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A Health Index for Patient Selection: A Value Function Approach with Application to Chronic Renal Failure Patients

Author

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  • Joseph S. Pliskin

    (Center for the Analysis of Health Practices, Harvard School of Public Health)

  • Clyde H. Beck, Jr.

    (University Hospital, San Diego, California)

Abstract

Concrete criteria are needed for patient selection for scarce medical treatments and ranking of patient urgency for, or salvageability by, a given form of treatment. The mathematical theory of multi-attribute value functions is employed to rank order chronic renal failure patients with regard to therapeutic expectations. Order-2 mutual preferential independence was observed, thus an additive value function was justified. The paper demonstrates two different procedures for assessing a value function over a discrete attribute. The proposed approach yields a rank ordering (health status index) consistent with the physician's preferences and judgment. It can be employed for any medical decision process, even when only weaker preferential independence properties apply.

Suggested Citation

  • Joseph S. Pliskin & Clyde H. Beck, Jr., 1976. "A Health Index for Patient Selection: A Value Function Approach with Application to Chronic Renal Failure Patients," Management Science, INFORMS, vol. 22(9), pages 1009-1021, May.
  • Handle: RePEc:inm:ormnsc:v:22:y:1976:i:9:p:1009-1021
    DOI: 10.1287/mnsc.22.9.1009
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    Cited by:

    1. James S. Dyer & James E. Smith, 2021. "Innovations in the Science and Practice of Decision Analysis: The Role of Management Science," Management Science, INFORMS, vol. 67(9), pages 5364-5378, September.
    2. Cohen, Mark A. & Miller, Ted R., 2003. ""Willingness to award" nonmonetary damages and the implied value of life from jury awards," International Review of Law and Economics, Elsevier, vol. 23(2), pages 165-181, June.
    3. Kalogeras, Nikos & Pennings, Joost M.E. & Garcia, Philip, 2006. "What Drives Strategic Behavior? A Framework to Explain and Predict SMEs' Transition to Sustainable Production Systems," 2006 Annual meeting, July 23-26, Long Beach, CA 21354, American Agricultural Economics Association (New Name 2008: Agricultural and Applied Economics Association).

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