostic Test
. 5.1.1 The Perfect Test . 5.1.2 The Imperfect Test. 5.1.3 Decision Curve Analysis. 5.1.4 Threshold Analysis with Several Treatment Options . 104 5.1.5 Threshold Analysiswith a Genetic Test . 5.2 Risk Attitude and the Test and Test-Treatment Thresholds. 5.2.1 The Perfect Test . 5.2.2 The Imperfect Test . 5.3 Testing Under the Therapeutic Risk . 5.4 The Test and Test-Treatment Thresholds when both the Diagnostic and the Therapeutic Risk are Present. 5.5 Potential Harm from a Test . 5.6 Notes. 5.7 Exercises. References . 5.1 6 Prudence and Medical Decision Making. 6.3 6.4 Prudence and the Treatment Threshold . Prudence and the Test and Treatment Decisions. 6.2.1 The Perfect Test . 6.2.2 The
Imperfect Test. Prudence and Protection. Prudence and Prevention . 6-5 Prudence and the Therapeutic Risk 6.1 6.2 /.^^Հ՜^՚Հ^.· 53 54 54 60 63 68 69 71 71 74 75 77 83 83 84 87 88 88 93 99 Ю6 Ю9 1θ9 112 11$ 116 12° 123 124 126 127 128 133 133 136 140 140 I42
Contents 7 6.6 Notes. 6.7 Exercises. References . 143 144 144 Optimal Strategy for Multiple Diagnostic Tests . 147 148 155 157 164 168 169 169 171 7.1 Choosing among Two Tests. 7.2 Combining Two Tests. 7.3 Test and Test-Treatment Thresholds for Composite Tests. 7.4 The Optimal Sequence of and Potential Harm fromTesting. 7.5 Parallel or Sequential Testing? . 7.6 Notes. 7.7 Exercises. References . 8 The Optimal Cutoff of a Diagnostic Test. 8.1 8.2 8.3 Endogenous Test Characteristics. The Optimal Cut-Off . Test and Test-Treatment Thresholds and the Optimal Cut-Off
. 182 8.4 Multiple Tests with Endogenous Sensitivity and Specificity: Triple Test and Amniocentesis . 184 8.4.1 The ROC Curve of the Triple Test. 8.4.2 The Value of Information and Optimal Use of the Triple Test with Amniocentesis. 8.4.3 Deciding on the Test Outcome. 8.5 Notes. 8.6 Exercises. References . 9 xiii The Total Value of Information of a Test. 9.1 Exogenous Test Characteristics. 9.1.1 Performance as a Function of the Prior Probability of Disease . 194 9.1.2 Overall Performance . 9.1.3 A Social Perspective . 9.2 Endogenous Test Characteristics. 9.2.1 Performance as a Function of the Prior Probability of Disease . 200 9.2.2 Overall Performance
. 9.3 Application toPrenatal Diagnostics . 9.3.1 Age-Specific Performance . 9.3.2 Overall Performance . 9.4 Notes. 9.5 Exercises. References . 173 174 177 185 186 189 191 191 192 193 194 196 199 200 201 201 202 204 207 207 208
xiv Contents 10 The Economics of Medical Decision Making . 10.1 Welfarism and Non-Welfarism . 10.1.1 The QALY Approach. 10.1.2 The Welfarist Approach . 10.2 The Diagnostic Risk . 10.2.1 The Treatment Decision . 10.2.2 Risk Aversion and the Treatment Decision. 10.2.3 Prudence and the Treatment Decision. 10.2.4 Treatment and Testing . 10.2.5 Treatment and Composite Testing . 10.3 The Therapeutic Risk . 10.3.1 Risk Aversion and the Treatment Decision. 10.4 Treatment Decision with Both Risks . 10.5 The Effect of Income, Health and Death on the Treatment Decision . 10.6 Notes. 10.7 Exercises. References . 11 Valuing Health and Life . 11.1 Treatment and Health . · 11.2 Treatment and Survival. 11.3 The Value of Health and Life
. 11.4 Optimal Allocation of Health Across Individuals 11.4.1 The Health Model . 11.4.2 The Health-Survival Model . 11.4.3 The QALY Model . 11.5 Conclusion . 11.6 Appendix . 11.7 Notes. 11.8 Exercises. References . 12 Revealed Preference in Medical Decisions . 12.1 The Diagnostic Risk . 12.1.1 The Pauker-Kassirer Model . 12.1.2 Adding the Test Option . 12.1.3 The Protective Effect of Treatment . 12.1.4 Revealing a Lower Bound on the Value of Life 12.2 The Therapeutic Risk . 12.2.1 The Eeckhoudt Model . 12.2.2 The Protective Effect of Treatment . 12.3 Regulation and Revealed Preferences. 12.3.1 Prenatal Diagnostics . 12.3.2 PSA Test . 209 210 210 211 214 214 215 215 216 219 221 222 223 224 229 230 231 233 234 240 245 249 250 253 255 257 258 259 259 260 261 262 262 264 265 267 268 268 269 270 271 272
Contents XV 12.3.3 Primary Prevention of Atherosclerotic Cardiovascular Disease . 12.3.4Ventral Hernia Repairs: Laparoscopic or Open? . 12.4 Notes. 12.5 Exercises. References . 273 274 276 276 276 13.1 Imperfect Physician Agency . 13.2 Non-expected Utility Theories Under Risk . 13.3 Non-expected UtilityTheories Under Uncertainty. 13.4 Conclusion . 13.5 Notes. 13.6 Exercises. References . 279 280 283 290 295 296 297 298 References . 301 Index. 311 13 Imperfect Agency and Non-expected Utility Models . |
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| author | Felder, Stefan 1960- Mayrhofer, Thomas 1981- |
| author_GND | (DE-588)13065535X (DE-588)1130263576 |
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| author_sort | Felder, Stefan 1960- |
| author_variant | s f sf t m tm |
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| bvnumber | BV048898381 |
| classification_rvk | XF 3500 |
| ctrlnum | (OCoLC)1372652967 (DE-599)DNB1282907514 |
| discipline | Medizin |
| discipline_str_mv | Medizin |
| edition | Third edition |
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| id | DE-604.BV048898381 |
| illustrated | Illustrated |
| index_date | 2024-07-03T21:50:10Z |
| indexdate | 2024-12-09T13:07:48Z |
| institution | BVB |
| institution_GND | (DE-588)1065168780 |
| isbn | 9783662646564 3662646560 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-034162830 |
| oclc_num | 1372652967 |
| open_access_boolean | |
| owner | DE-384 |
| owner_facet | DE-384 |
| physical | XXIV, 316 Seiten Illustrationen 23.5 cm x 15.5 cm |
| publishDate | 2023 |
| publishDateSearch | 2023 |
| publishDateSort | 2023 |
| publisher | Springer |
| record_format | marc |
| spelling | Felder, Stefan 1960- Verfasser (DE-588)13065535X aut Medical decision making a health economic primer Stefan Felder, Thomas Mayrhofer Third edition Berlin Springer [2023] XXIV, 316 Seiten Illustrationen 23.5 cm x 15.5 cm txt rdacontent n rdamedia nc rdacarrier Ärztliche Behandlung (DE-588)4198233-2 gnd rswk-swf Gesundheitsökonomie (DE-588)4130935-2 gnd rswk-swf Entscheidung bei Unsicherheit (DE-588)4070864-0 gnd rswk-swf Bayes' Theorem Expected Utility Medical Decision Making Test and Treatment Thresholds Valuing Health and Life Treatment Decisions with Diagnostic Tests Public health Health economics Health care mangement Ärztliche Behandlung (DE-588)4198233-2 s Entscheidung bei Unsicherheit (DE-588)4070864-0 s Gesundheitsökonomie (DE-588)4130935-2 s DE-604 Mayrhofer, Thomas 1981- Verfasser (DE-588)1130263576 aut Springer-Verlag GmbH (DE-588)1065168780 pbl Erscheint auch als Online-Ausgabe 978-3-662-64654-0 X:MVB text/html http://deposit.dnb.de/cgi-bin/dokserv?id=a3bc9fe3711d4b5cb8c5031e2b55bb31&prov=M&dok_var=1&dok_ext=htm Inhaltstext X:MVB https://link.springer.com/978-3-662-64656-4 Auszug Digitalisierung UB Augsburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=034162830&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis 1\p vlb 20230309 DE-101 https://d-nb.info/provenance/plan#vlb |
| spellingShingle | Felder, Stefan 1960- Mayrhofer, Thomas 1981- Medical decision making a health economic primer Ärztliche Behandlung (DE-588)4198233-2 gnd Gesundheitsökonomie (DE-588)4130935-2 gnd Entscheidung bei Unsicherheit (DE-588)4070864-0 gnd |
| subject_GND | (DE-588)4198233-2 (DE-588)4130935-2 (DE-588)4070864-0 |
| title | Medical decision making a health economic primer |
| title_auth | Medical decision making a health economic primer |
| title_exact_search | Medical decision making a health economic primer |
| title_exact_search_txtP | Medical decision making a health economic primer |
| title_full | Medical decision making a health economic primer Stefan Felder, Thomas Mayrhofer |
| title_fullStr | Medical decision making a health economic primer Stefan Felder, Thomas Mayrhofer |
| title_full_unstemmed | Medical decision making a health economic primer Stefan Felder, Thomas Mayrhofer |
| title_short | Medical decision making |
| title_sort | medical decision making a health economic primer |
| title_sub | a health economic primer |
| topic | Ärztliche Behandlung (DE-588)4198233-2 gnd Gesundheitsökonomie (DE-588)4130935-2 gnd Entscheidung bei Unsicherheit (DE-588)4070864-0 gnd |
| topic_facet | Ärztliche Behandlung Gesundheitsökonomie Entscheidung bei Unsicherheit |
| url | http://deposit.dnb.de/cgi-bin/dokserv?id=a3bc9fe3711d4b5cb8c5031e2b55bb31&prov=M&dok_var=1&dok_ext=htm https://link.springer.com/978-3-662-64656-4 http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=034162830&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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