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Titolo:
The ethics of aggregation and hormone replacement therapy
Autore:
Lyerly, AD; Myers, ER; Faden, RR;
Indirizzi:
Johns Hopkins Univ, Bioeth Inst, Baltimore, MD 21205 USA Johns Hopkins Univ Baltimore MD USA 21205 h Inst, Baltimore, MD 21205 USA Georgetown Univ, Kennedy Inst Eth, Washington, DC 20057 USA Georgetown Univ Washington DC USA 20057 nst Eth, Washington, DC 20057 USA Duke Univ, Dept Obstet & Gynecol, Durham, NC 27706 USA Duke Univ Durham NC USA 27706 Dept Obstet & Gynecol, Durham, NC 27706 USA
Titolo Testata:
HEALTH CARE ANALYSIS
fascicolo: 2, volume: 9, anno: 2001,
pagine: 187 - 211
SICI:
1065-3058(200106)9:2<187:TEOAAH>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
COST-EFFECTIVENESS ANALYSIS; BREAST-CANCER RISK; QUALITY-OF-LIFE; POSTMENOPAUSAL WOMEN; HEALTH-CARE; PROGESTIN; ESTROGEN; PERCEPTIONS; DECISIONS; UTILITIES;
Keywords:
cost-effective analysis; decision analysis; distributive justice; feminist theory; hormone replacement therapy; menopause; patient preferences; time preference; utility; women;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
49
Recensione:
Indirizzi per estratti:
Indirizzo: Lyerly, AD Johns Hopkins Univ, Bioeth Inst, 624 N Broadway,Hampton House 348, Baltimore, MD 21205 USA Johns Hopkins Univ 624 N Broadway,Hampton House348 Baltimore MD USA 21205
Citazione:
A.D. Lyerly et al., "The ethics of aggregation and hormone replacement therapy", HEAL CARE A, 9(2), 2001, pp. 187-211

Abstract

The use of aggregated quality of life estimates in the formation of publicpolicy and practice guidelines raises concerns about the moral relevance of variability in values in preferences for health care. This variability may reflect unique and deeply held beliefs that may be lost when averaged with the preferences of other individuals. Feminist moral theories which arguefor attention to context and particularity underline the importance of ascertaining the extent to which differences in preferences for health states reveal information which is morally relevant to clinicians and policymakers. To facilitate these considerations, we present an empirical study of preferences for the timing and occurrence of health states associated with hormone replacement therapy (HRT). Sixteen women between the ages of 45 and 55 were enrolled in this pilot study. Their preferences regarding five health states associated with HRT (menopausal symptoms, side effects of HRT, breast cancer, myocardial infarction, and osteoporosis) were assessed in quantitative terms known as utilities. Two standard methods, the visual analog scale (VAS) and the standard gamble (SG), were used to assess utility and timepreference (calculated as a discount rate). The wide variability of responses underlines the importance of tailoring health care to individual women's preferences. Policy guidelines which incorporate utility analysis must recognize the normative limitations of aggregated preferences, and the moral relevance of individual conceptions of health.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/03/20 alle ore 23:24:11