Evidence-Based Medicine in Otolaryngology Part 9: Valuing Health Outcomes

Author:

Caulley Lisa123,Hunink Myriam G.45,Kilty Shaun23,Metha Vikas6,Scangas George7,Rodin Danielle89,Randolph Gregory7,Shin Jennifer J.7

Affiliation:

1. Department of Epidemiology, Erasmus MC, Rotterdam, The Netherlands

2. Department of Otolaryngology–Head and Neck Surgery, University of Ottawa, Ottawa, ON, Canada

3. The Ottawa Hospital Research Institute, Ottawa, ON, Canada

4. Department of Epidemiology and Department of Radiology, Erasmus MC, Rotterdam, The Netherlands

5. Center for Health Decision Sciences, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA

6. Department of Otorhinolaryngology, Montefiore Medical Center, Bronx, New York, USA

7. Department of Otolaryngology, Harvard Medical School, Boston, Massachusetts, USA

8. Department of Radiation Oncology, Dana Farber/Brigham and Women’s Cancer Center, Boston, Massachusetts, USA

9. Department of Health Policy and Management, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA

Abstract

Decisions about resource allocation are increasingly based on value trade-offs between health outcomes and cost. This process relies on comprehensive and standardized definitions of health status that accurately measure the physical, mental, and social well-being of patients across disease states. These metrics, assessed through clinical trials, observational studies, and health surveys, can facilitate the integration of patient preferences into clinical practice. This ninth installment in the Evidence-Based Medicine in Otolaryngology Series is a practical overview of health outcome valuation, as well as the integration of both quality and quantity of life into standardized metrics for health research, program planning, and resource allocation. Tools for measuring preference-based health states, measures of effectiveness, and the application of metrics in economic evaluations are discussed.

Publisher

SAGE Publications

Subject

Otorhinolaryngology,Surgery

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