중독·부작용 | Cases and Studies of Addiction & Disorder in Lottery & Gambling | 中毒 & 疾病
- date : 2015-05-20 01:10|hit : 1875
-
- Article] How Cancer Patients Value Hope And The Implications For Cost-Effectiveness Assessments Of High-Cost Cancer Therapies
-
DocNo of ILP: 1415
Doc. Type: Article
Title: How Cancer Patients Value Hope And The Implications For Cost-Effectiveness Assessments Of High-Cost Cancer Therapies
Authors: Lakdawalla, DN; Romley, JA; Sanchez, Y; Maclean, JR; Penrod, JR; Philipson, T
Full Name of Authors: Lakdawalla, Darius N.; Romley, John A.; Sanchez, Yuri; Maclean, J. Ross; Penrod, John R.; Philipson, Tomas
Keywords by Author:
Keywords Plus: WILLINGNESS-TO-PAY; HEALTH-CARE; NICE
Abstract: Assessments of the medical and economic value of therapies in diseases such as cancer traditionally focus on average or median gains in patients' survival. This focus ignores the value that patients may place on a therapy with a wider "spread" of outcomes that offer the potential of a longer period of survival. We call such treatments "hopeful gambles" and contrast them with "safe bets" that offer similar average survival but less chance of a large gain. Real-world therapy options do not have these stylized forms, but they can differ in the spread of survival gains that patients face. We found that 77 percent of surveyed cancer patients with melanoma, breast cancer, or other kinds of solid tumors preferred hopeful gambles to safe bets. This suggests that current technology assessments, which often determine access to such cancer therapies, may be missing an important source of value to patients and should either incorporate hope into the value of therapies or set a higher threshold for an acceptable cost-effectiveness ratio in the end-of-life context.
Cate of OECD: Health sciences
Year of Publication: 2012
Business Area: other
Detail Business: medicine & science
Country: USA
Study Area:
Name of Journal: HEALTH AFFAIRS
Language: English
Country of Authors: [Lakdawalla, Darius N.] Univ So Calif, Leonard D Schaeffer Ctr Hlth Policy & Econ, Los Angeles, CA 90089 USA; [Lakdawalla, Darius N.; Romley, John A.] Univ So Calif, Price Sch Publ Policy, Los Angeles, CA USA; [Romley, John A.] RAND Corp, Santa Monica, CA 90406 USA; [Sanchez, Yuri] Precis Hlth Econ, Hlth Care Consulting Firm, Los Angeles, CA USA; [Maclean, J. Ross] Bristol Myers Squibb Co, Cardiovasc & Metabol Serv, Plainsboro, NJ USA; [Maclean, J. Ross] Bristol Myers Squibb Co, Hlth Serv, Plainsboro, NJ USA; [Penrod, John R.] Bristol Myers Squibb Co, US Hlth Serv, Oncol, Plainsboro, NJ USA; [Philipson, Tomas] Univ Chicago, Irving B Harris Grad Sch Publ Policy Studies, Chicago, IL 60637 USA
Press Adress: Lakdawalla, DN (reprint author), Univ So Calif, Leonard D Schaeffer Ctr Hlth Policy & Econ, Los Angeles, CA 90089 USA.
Email Address: dlakdawa@usc.edu
Citaion:
Funding: Bristol-Myers Squibb; Leonard D. Schaeffer Center for Health Policy and Economics at the University of Southern California
Lists of Citation: Arrow K, 1993, REPORT NOAA PANEL CO; Becker G, 2007, 13333 NBER; Bhattacharya Jay, 2004, 10345 NAT BUR EC RES; Dranitsaris G, 2004, PHARMACOECONOMICS, V22, P375, DOI 10.2165/00019053-200422060-00004; Goldman D, 2010, HEALTH ECON, V19, P1109, DOI 10.1002/hec.1654; Goldman DP, 2009, AM J PUBLIC HEALTH, V99, P2096, DOI 10.2105/AJPH.2009.172627; Hodi FS, 2010, NEW ENGL J MED, V363, P711, DOI 10.1056/NEJMoa1003466; Hortobagyi GN, 2010, BREAST CANCER RES TR, V122, P409, DOI 10.1007/s10549-010-0901-4; KLASSEN D, 1975, J CONSULT CLIN PSYCH, V43, P448, DOI 10.1037/h0076863; Klose T, 1999, HEALTH POLICY, V47, P97, DOI 10.1016/S0168-8510(99)00010-X; Milton F., 1948, J POLIT ECON, V56, P279, DOI 10.1086/256692; Mitchell R, 1984, CONTINGENT VALUATION; Raftery J, 2009, BRIT MED J, V338, DOI 10.1136/bmj.b67; Ryan M, 2004, J HEALTH ECON, V23, P237, DOI 10.1016/j.jhealeco.2003.09.0030
Number of Citaion: 14
Publication: PROJECT HOPE
City of Publication: BETHESDA
Address of Publication: 7500 OLD GEORGETOWN RD, STE 600, BETHESDA, MD 20814-6133 USA
ISSN: 0278-2715
29-Character Source Abbreviation: HEALTH AFFAIR
ISO Source Abbreviation: Health Aff.
Volume: 31
Version: 4
Start of File: 676
End of File: 682
DOI: 10.1377/hlthaff.2011.1300
Number of Pages: 7
Web of Science Category: Health Care Sciences & Services; Health Policy & Services
Subject Category: Health Care Sciences & Services
Document Delivery Number: 925QZ
Unique Article Identifier: WOS:000302777400004
[이 게시물은 HyeJung Mo…님에 의해 2015-05-20 20:21:01 GAMBLING에서 이동 됨]
- reply : 0
-
- list
-
- prev
- next