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Titolo:
Differences in health values among patients, family members, and providersfor outcomes in schizophrenia
Autore:
Lenert, LA; Ziegler, J; Lee, T; Sommi, R; Mahmoud, R;
Indirizzi:
Univ Calif San Diego, Dept Med, San Diego, CA 92103 USA Univ Calif San Diego San Diego CA USA 92103 Med, San Diego, CA 92103 USA Stanford Univ, Sch Med, Dept Pediat, Stanford, CA 94305 USA Stanford UnivStanford CA USA 94305 , Dept Pediat, Stanford, CA 94305 USA Palo Alto Vet Affairs Healthcare Syst, Palo Alto, CA USA Palo Alto Vet Affairs Healthcare Syst Palo Alto CA USA Palo Alto, CA USA Stanford Univ, Sch Med, Dept Psychiat, Stanford, CA 94305 USA Stanford Univ Stanford CA USA 94305 Dept Psychiat, Stanford, CA 94305 USA Univ Missouri, Sch Med, Dept Pharm, Kansas City, MO 64108 USA Univ Missouri Kansas City MO USA 64108 t Pharm, Kansas City, MO 64108 USA Janssen Res Fdn, Titusville, NJ USA Janssen Res Fdn Titusville NJ USAJanssen Res Fdn, Titusville, NJ USA Vet Affairs San Diego Healthcare Syst, Sect Hlth Serv Res, San Diego, CA 92161 USA Vet Affairs San Diego Healthcare Syst San Diego CA USA 92161 CA 92161 USA
Titolo Testata:
MEDICAL CARE
fascicolo: 10, volume: 38, anno: 2000,
pagine: 1011 - 1021
SICI:
0025-7079(200010)38:10<1011:DIHVAP>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
MEDICATION COMPLIANCE; UTILITY ELICITATIONS; PREFERENCES; ILLNESS; METHODOLOGY; RISPERIDONE; PHYSICIANS; AWARENESS; ISSUES;
Keywords:
utility; schizophrenia; extrapyramidal symptoms; patients; health care providers; computers; multimedia;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
34
Recensione:
Indirizzi per estratti:
Indirizzo: Lenert, LA Vet Affairs San Diego Healthcare Syst, Sect Hlth Serv Res, 111N1,3550 La Jolla Village Dr, San Diego, CA 92161 USA Vet Affairs San Diego Healthcare Syst 111N1,3550 La Jolla Village Dr San Diego CA USA 92161
Citazione:
L.A. Lenert et al., "Differences in health values among patients, family members, and providersfor outcomes in schizophrenia", MED CARE, 38(10), 2000, pp. 1011-1021

Abstract

OBJECTIVE. The objectives of this study were to determine whether there are important differences in how patients, family members, and health care providers (HCPs) value health outcomes in schizophrenia and to assess the degree to which such differences, if they exist, could adversely affect clinical and policy decision making. METHODS. Participants viewed videotaped depictions of simulated patients with mild and moderate symptoms of schizophrenia, with and without a common adverse drug effect (pseudoparkinsonism), and then provided standard gambleand visual analog scale ratings of desirability of these states. SUBJECTS. A convenience sample of unrelated patients (n = 148), family members of patients (n = 91), and HCPs (nurses, psychologists, doctors of pharmacy, and doctors of medicine; n = 99) was drawn from geographically and clinically diverse environments. RESULTS. Patients' and family members' utilities for health states averaged 0.1 to 0.15 units higher than those of HCPs (P <0.002 for differences between groups, ANOVA for multiple observations). The disutility of adverse drug effects was less for health professionals than patients and family members (P = 0.008). Health professionals tended to prefer states with mild symptoms with extrapyramidal side effects to states with moderate symptoms. Patients and family members found these states equally preferable (P <0.007 for differences between groups). CONCLUSIONS. There are systematic differences in values for health outcomes between patients and HCPs with regard to states with adverse effects of antipsychotic drugs. Family members of patients in general had values that were more similar to those of patients than were those of health professionals. The results emphasize the importance of participation by patients (or family member proxies) in clinical decision making and guideline development.

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Documento generato il 22/01/20 alle ore 12:43:28