A Simulation Modeling Framework to Optimize Programs Using Financial Incentives to Motivate Health Behavior Change
Discussion. Our generalizable framework integrates individual differences in behavior and risk to systematically estimate the incentive level that optimizes marginal return on investment. (Source: Medical Decision Making)
Source: Medical Decision Making - December 15, 2015 Category: Health Management Authors: Basu, S., Kiernan, M. Tags: Original Articles Source Type: research
Mind the Gap! A Multilevel Analysis of Factors Related to Variation in Published Cost-Effectiveness Estimates within and between Countries
Conclusions. Our analysis suggested that variability in published cost-effectiveness estimates is related more to differences in study methods than to differences in national context. Multinational studies were associated with much lower country-level variation than single-country studies. These findings are for a single clinical question and may be atypical. (Source: Medical Decision Making)
Source: Medical Decision Making - December 15, 2015 Category: Health Management Authors: Boehler, C. E. H., Lord, J. Tags: Original Articles Source Type: research
Are There Scenarios When the Use of Non-Placebo-Control Groups in Experimental Trial Designs Increase Expected Value to Society?
Conclusions. We identified scenarios in which alternative experimental study designs would confer greater expected value than the placebo-controlled trial design. The likelihood and prevalence of such situations warrant further study. (Source: Medical Decision Making)
Source: Medical Decision Making - December 15, 2015 Category: Health Management Authors: Uyei, J., Braithwaite, R. S. Tags: Original Articles Source Type: research
Distributional Cost-Effectiveness Analysis: A Tutorial
Distributional cost-effectiveness analysis (DCEA) is a framework for incorporating health inequality concerns into the economic evaluation of health sector interventions. In this tutorial, we describe the technical details of how to conduct DCEA, using an illustrative example comparing alternative ways of implementing the National Health Service (NHS) Bowel Cancer Screening Programme (BCSP). The 2 key stages in DCEA are 1) modeling social distributions of health associated with different interventions, and 2) evaluating social distributions of health with respect to the dual objectives of improving total population health ...
Source: Medical Decision Making - December 15, 2015 Category: Health Management Authors: Asaria, M., Griffin, S., Cookson, R. Tags: Tutorial Source Type: research
Increasing the Expected Value to Society of Clinical Research Studies?
(Source: Medical Decision Making)
Source: Medical Decision Making - December 15, 2015 Category: Health Management Authors: Kraemer, H. C. Tags: Editorials Source Type: research
Introducing MDM Policy & Practice
(Source: Medical Decision Making)
Source: Medical Decision Making - December 15, 2015 Category: Health Management Authors: Schwartz, A. J. Tags: Editorials Source Type: research
Does Shared Decision Making in Cancer Treatment Improve Quality of Life? A Systematic Literature Review
Conclusions. There is weak evidence that aspects of shared decision-making approaches are positively associated with QOL outcomes and very little evidence of a negative association. The extant literature largely assessed patient involvement, only capturing one aspect of the shared decision-making construct, and is of poor quality, necessitating robust studies examining the association. (Source: Medical Decision Making)
Source: Medical Decision Making - October 1, 2015 Category: Health Management Authors: Kashaf, M. S., McGill, E. Tags: Review Source Type: research
An Approach to Assess Generalizability in Comparative Effectiveness Research: A Case Study of the Whole Systems Demonstrator Cluster Randomized Trial Comparing Telehealth with Usual Care for Patients with Chronic Health Conditions
Conclusions. The proposed placebo tests indicate those cases when estimates from RCTs do not generalize to routine clinical practice and motivate complementary estimates of comparative effectiveness that use observational data. Future RCTs are recommended to incorporate these placebo tests and the accompanying sensitivity analyses to enhance their relevance to policy making. (Source: Medical Decision Making)
Source: Medical Decision Making - October 1, 2015 Category: Health Management Authors: Steventon, A., Grieve, R., Bardsley, M. Tags: Original Articles Source Type: research
My Lived Experiences Are More Important Than Your Probabilities: The Role of Individualized Risk Estimates for Decision Making about Participation in the Study of Tamoxifen and Raloxifene (STAR)
Conclusions: Women’s explanations of their decisions about participating in a breast cancer chemoprevention trial were more complex than decision strategies that rely solely on a quantitative risk–benefit analysis of probabilities derived from populations In addition to precise risk information, clinicians and risk communicators should recognize the importance and legitimacy of lived experience in individual decision making. (Source: Medical Decision Making)
Source: Medical Decision Making - October 1, 2015 Category: Health Management Authors: Holmberg, C., Waters, E. A., Whitehouse, K., Daly, M., McCaskill-Stevens, W. Tags: Original Articles Source Type: research
Informed Decision Making: Assessment of the Quality of Physician Communication about Prostate Cancer Diagnosis and Treatment
Discussion. Physicians informed patients of options and risks and benefits, but infrequently engaged patients in core shared decision-making processes. Despite patients having received DAs, physicians rarely provided an opportunity for preference-driven decision making. More attention to the underused patient decision-making and engagement elements could result in improved shared decision making. (Source: Medical Decision Making)
Source: Medical Decision Making - October 1, 2015 Category: Health Management Authors: Holmes-Rovner, M., Montgomery, J. S., Rovner, D. R., Scherer, L. D., Whitfield, J., Kahn, V. C., Merkle, E. C., Ubel, P. A., Fagerlin, A. Tags: Original Articles Source Type: research
Implementation of Patient Decision Support Interventions in Primary Care: The Role of Relational Coordination
Conclusions. These findings suggest that a high level of RC within clinical settings may be a key component and facilitator of successful DESI implementation. Future attempts to integrate DESIs into clinical practice should consider incorporating interventions designed to increase positive RC behaviors as a potential means to improve uptake. (Source: Medical Decision Making)
Source: Medical Decision Making - October 1, 2015 Category: Health Management Authors: Tietbohl, C. K., Rendle, K. A. S., Halley, M. C., May, S. G., Lin, G. A., Frosch, D. L. Tags: Original Articles Source Type: research
Decision Aids: The Effect of Labeling Options on Patient Choices and Decision Making
Conclusion. Identifying the options in patient decision aids can influence patient preferences and change how they interpret comparative outcome data. (Source: Medical Decision Making)
Source: Medical Decision Making - October 1, 2015 Category: Health Management Authors: Dolan, J. G., Cherkasky, O. A., Chin, N., Veazie, P. J. Tags: Original Articles Source Type: research
Is the "Heart Age" Concept Helpful or Harmful Compared to Absolute Cardiovascular Disease Risk? An Experimental Study
Conclusions. There is no evidence that heart age motivates lifestyle change more than 5-year absolute risk in individuals with low CVD risk. Five-year absolute risk may be a better way to explain CVD risk, because it is more credible, does not inflate risk perception, and is consistent with clinical guidelines that base lifestyle and medication recommendations on absolute risk. (Source: Medical Decision Making)
Source: Medical Decision Making - October 1, 2015 Category: Health Management Authors: Bonner, C., Jansen, J., Newell, B. R., Irwig, L., Teixeira-Pinto, A., Glasziou, P., Doust, J., McKinn, S., McCaffery, K. Tags: Original Articles Source Type: research
The CREATE Method for Expressing Continuous Outcome Data in Absolute Terms for Use in Patient Treatment Decision Aids: A Validation Study
Conclusion. Our results suggest that standard statistical theory can be used to estimate continuous outcomes in absolute terms with reasonable accuracy for use in PtDAs; caution is advised if outcome summary statistics are assumed to have been derived from highly skewed distributions. (Source: Medical Decision Making)
Source: Medical Decision Making - October 1, 2015 Category: Health Management Authors: McGillion, M., Victor, J. C., Carroll, S. L., Metcalfe, K., O'Keefe-McCarthy, S., Jamal, N., Arthur, H. M., McKelvie, R., Jolicoeur, E. M., Hanlon, J. G., Stone, J., Niznick, J., Beanlands, R., Svorkdal, N., Coyte, P., Stevens, B., Stacey, D. Tags: Original Articles Source Type: research
Preferences for Vaccination: Does Health Literacy Make a Difference?
Conclusion: Health literacy is associated with parents’ preferences for rotavirus vaccination. Whether differences in vaccination decisions are actually due to varying preferences or might be better explained by varying levels of understanding should be further investigated. To contribute to more accurate interpretation of study results, it may be advisable that researchers measure and report health literacy when they study vaccination decision behavior. (Source: Medical Decision Making)
Source: Medical Decision Making - October 1, 2015 Category: Health Management Authors: Veldwijk, J., van der Heide, I., Rademakers, J., Schuit, A. J., de Wit, G. A., Uiters, E., Lambooij, M. S. Tags: Original Articles Source Type: research
