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MDM Policy & Practice
Scopus
ISSN 2381-4683 · SAGE Publishing · 347 artikel di indeks
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Artikel Jurnal
Cost-Utility Analysis of Immediate Total Knee Arthroplasty Versus Preoperative Platelet-Rich Plasma Injections: A Markov Model from the French Payer Perspective
Objective: To assess whether immediate total knee arthroplasty (TKA) is cost-effective compared with a strategy of 3 preoperative platelet-rich plasma (PRP) injections in patients with knee osteoarthritis, from the perspective of the French national health insurance. Methods: We developed a Markov…
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Adoption and Willingness to Pay for Emerging Dementia Therapies: Evidence from a Nationally Representative Survey
Objectives: Decisions about emerging disease-modifying dementia therapies involve both treatment uptake and willingness to pay (WTP), reflecting the monetary valuation of treatment benefits. Existing studies often do not distinguish between these components of decision making, and evidence on WTP…
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A Method for Estimating Resource Use and Costs when Empirical Data Are Unavailable: Expert Elicitation Study Using the Example of Melanoma
Purpose. The diagnosis, management, and therapy of cancer are rapidly advancing and becoming more costly. Data linking the diagnosis, management, and prescription of systemic anticancer therapy (SACT) are not publicly available, are time-consuming to obtain, and are onerous to analyze. We aimed to…
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Consumer Preferences for Care Delivery Modality, Timely Care Access, and Time Costs: Insights from Discrete Choice Experiments
Background. Policies on telehealth coverage and reimbursement have been evolving. To support national decisions on telehealth use and delivery, this study assessed patient preferences on care delivery modalities and value of time for primary care in outpatient settings. Design. Discrete choice…
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Evaluating the Impact of Different Natural History Modeling Methods on Cost-Effectiveness Decisions: A Case Study in Duchenne Muscular Dystrophy
Introduction. Cost-effectiveness analyses are vital in guiding decisions on treatment reimbursement. Natural history models are central to these, enabling the estimation of long-term costs and quality-adjusted life-years (QALYs) in the absence of lifetime trial data. Rare disease data are often…
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Guidelines and Policies as Levers in Managing Carpal Tunnel Release Demand
Background: National guidelines and health policy measures can influence both demand for and delivery of elective surgery as well as the setting in which procedures are performed. Carpal tunnel release (CTR), one of the most common elective operations, provides a useful case for examining these…
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Estimating Chronic Kidney Disease Stage Transitions from Irregular Electronic Health Record Data Using an Expectation-Maximization Framework
Objective: To estimate chronic kidney disease (CKD) stage transition probabilities in patients with small renal masses (SRMs) using irregularly observed electronic health record (EHR) data, addressing challenges of interval censoring and irregular measurement intervals in real-world clinical…
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Resistance to a Novel Clinical Trial Design for Multicancer Detection Tests: Experimental Investigation of Ambiguity Aversion
Background: Randomized controlled trials (RCTs) are needed to evaluate multicancer detection (MCD) tests. A novel “intended-effect” RCT design in which control group participants receive MCD testing but results remain undisclosed can increase statistical efficiency. Prospective participants may…
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Evaluating the Impact of VOICE (Values and Outcomes to Improve Cancer Experiences), a Values-Clarification Tool, among Older Adults with Advanced Cancer: A Randomized Study in Simulated Clinical Settings
Background: Patients often report that clinical guidance does not reflect personal values, such as balancing survival with quality of life. Values-clarification tools can improve treatment alignment but have been understudied. Objective: To evaluate the impact of the Values and Outcomes to Improve…
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Developing and Piloting an Instrument to Prioritize the Worries of Female Youth with a Physical Disability and Mothers during the Transition to Adulthood
Background: The transition to adulthood is a worrying time for female youth with a physical disability and their mothers. We sought to develop an instrument to assess which transition-related worries are most (and least) worrisome to youth and mothers to inform transition preparation interventions…
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Targeted versus Universally Offered Screening in Pediatric Emergency Departments: Cost-Effectiveness
Background: Adolescents and young adults (AYA) comprise 50% of sexually transmitted infections (STIs) diagnosed annually. AYA frequently access emergency departments (EDs) for health care. Thus, the ED could be a strategic venue for the diagnosis and treatment of STIs. Objective: Cost-effectiveness…
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Impact of Implementing Alternative Human Papillomavirus (HPV) Vaccination Strategies in Kenya: A Modeling Study
Background: Implementation delays reduce population-level effects of evidence-based interventions. We conducted a modeling study to estimate the effect of priority policy decisions on a human papillomavirus (HPV) vaccination program in Kenya. Methods: We used a static cohort model to estimate the…
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Revising a Training Curriculum on Shared Decision Making for Application in Routine Clinical Care: A Report on the SHARE Approach
Background: Improving shared decision making (SDM) training curricula may support wider training uptake and the use of SDM across health care settings. Limited uptake of a freely available SDM training curriculum suggested it could benefit from a systematic review and revision process. This report…
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The 4-Circles Tool 2.0—A Tool to Prepare Older Patients for Shared Decision Making: A Developmental and Feasibility Study
Background: Shared decision making is an effective strategy for collaborative goal setting and action planning with older patients. However, many older patients feel unable to actively participate. Increasing patient participation requires preparing patients for this process. The 4-Circles tool, a…
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Comprehensibility of Fact Sheets Addressing Benefits and Risks of Preventive Interventions: A Cross-Sectional Evaluation Study
Background: Preventive tests and procedures (PTPs) help to reduce disease burden. However, patient expectations often differ from current guidelines, resulting in overuse or underuse of PTPs. Shared decision making can bridge this gap but requires clear, evidence-based information. This study aimed…
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Estimating the Quality-Adjusted Life-Year Loss due to Fatal and Nonfatal COVID-19 Outcomes across US States and Counties, July 2020 to December 2022
Objective: The population-level quality-of-life impact of nonfatal health outcomes, including prolonged hospitalizations and long COVID, remains poorly understood. In this study, we estimate the cumulative quality-adjusted life-year (QALY) loss attributable to fatal and nonfatal COVID-19 outcomes…
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Exploring Clinicians’ Determinants of Participation in Medical Cannabis Decision Making with Older Adults Experiencing Arthritis: A Qualitative Descriptive Study
Background. Arthritis is a common chronic condition among older adults in Canada. Shared decision making (SDM) regarding medical cannabis (MC) use has been anticipated to result in improved health outcomes. However, the practice of SDM for MC remains limited. Few studies addressed what clinicians…
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Implementing a Colorectal Cancer Screening Decision Aid via Text Messaging in a Large Massachusetts Health Care System
Background. The use of colorectal cancer (CRC) screening decision aids (DAs) increases patient knowledge and engagement in decision making. Thus, we aimed to implement a CRC DA in a Boston-area health system informed by the Theory of Change quality improvement framework. Methods. Following…
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A Discrete-Event Simulation Model to Configure Operating Rooms for Robotic Cardiac Surgery
Background. Robotic cardiac surgery (RCS) has emerged as a promising alternative in clinical practice to overcome the limitations of minimally invasive techniques. However, the integration of RCS with surgical process management is key in taking full advantage of its benefits. Aim. We assess the…
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Medicare Part D Beneficiaries’ Experiences with Making Complex Insurance Plan Choices: A Qualitative Interview Study
Background. The Medicare Part D program provides stand-alone prescription drug insurance to US residents aged ≥65 y and those with disabilities. Annually, they can choose to stay with their plan or to switch to one of the many alternative plans. Behavioral decision-making research has proposed…