IDEAS home Printed from https://ideas.repec.org/a/sae/medema/v14y1994i4p382-392.html
   My bibliography  Save this article

A Method for Estimating the Cost- Effectiveness of Incorporating Patient Preferences into Practice Guidelines

Author

Listed:
  • Robert F. Nease
  • Douglas K. Owens

Abstract

Many clinical practice guidelines fail to account for the preferences of the individual patient. Approaches that seek to include the preferences of the individual patient in the decision- making process (e.g., interactive videodisks for patient education), however, may incur sub stantial incremental costs. Developers of clinical practice guidelines must therefore determine whether it is appropriate to make their guidelines flexible with regard to patient preferences. The authors present a formal method for determining the cost-effectiveness of incorporating the preferences of individual patients into clinical practice guidelines. Based on utilities assessed from 37 patients, they apply the method in the setting of mild hypertension. In this example, they estimate that the cost-effectiveness ratio for individualized utility assessment is $48,565 per quality-adjusted year of life, a ratio that compares favorably with other health interventions that are promoted actively. This approach, which can be applied to any clinical domain, offers a formal method for determining whether the incorporation of individual patient preferences is important clinically and is justified economically. Key words: cost-effective ness analysis; cost-utility analysis; utility assessment; decision analysis; practice guidelines; patient preferences. (Med Decis Making 1994;14:382-392)

Suggested Citation

  • Robert F. Nease & Douglas K. Owens, 1994. "A Method for Estimating the Cost- Effectiveness of Incorporating Patient Preferences into Practice Guidelines," Medical Decision Making, , vol. 14(4), pages 382-392, October.
    • Handle: RePEc:sae:medema:v:14:y:1994:i:4:p:382-392
    DOI: 10.1177/0272989X9401400409
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0272989X9401400409
    Download Restriction: no
    File URL: https://libkey.io/10.1177/0272989X9401400409?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Oster, G. & Epstein, A.M., 1986. "Primary prevention and coronary heart disease: The economic benefits of lowering serum cholesterol," American Journal of Public Health, American Public Health Association, vol. 76(6), pages 647-656.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Francis Pang & Mike Drummond & Fujian Song, 1999. "The use of meta-analysis in economic evaluation," Working Papers 173chedp, Centre for Health Economics, University of York.
    2. Mark Sculpher & Amiram Gafni, 2001. "Recognizing diversity in public preferences: The use of preference sub‐groups in cost‐effectiveness analysis," Health Economics, John Wiley & Sons, Ltd., vol. 10(4), pages 317-324, June.
    3. Mark Sculpher, 1998. "The cost‐effectiveness of preference‐based treatment allocation: the case of hysterectomy versus endometrial resection in the treatment of menorrhagia," Health Economics, John Wiley & Sons, Ltd., vol. 7(2), pages 129-142, March.
    4. Jack Dowie, 1998. "Towards the equitably efficient and transparently decidable use of public funds in the deep blue millennium," Health Economics, John Wiley & Sons, Ltd., vol. 7(2), pages 93-103, March.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Leiyu Shi, 1993. "Health Promotion, Medical Care Use, and Costs in a Sample of Worksite Employees," Evaluation Review, , vol. 17(5), pages 475-487, October.
    2. Michele Kohli & Cheryl Attard & Annette Lam & Daniel Huse & John Cook & Chantal Bourgault & Evo Alemao & Donald Yin & Michael Marentette, 2006. "Cost Effectiveness of Adding Ezetimibe to Atorvastatin Therapy in Patients Not at Cholesterol Treatment Goal in Canada," PharmacoEconomics, Springer, vol. 24(8), pages 815-830, August.
    3. Mike Drummond & Alastair McGuire & Astrid Fletcher, 1993. "Economic evaluation of drug therapy for hypercholesterolaemia in the United Kingdom," Working Papers 104chedp, Centre for Health Economics, University of York.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:medema:v:14:y:1994:i:4:p:382-392. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.