scholarly journals What Does the Public Want? Structural Consideration of Citizen Preferences in Health Care Coverage Decisions

2018 ◽  
Vol 3 (2) ◽  
pp. 238146831879962
Author(s):  
Irina Cleemput ◽  
Stephan Devriese ◽  
Laurence Kohn ◽  
Carl Devos ◽  
Janine van Til ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
General Public ◽  
Decision Makers ◽  
Added Value ◽  
Policy Makers ◽  
Health Care Coverage ◽  
Criteria Weights ◽  
Societal Preferences

Background. Multi-criteria decision analysis can improve the legitimacy of health care reimbursement decisions by taking societal preferences into account when weighting decision criteria. This study measures the relative importance of health care coverage criteria according to the Belgian general public and policy makers. Criteria are structured into three domains: therapeutic need, societal need, and new treatments’ added value. Methods. A sample of 4,288 citizens and 161 policy makers performed a discrete choice experiment. Data were analyzed using multinomial logistic regression analysis. Level-independent criteria weights were determined using the log-likelihood method. Results. Both the general public and policy makers gave the highest weight to quality of life in the appraisal of therapeutic need (0.43 and 0.53, respectively). The general public judged life expectancy (0.14) as less important than inconvenience of current treatment (0.43), unlike decision makers (0.32 and 0.15). The general public gave more weight to “impact of a disease on public expenditures” (0.65) than to “prevalence of the disease” (0.56) when appraising societal need, whereas decision makers’ weights were 0.44 and 0.56, respectively. When appraising added value, the general public gave similar weights to “impact on quality of life” and “impact on prevalence” (0.37 and 0.36), whereas decision makers judged “impact on quality of life” (0.39) more important than “impact on prevalence” (0.29). Both gave the lowest weight to impact on life expectancy (0.14 and 0.21). Limitations. Comparisons between the general public and policy makers should be treated with caution because the policy makers’ sample size was small. Conclusion. Societal preferences can be measured and used as decision criteria weights in multi-criteria decision analysis. This cannot replace deliberation but can improve the transparency of health care coverage decision processes.

Schizophrenia and the environment: speculative interventions

1999 ◽  
Vol 8 (1) ◽  
pp. 19-34 ◽  
Author(s):  
Richard Warner
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Health Care ◽  
Family Support ◽  
Disability Pension ◽  
Pension System ◽  
The United States ◽  
Social Enterprises ◽  
Policy Makers

SummaryObjective – Starting from research on environmental factors that influence schizophrenia, the author speculates on innovations that could reduce the occurrence of the illness, improve its course and enhance the quality of life of sufferers and their relatives. Results – Ranging from education about obstetric risks to a stigma-reducing campaign, the suggestions could be of interest, not only to clinicians, but also to advocates, policy-makers and communications specialists. Conclusions – Several of the suggestions, which would be innovative in the United States, are already established features of Italian mental health care. These features include social enterprises, family support payments and a disability pension system without severe disincentives to work.

Quality of Life: Erosions and Opportunities Under Managed Care

2000 ◽  
Vol 28 (2) ◽  
pp. 144-158 ◽  
Author(s):  
E. Haavi Morreim
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Managed Care ◽  
Functional Status ◽  
General Public ◽  
Access To Health Care ◽  
New Technologies ◽  
Access To Health ◽  
Disease Specific

In recent years a number of commentators have discussed the importance of measuring quality of life (QL) in health care. We want to know whether an intervention will help people to live better, not just longer, and whether some treatments cause more trouble than they are worth. New technologies promise wondrous benefits. But when millions of people have no insured access to health care, and when many others face increasingly stringent limits on care, technologies’ high costs require us to choose what we should do from the broader universe of what we can do.The challenges to measuring QL are formidable. Researchers debate whether to measure general QL or disease-specific QL; whether to focus on functional status such as the patient's ability to walk and dress himself, or on the value people ascribe to that functional status; whether to seek the values of the general public, or to concentrate on people actually affected by a given disease or disability.

scholarly journals Willingness to Pay for Health Insurance among Urban Poor: An Evidence from Urban Primary Health Care Project in Bangladesh

2020 ◽  
Vol 19 (3) ◽  
pp. 433-443
Author(s):  
Md Mizanur Rahman ◽  
Sharmin Mizan ◽  
Razitasham binti Safii ◽  
Sk Akhtar Ahmad
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Primary Health Care ◽  
Health Insurance ◽  
Willingness To Pay ◽  
Urban Poor ◽  
Link Function ◽  
Policy Makers ◽  
Primary Health

Background and Objective: With the growing concern over treatment cost in health care and the desire to improve the effectiveness and equality of healthcare financing and the quality of the care, policy-makers have turned their attention to health insurance, especially, for the poor. This study attempted to determine the willingness to pay for health insurance among the mothers who utilized the urban primary health care clinic (UPHCC) for maternal and child health. Methods: This cross-sectional study was carried out in the working areas of UPHC Project in Bangladesh following two-stage cluster sampling technique to select the participants. Data were collected from 3949 women aged 15-49 years having at least one child aged two years or less. The data on willingness to pay for health insurance was collected using the contingent valuation method with bidding style. Data analysis was done by SPSS 22.0 version. Two generalized linear models with binary logit link function and normal identity link function were developed to identify the potential predictors for willingness to pay for monthly health insurance. Results: Three-fifths (67.5%) of the respondents agreed to pay for monthly health insurance. The median monthly premium for health insurance was BDT 15.5. Multivariate analysis revealed that utilization of UPHC clinic, quality of life, family size, age, wealth index, level of education, husband and respondent’s occupation, ownership status of the house, religion and family income appeared to be potential predictors for health insurance (p<0.05). However, utilization of UPHC clinic and quality of life appeared to be important predictors across all the models. Conclusion: A large proportion of the community agreed to pay premium for health insurance. Based on the finding of the current study the policy makers might consider introducing a scheme for health insurance especially among the urban poor. Bangladesh Journal of Medical Science Vol.19(3) 2020 p.433-443

OP22 Patient-Based Evidence: Its Role In Decision-Making On New Medicines

2019 ◽  
Vol 35 (S1) ◽  
pp. 4-5
Author(s):  
Sharon Hems ◽  
Louise Taylor ◽  
Jan Jones ◽  
Eileen Holmes
Keyword(s):  
Quality Of Life ◽  
Decision Making ◽  
End Of Life ◽  
Survey Methodology ◽  
Decision Makers ◽  
Added Value ◽  
Valuable Insight ◽  
Survey Responses ◽  
Psychological Benefit

IntroductionThe Scottish Medicines Consortium (SMC) advises NHS Scotland on the clinical and cost-effectiveness of new medicines. Since 2014, evidence from patients and carers on end-of-life and orphan medicines has been gathered during Patient and Clinician Engagement (PACE) meetings. The output is a consensus statement which describes the added value of a new medicine from the perspective of the patient/carer and clinician. This study investigates the importance of factors identified through PACE to committee members and how these are used in their decision-making.MethodsSurvey methodology was used to gain an understanding of the factors from the PACE statement that are most likely to influence members (n = 26) in decision-making. The survey instrument was informed by a literature review and observation of PACE and SMC meetings. Likert scale questions were used to determine the relative importance of factors in the PACE statement, including information relating to eight prominent ‘quality of life’ themes (family/carer impact, health benefits, tolerability, psychological benefit, hope, normal life, treatment choice and convenience), that were identified by an earlier thematic analysis of these statements.ResultsAnalysis of survey responses will use mainly descriptive techniques to generate percentages and ranges. Correlation analysis will be considered to investigate relationships between members’ demographics, type of medicine (end-of-life, orphan) and the importance of different factors in the PACE statement. Preliminary results indicate that key quality of life themes highly valued by patients/carers are also important to committee members in their decision making. Challenges in assimilating qualitative patient-based evidence from PACE alongside quantitative clinical and economic data were highlighted.ConclusionsFindings from this survey will provide valuable insight into how PACE evidence is used by SMC decision makers alongside traditional clinical and economic evidence and will help shape future improvements to the PACE methodology.

Measuring the economic benefit of treatment with atypical antipsychotics

1998 ◽  
Vol 13 (S1) ◽  
pp. 37s-45s ◽  
Author(s):  
MRJ Knapp
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Economic Benefit ◽  
Atypical Antipsychotics ◽  
Term Treatment ◽  
Decision Makers ◽  
Long Term Treatment ◽  
Care Decision

SummarySchizophrenia has a major impact on the quality of life of sufferers, and its broader impact on families and on society are well known, although less thoroughly documented. The majority of sufferers require long-term treatment and support, and there are depressingly frequent media stories about violent incidents involving people with the illness. Consequently the costs of schizophrenia, broadly defined, loom large, not just from the perspective of health care decision-makers and governments, but also from that of sufferers and their families, to many other people with only indirect experience of the disease.

Effect of Fluoride Mouthwash in Iranian Schools: Treatment or Exacerbation of the Disease

2019 ◽  
Author(s):  
Mohammad Karimi
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Oral Health ◽  
Significant Role ◽  
Oral Hygiene ◽  
Easy Access ◽  
Tooth Decay ◽  
Insufficient Attention ◽  
The World

Dental and oral health is an important part that plays a significant role in the quality of life of people in our society, especially children, but due to insufficient attention, tooth decay in the world is increasing every year. Promoting oral hygiene requires the people's easy access to primary oral health care and the use of these services should be classified.

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