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Considering patient perspectives in economic evaluations of health interventions
Current guidelines for evaluating the cost-effectiveness of health interventions commonly recommend the use of a payer and/or a societal perspective. This raises the concern that the resulting reimbursement decision may overlook the full spectrum of impacts and equity considerations. In this paper,...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10593459/ https://www.ncbi.nlm.nih.gov/pubmed/37876714 http://dx.doi.org/10.3389/fpubh.2023.1212583 |
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author | Fu, Rui Ng, Vivian Liu, Michael Wells, David Yurga, Emre Nauenberg, Eric |
author_facet | Fu, Rui Ng, Vivian Liu, Michael Wells, David Yurga, Emre Nauenberg, Eric |
author_sort | Fu, Rui |
collection | PubMed |
description | Current guidelines for evaluating the cost-effectiveness of health interventions commonly recommend the use of a payer and/or a societal perspective. This raises the concern that the resulting reimbursement decision may overlook the full spectrum of impacts and equity considerations. In this paper, we argue that a potential solution is to supplement a societal- or payer-perspective economic evaluation with an additional evaluation accounting for exclusively the patient perspective. We present five categories of health interventions for which a patient-perspective analysis may be informative including those (1) that cross the definitional boundary between drugs and non-drug technologies; (2) affect patient adherence to protocol; (3) represent revolutionary treatments for genetic disorders; (4) with an incremental cost-effectiveness ratio involving slightly less effective, but substantially less costly, than the current standard; and (5) have been previously approved for funding but now being targeted for potential delisting or disinvestment. Real-world examples are discussed in detail. Lived experience individuals were invited to provide vignettes. Discussions are provided regarding how to incorporate patient inputs to improve patient-centered decision-making. |
format | Online Article Text |
id | pubmed-10593459 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-105934592023-10-24 Considering patient perspectives in economic evaluations of health interventions Fu, Rui Ng, Vivian Liu, Michael Wells, David Yurga, Emre Nauenberg, Eric Front Public Health Public Health Current guidelines for evaluating the cost-effectiveness of health interventions commonly recommend the use of a payer and/or a societal perspective. This raises the concern that the resulting reimbursement decision may overlook the full spectrum of impacts and equity considerations. In this paper, we argue that a potential solution is to supplement a societal- or payer-perspective economic evaluation with an additional evaluation accounting for exclusively the patient perspective. We present five categories of health interventions for which a patient-perspective analysis may be informative including those (1) that cross the definitional boundary between drugs and non-drug technologies; (2) affect patient adherence to protocol; (3) represent revolutionary treatments for genetic disorders; (4) with an incremental cost-effectiveness ratio involving slightly less effective, but substantially less costly, than the current standard; and (5) have been previously approved for funding but now being targeted for potential delisting or disinvestment. Real-world examples are discussed in detail. Lived experience individuals were invited to provide vignettes. Discussions are provided regarding how to incorporate patient inputs to improve patient-centered decision-making. Frontiers Media S.A. 2023-10-09 /pmc/articles/PMC10593459/ /pubmed/37876714 http://dx.doi.org/10.3389/fpubh.2023.1212583 Text en Copyright © 2023 Fu, Ng, Liu, Wells, Yurga and Nauenberg. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health Fu, Rui Ng, Vivian Liu, Michael Wells, David Yurga, Emre Nauenberg, Eric Considering patient perspectives in economic evaluations of health interventions |
title | Considering patient perspectives in economic evaluations of health interventions |
title_full | Considering patient perspectives in economic evaluations of health interventions |
title_fullStr | Considering patient perspectives in economic evaluations of health interventions |
title_full_unstemmed | Considering patient perspectives in economic evaluations of health interventions |
title_short | Considering patient perspectives in economic evaluations of health interventions |
title_sort | considering patient perspectives in economic evaluations of health interventions |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10593459/ https://www.ncbi.nlm.nih.gov/pubmed/37876714 http://dx.doi.org/10.3389/fpubh.2023.1212583 |
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