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Using Elicitation Techniques to Estimate the Value of Ambulatory Treatments for Major Depression

Author

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  • Sharon-Lise T. Normand

    (Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts)

  • Richard G. Frank

    (Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts)

  • Thomas G. McGuire

    (Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts)

Abstract

Estimating the value of spending on medical treatments in a health care system involves relating output, measured in terms of effectiveness, to cost, measured in terms of spending. Although information on spending at the system level often exists in administrative data, such as insurance claims, information on effectiveness is not always available. An inferential tool available to researchers in this context is elicitation. The authors develop an approach to elicit effectiveness parameters and apply it to a panel of 10 experts to estimate predictive Hamilton Depression Rating Scale scores representing postambulatory treatment outcomes. The elicited parameters are used to estimate outcomes associated with 120 acute phase treatments for major depression within a privately insured health insurance system. The outcome-adjusted price per full remission episode is estimated for each acute treatment, and corresponding 95% percentile bootstrap intervals are calculated. The average spending for all observed treatments was $473 (SE = 478), with a depression-free adjusted price per case of $5995 (95% confidence interval = $5959-$6031).

Suggested Citation

  • Sharon-Lise T. Normand & Richard G. Frank & Thomas G. McGuire, 2002. "Using Elicitation Techniques to Estimate the Value of Ambulatory Treatments for Major Depression," Medical Decision Making, , vol. 22(3), pages 245-261, June.
    • Handle: RePEc:sae:medema:v:22:y:2002:i:3:p:245-261
    DOI: 10.1177/0272989X0202200313
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    References listed on IDEAS

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    1. Robert L. Winkler, 1968. "The Consensus of Subjective Probability Distributions," Management Science, INFORMS, vol. 15(2), pages 61-75, October.
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    Cited by:

    1. Maria Orlando Edelen & M. Audrey Burnam & Katherine E. Watkins & José J. Escarce & Haiden Huskamp & Howard H. Goldman & Gary Rachelefsky, 2008. "Obtaining Utility Estimates of the Health Value of Commonly Prescribed Treatments for Asthma and Depression," Medical Decision Making, , vol. 28(5), pages 732-750, September.
    2. Richard G. Frank & Ernst R. Berndt & Alisa B. Busch, 2003. "Quality-Constant Price Indexes for the Ongoing Treatment of Schizophrenia: An Exploratory Study," NBER Working Papers 10022, National Bureau of Economic Research, Inc.

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