THE INTEGRAL INDEX OF PROBLEMS IN THE EVALUATION OF THE HEALTH STATE

2018 ◽  
pp. 12-14
Author(s):  
A.E. Vlasenko ◽  
N.M. Zhilina ◽  
A.A. Kozhevnikov ◽  
G.I. Chechenin
Keyword(s):  
Decision Making ◽  
Population Health ◽  
Economic Indicators ◽  
Health State ◽  
Integral Index ◽  
Municipal District ◽  
Risk Areas

The article presents the algorithm for calculating the integral index of problems in the evaluation of indicators of population health and identifying risk areas. The integral indices for Novokuznetsk municipal district were calculated. The index can be used by specialists of various levels and regions in assessing the level of health, environmental and socio-economic indicators for appropriate decision-making.

Surgical Palliative Care

2018 ◽  
Author(s):  
Zara Cooper ◽  
Emily B. Rivet
Keyword(s):  
Decision Making ◽  
Palliative Care ◽  
End Of Life ◽  
Symptom Relief ◽  
Psychological Needs ◽  
Sudden Onset ◽  
Transitions Of Care ◽  
Patient Comfort ◽  
Health State ◽  
Surgery Patient

Palliative care is a multidisciplinary approach to care that includes relief of suffering and attention to the social, spiritual, physical, and psychological needs of patients and families. The intent of palliative care is to help patients live as well as possible for as long as possible, and relevant domains of palliative care include symptom relief, prognostication, communication with patients, families and clinicians, transitions of care, and end-of-life care. Palliative care is distinct from hospice in many respects including that it can be provided simultaneously with recovery-directed treatments rather than reserved for individuals at end of life. Patients with surgical disease are particularly in need of palliative care due to the common occurrence of severe symptoms such as pain and nausea, complex decision-making, and the often sudden onset of the disease or injury which precludes preparation for the new health state.   Key Words: communication, end-of- life, goals of care, high-risk surgery, palliative, palliative care, palliative surgery, patient comfort, surgical decision-making, surgical prognostication This review contains 3 figures, 10 tables, and 61 references.

scholarly journals MS3 POPULATION HEALTH-STATE UTILITIES FOR FIBROMYALGIA IN THE UNITED KINGDOM

2008 ◽  
Vol 11 (6) ◽  
pp. A353 ◽  
Author(s):  
AB Hauber ◽  
L McCrink ◽  
S Beard ◽  
A Garcia-Cebrian ◽  
G Maas ◽  
...  
Keyword(s):  
United Kingdom ◽  
Population Health ◽  
Health State ◽  
The United Kingdom ◽  
Health State Utilities

scholarly journals PHP27 HEALTH STATE VALUATIONS IN SUMMARY MEASURES OF POPULATION HEALTH

2002 ◽  
Vol 5 (6) ◽  
pp. 474 ◽  
Author(s):  
J Salomon ◽  
CJ Murray ◽  
B Ustun ◽  
S Chatterji
Keyword(s):  
Population Health ◽  
Health State ◽  
Health State Valuations ◽  
Summary Measures

Zoonotic cutaneous leishmaniasis in northeastern Iran: a GIS-based spatio-temporal multi-criteria decision-making approach

2016 ◽  
Vol 144 (10) ◽  
pp. 2217-2229 ◽  
Author(s):  
A. MOLLALO ◽  
E. KHODABANDEHLOO
Keyword(s):  
Decision Making ◽  
High Risk ◽  
Cutaneous Leishmaniasis ◽  
Vegetation Index ◽  
Fuzzy Ahp ◽  
Public Health Problem ◽  
Study Region ◽  
Zoonotic Cutaneous Leishmaniasis ◽  
Risk Areas ◽  
Risk Maps

SUMMARYZoonotic cutaneous leishmaniasis (ZCL) constitutes a serious public health problem in many parts of the world including Iran. This study was carried out to assess the risk of the disease in an endemic province by developing spatial environmentally based models in yearly intervals. To fill the gap of underestimated true burden of ZCL and short study period, analytical hierarchy process (AHP) and fuzzy AHP decision-making methods were used to determine the ZCL risk zones in a Geographic Information System platform. Generated risk maps showed that high-risk areas were predominantly located at the northern and northeastern parts in each of the three study years. Comparison of the generated risk maps with geocoded ZCL cases at the village level demonstrated that in both methods more than 90%, 70% and 80% of the cases occurred in high and very high risk areas for the years 2010, 2011, and 2012, respectively. Moreover, comparison of the risk categories with spatially averaged normalized difference vegetation index (NDVI) images and a digital elevation model of the study region indicated persistent strong negative relationships between these environmental variables and ZCL risk degrees. These findings identified more susceptible areas of ZCL and will help the monitoring of this zoonosis to be more targeted.

Toward a Centralized, Systematic Approach to the Identification, Appraisal, and Use of Health State Utility Values for Reimbursement Decision Making: Introducing the Health Utility Book (HUB)

2019 ◽  
Vol 39 (4) ◽  
pp. 371-379 ◽  
Author(s):  
Feng Xie ◽  
Michael Zoratti ◽  
Kelvin Chan ◽  
Don Husereau ◽  
Murray Krahn ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Cost Effectiveness ◽  
Systematic Approach ◽  
Health Utility ◽  
Reimbursement Decision ◽  
Health State ◽  
Life Years ◽  
Health State Utility Values

Cost-utility analysis (CUA) is a widely recommended form of health economic evaluation worldwide. The outcome measure in CUA is quality-adjusted life-years (QALYs), which are calculated using health state utility values (HSUVs) and corresponding life-years. Therefore, HSUVs play a significant role in determining cost-effectiveness. Formal adoption and endorsement of CUAs by reimbursement authorities motivates methodological advancement in HSUV measurement and application. A large body of evidence exploring various methods in measuring HSUVs has accumulated, imposing challenges for investigators in identifying and applying HSUVs to CUAs. First, large variations in HSUVs between studies are often reported, and these may lead to different cost-effectiveness conclusions. Second, issues concerning the quality of studies that generate HSUVs are increasingly highlighted in the literature. This issue is compounded by the limited published guidance and methodological standards for assessing the quality of these studies. Third, reimbursement decision making is a context-specific process. Therefore, while an HSUV study may be of high quality, it is not necessarily appropriate for use in all reimbursement jurisdictions. To address these issues, by promoting a systematic approach to study identification, critical appraisal, and appropriate use, we are developing the Health Utility Book (HUB). The HUB consists of an HSUV registry, a quality assessment tool for health utility studies, and a checklist for interpreting their use in CUAs. We anticipate that the HUB will make a timely and important contribution to the rigorous conduct and proper use of health utility studies for reimbursement decision making. In this way, health care resource allocation informed by HSUVs may reflect the preferences of the public, improve health outcomes of patients, and maintain the efficiency of health care systems.

Toward Evidence-Based Practice in the Auditory Processing Disorder Clinic

2008 ◽  
Vol 4 (1) ◽  
pp. 9-14 ◽  
Author(s):  
Patti M. Johnstone
Keyword(s):  
Decision Making ◽  
Population Health ◽  
Auditory Processing ◽  
Clinical Decision Making ◽  
Pediatric Population ◽  
Clinical Decision ◽  
Auditory Processing Disorder ◽  
Evidence Based ◽  
Vocal Cues ◽  
Research Paradigms

Abstract Audiologists are seeking evidence to guide clinical decision-making regarding the tests used to diagnose auditory processing disorder (APD) in children. Novel research paradigms using a population health framework hold promise in helping clinicians understand the prevalence, profile, and social underpinnings of APD in the general pediatric population. In addition, tests employing novel stimuli like speech-evoked auditory potentials or spatial and vocal cues may lead the way toward a new and more reliable APD test battery.

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