Economic Evaluation of Pediatric Telemedicine Consultations to Rural Emergency Departments
Conclusions. From a health care payer perspective, telemedicine consultations to health care providers of acutely ill and injured children presenting to rural EDs are cost-saving (base-case and more than half of Monte Carlo simulation iterations) or cost-effective compared with telephone consultations. (Source: Medical Decision Making)
Source: Medical Decision Making - August 1, 2015 Category: Health Management Authors: Yang, N. H., Dharmar, M., Yoo, B.-K., Leigh, J. P., Kuppermann, N., Romano, P. S., Nesbitt, T. S., Marcin, J. P. Tags: Original Articles Source Type: research
The ONCOTYROL Prostate Cancer Outcome and Policy Model: Effect of Prevalence Assumptions on the Benefit-Harm Balance of Screening
Conclusions. Our calibration suggests that not all cancers are at risk of progression, and screening sensitivity may be lower at older ages. PCa screening models that use calibration to simulate disease progression in the unobservable latent phase are highly sensitive to prevalence assumptions. (Source: Medical Decision Making)
Source: Medical Decision Making - August 1, 2015 Category: Health Management Authors: Muhlberger, N., Kurzthaler, C., Iskandar, R., Krahn, M. D., Bremner, K. E., Oberaigner, W., Klocker, H., Horninger, W., Conrads-Frank, A., Sroczynski, G., Siebert, U. Tags: Original Articles Source Type: research
Impact of Diabetes E-Consults on Outpatient Clinic Workflow
Conclusions. The full potential of e-consults can only be realized if the workflow at the outpatient clinics is designed or modified to support this initiative. This study furthers our understanding of how e-consult systems can be analyzed and alternative workflows tested using statistical and simulation modeling to improve care delivery and outcomes. (Source: Medical Decision Making)
Source: Medical Decision Making - August 1, 2015 Category: Health Management Authors: Zoll, B., Parikh, P. J., Gallimore, J., Harrell, S., Burke, B. Tags: Original Articles Source Type: research
Value of Genetic Testing for Hereditary Colorectal Cancer in a Probability-Based US Online Sample
Conclusions. Given the characteristics and levels included in the choice, if false-negative test results are unlikely and results are shared with a primary care physician, the majority would have genetic testing. As genomic services become widely available, primary care professionals will need to be increasingly knowledgeable about genetic testing decisions. (Source: Medical Decision Making)
Source: Medical Decision Making - August 1, 2015 Category: Health Management Authors: Knight, S. J., Mohamed, A. F., Marshall, D. A., Ladabaum, U., Phillips, K. A., Walsh, J. M. E. Tags: Original Articles Source Type: research
The Impact of Uncertainty in Barrett's Esophagus Progression Rates on Hypothetical Screening and Treatment Decisions
Conclusion. The uncertainty in the natural history of the BE to EAC sequence influenced the estimates of effectiveness and efficiency of BE screening and treatment considerably. This uncertainty could seriously hamper decision making about implementing BE screening and treatment interventions. (Source: Medical Decision Making)
Source: Medical Decision Making - August 1, 2015 Category: Health Management Authors: Kroep, S., Lansdorp-Vogelaar, I., van der Steen, A., Inadomi, J. M., van Ballegooijen, M. Tags: Original Articles Source Type: research
Predictive Modeling of Implantation Outcome in an In Vitro Fertilization Setting: An Application of Machine Learning Methods
Conclusions. A machine learning–based decision support system would be useful in improving the success rates of IVF treatment. (Source: Medical Decision Making)
Source: Medical Decision Making - August 1, 2015 Category: Health Management Authors: Uyar, A., Bener, A., Ciray, H. N. Tags: Original Articles Source Type: research
Evolution of Pediatric Chronic Disease Treatment Decisions: A Qualitative, Longitudinal View of Parents' Decision-Making Process
Conclusion. In this study, decision making was an iterative process occurring in 3 distinct patterns. Understanding these patterns and the varying elements of parents’ decision processes is an essential step toward developing interventions that are appropriate to the setting and that capitalize on the skills families may develop as they gain experience with a chronic condition. Future research should also consider the role of children and adolescents in this decision process. (Source: Medical Decision Making)
Source: Medical Decision Making - August 1, 2015 Category: Health Management Authors: Lipstein, E. A., Britto, M. T. Tags: Original Articles Source Type: research
Understanding Patients' Preferences for Referrals to Specialists for an Asymptomatic Condition
Conclusions: In the setting of a referral for an asymptomatic but serious condition, out-of-pocket costs are important to patients; however, they also value specialists who collaborate and communicate well with their primary care providers and who practice shared decision making. Patients have wide variability in preferences for specialists, and referral decisions should be individualized. (Source: Medical Decision Making)
Source: Medical Decision Making - August 1, 2015 Category: Health Management Authors: Dunlea, R., Lenert, L. Tags: Original Articles Source Type: research
Choosing a Specialist: Will Patients Vote with Their Feet (and Wallets) for Person-Centered Care?
(Source: Medical Decision Making)
Source: Medical Decision Making - August 1, 2015 Category: Health Management Authors: Joseph-Williams, N., Davies, F., Wood, F., Edwards, A. Tags: Editorial Source Type: research
Preferred Reporting Items for Studies Mapping onto Preference-Based Outcome Measures: The MAPS Statement
Conclusions. It is anticipated that the MAPS statement will improve the clarity, transparency, and completeness of reporting of mapping studies. To facilitate dissemination and uptake, the MAPS statement is being co-published by 7 health economics and quality-of-life journals, and broader endorsement is encouraged. The MAPS working group plans to assess the need for an update of the reporting checklist in 5 years. (Source: Medical Decision Making)
Source: Medical Decision Making - August 1, 2015 Category: Health Management Authors: Petrou, S., Rivero-Arias, O., Dakin, H., Longworth, L., Oppe, M., Froud, R., Gray, A. Tags: Web-Only Article Source Type: research
Exploring the Potential Cost-Effectiveness of Patient Decision Aids for Use in Adults with Obstructive Sleep Apnea: A Case Study
Conclusions: The cost-effectiveness of PtDAs will depend on contextual factors, but a framework is described for properly considering their long-term cost-effectiveness. A number of important questions around the appropriateness of benefit measurement for PtDA trials are highlighted. (Source: Medical Decision Making)
Source: Medical Decision Making - June 16, 2015 Category: Health Management Authors: Trenaman, L., Sadatsafavi, M., Almeida, F., Ayas, N., Lynd, L., Marra, C., Stacey, D., Bansback, N. Tags: Original Articles Source Type: research
Estimating Cost-Effectiveness in Type 2 Diabetes: The Impact of Treatment Guidelines and Therapy Duration
This study used the Cardiff Diabetes Model to illustrate the relationship between costs and health outcomes associated with first-, second-, and third-line therapy as a function of time on each. Data from routine clinical practice were used to contrast predicted costs and health outcomes associated with guideline therapy escalation thresholds compared with clinical practice. The impact of baseline HbA1c and therapy escalation thresholds on cost-effectiveness was investigated, comparing a sodium/glucose cotransporter 2 inhibitor v. sulfonylurea added to metformin monotherapy. Results. Lower thresholds are associated with a ...
Source: Medical Decision Making - June 16, 2015 Category: Health Management Authors: McEwan, P., Gordon, J., Evans, M., Ward, T., Bennett, H., Bergenheim, K. Tags: Original Articles Source Type: research
Modeling the Effect of Herd Immunity and Contagiousness in Mitigating a Smallpox Outbreak
We describe contagiousness parametrically using a novel method of distributing an assumed R-value over the disease course based on the relative rates of daily viral shedding from human and animal studies of cognate orthopoxvirus infections. Our results suggest that vaccination prophylaxis is sufficient to control the outbreak when caused either by a minimally contagious virus or when a very high percentage of the population receives prophylaxis. As vaccination coverage of the affected population decreases below 70%, vaccine prophylaxis alone is progressively less capable of controlling outbreaks, even those caused by a les...
Source: Medical Decision Making - June 16, 2015 Category: Health Management Authors: Graeden, E., Fielding, R., Steinhouse, K. E., Rubin, I. N. Tags: Original Articles Source Type: research
Quantifying Parameter and Structural Uncertainty of Dynamic Disease Transmission Models Using MCMC: An Application to Rotavirus Vaccination in England and Wales
Conclusion. Accounting for the joint uncertainty of several vaccine characteristics resulted in more insight into which of these are crucial for determining the impact of rotavirus vaccination. Data for up to at least 10 y postvaccination and covering older children and adults are crucial to address remaining questions on the impact of widespread rotavirus vaccination. (Source: Medical Decision Making)
Source: Medical Decision Making - June 16, 2015 Category: Health Management Authors: Bilcke, J., Chapman, R., Atchison, C., Cromer, D., Johnson, H., Willem, L., Cox, M., Edmunds, W. J., Jit, M. Tags: Original Articles Source Type: research
US-Based Drug Cost Parameter Estimation for Economic Evaluations
Conclusions. Our Rules create a simple and transparent approach to creating cost estimates of drug products and assessing their variability. The approach is easily modified to include a subset of, or different weighting for, substitutable products. The derived empirical distribution is easily incorporated into 1-way or probabilistic sensitivity analyses. (Source: Medical Decision Making)
Source: Medical Decision Making - June 16, 2015 Category: Health Management Authors: Levy, J. F., Meek, P. D., Rosenberg, M. A. Tags: Original Articles Source Type: research
