Abstract
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.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 879-884 |
| Number of pages | 6 |
| Journal | Health Economics |
| Volume | 12 |
| Issue number | 10 |
| DOIs | |
| State | Published - Oct 1 2003 |
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Keywords
- Outcomes research
- Prevention
- Primary care
- Screening
ASJC Scopus subject areas
- Nursing(all)
- Economics and Econometrics
- Health(social science)
- Health Professions(all)
Cite this
Conservative versus aggressive follow up of mildly abnormal Pap smears : Testing for process utility. / Birch, Stephen; Melnikow, Joy; Kuppermann, Miriam.
In: Health Economics, Vol. 12, No. 10, 01.10.2003, p. 879-884.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Conservative versus aggressive follow up of mildly abnormal Pap smears
T2 - Testing for process utility
AU - Birch, Stephen
AU - Melnikow, Joy
AU - Kuppermann, Miriam
PY - 2003/10/1
Y1 - 2003/10/1
N2 - 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.
AB - 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.
KW - Outcomes research
KW - Prevention
KW - Primary care
KW - Screening
UR - http://www.scopus.com/inward/record.url?scp=0141505945&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0141505945&partnerID=8YFLogxK
U2 - 10.1002/hec.783
DO - 10.1002/hec.783
M3 - Article
VL - 12
SP - 879
EP - 884
JO - Health Economics (United Kingdom)
JF - Health Economics (United Kingdom)
SN - 1057-9230
IS - 10
ER -