WHAT DO PATIENTS VALUE - WILLINGNESS TO PAY FOR ULTRASOUND IN NORMAL-PREGNANCY
WHAT DO PATIENTS VALUE - WILLINGNESS TO PAY FOR ULTRASOUND IN NORMAL-PREGNANCY
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DOI：
10.1097/00005650-198507000-00005
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发表时间：
1985-01-01
期刊：
影响因子：
3
通讯作者：
WEINSTEIN, MC
中科院分区：
文献类型：
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作者：
BERWICK, DM;WEINSTEIN, MC
对诊断试验的评估主要集中在它们在临床决策中的价值。患者可能会重视1)几乎没有或没有医学意义的信息，以及2)与医生或患者做出的决定无关的信息(医学或非医学的)。孕期超声为医生和患者提供了大量的信息，被选为探索这些假说的例子。对62名目前或最近正常怀孕的女性进行了有组织的采访，以促使她们愿意为超声波信息付费。在这些女性中，26%的测试价值与没有决策意义的信息有关，37%的价值与患者使用的信息有关，但与医生无关。总体而言，从患者的角度来看，这项测试的价值中有44%与医疗决策领域以外的用途有关。平均而言，受访者声称，他们愿意为简单妊娠的超声波测试中包含的信息支付706美元。决策分析和成本效益分析只注意到医学上对测试信息的决策使用，可能会忽视患者对信息的很高比例的重视。
Evaluations of diagnostic tests have focused primarily on their value in clinical decisions. Patients may attach value to 1) information that has little or no medical significance, and 2) information (medical or nonmedical) that has no bearing on decisions to be made by the doctor or the patient. Ultrasound in pregnancy, which provides a great deal of information to both doctor and patient, was chosen as the example with which to explore these hypotheses. Sixty-two women with current or recent normal pregnancies were given a structured interview to elicit their willingness to pay for ultrasound information. Among these women, 26% of the value attached to the test related to information having no decisional significance, and 37% of the value related to information of use to the patient, but not the doctor. Overall, 44% of the value of the test, from the patients' point of view, pertained to uses outside the realm of medical decisions. On the average, interviewees alleged that they would pay $706 for the information contained in an ultrasound test in an uncomplicated pregnancy. Decision analyses and cost-effectiveness analyses that take note only of the medical, decisional uses of test information may overlook a high proportion of the value patients attach to the information.