Willingness-to-pay utility assessment: feasibility of use in normative patient decision support systems

DSpace/Manakin Repository

Willingness-to-pay utility assessment: feasibility of use in normative patient decision support systems

Citable link to this page

 

 
Title: Willingness-to-pay utility assessment: feasibility of use in normative patient decision support systems
Author: Flowers, C.R.; Garber, Alan M; Bergen, M.R.; Lenert, L.A.

Note: Order does not necessarily reflect citation order of authors.

Citation: Flowers, CR, Alan M. Garber, MR Bergen, LA Lenert. 1997. Willingness-to-pay utility assessment: feasibility of use in normative patient decision support systems. Proceedings/AMIA Annual Fall Symposium 223-277.
Access Status: Full text of the requested work is not available in DASH at this time (“dark deposit”). For more information on dark deposits, see our FAQ.
Full Text & Related Files:
Abstract: The authors developed an automated patient interviewing tool to elicit individuals' willingness-to-pay (WTP) utilities under conditions of uncertainty and examined the reliability of this method and its potential usefulness in clinical decision support. We tested this method in 52 healthy volunteers using a computer-based interview that trained subjects in standard gamble (SG) and WTP methods, and elicited preferences for moderate Gaucher disease using WTP and SG. We assessed the validity of the WTP method by calculating the cost-effectiveness threshold implied by subjects' WTP and SG utilities; we also assessed subjects' understanding and comfort with using WTP for decision making by a questionnaire. The WTP method had good test-retest reliability (r = 0.796), and produced a cost-effectiveness ratio and ratings for understanding and clarity that support its validity. Moreover, many subjects felt that WTP was a reasonable (83%) method for therapeutic decision making and expressed comfort (62%) in using the method for their own health care decisions. These results suggest that a probabilistic method for WTP utility assessment is potentially useful for acquiring patient preferences for use in normative decision support systems.
Published Version: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233361/
Citable link to this page: http://nrs.harvard.edu/urn-3:HUL.InstRepos:11501769
Downloads of this work:

Show full Dublin Core record

This item appears in the following Collection(s)

 
 

Search DASH


Advanced Search
 
 

Submitters