Conservative versus aggressive follow up of mildly abnormal Pap smears: testing for process utility.
Conservative versus aggressive follow up of mildly abnormal Pap smears: testing for process utility.
复制标题
轻度异常子宫颈抹片检查的保守与积极随访：过程实用性测试。
DOI：
10.1002/hec.783
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发表时间：
2003
期刊：
影响因子：
--
通讯作者：
Kuppermann,Miriam
中科院分区：
文献类型：
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作者：
Birch,Stephen;Melnikow,Joy;Kuppermann,Miriam
经济评估一般将结果衡量局限于对干预措施产生的健康结果的评估，而不考虑过程对效用的影响。我们通过比较在固定结果的情况下管理异常巴氏涂片的替代方法的效用测量来测试过程效用。保健干预措施对个人福祉的影响并不局限于健康结果。积极和保守的随访方法与效用的统计学显著差异有关。我们还发现，不同过程之间的相对偏好可能取决于所考虑的特定环境或病理。版权所有©2003 John Wiley&Sons，Ltd.
Economic evaluation generally limits outcome measurement to the valuation of health outcomes produced by interventions without considering the impact of processes on utility. We test for process utility by comparing utility measurements for alternative approaches to managing abnormal Pap smears in the context of a fixed outcome. The impact of health care interventions on individual well‐being was not confined to health outcomes. Aggressive and conservative follow‐up approaches were associated with statistically significant differences in utilities. We also found that relative preferences among different processes may depend on the particular circumstances or pathologies being considered. Copyright © 2003 John Wiley & Sons, Ltd.