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Valuing health at the end of life: an empirical study of public preferences

Shah, Koonal; Tsuchiya, Aki; Wailoo, Allan - In: The European Journal of Health Economics 15 (2014) 4, pp. 389-399

In 2009, the National Institute for Health and Clinical Excellence (NICE) issued supplementary advice to its Appraisal … cost-effective. However, NICE’s public consultation revealed concerns that there is little scientific evidence to support … single ‘consensus’ set of preferences, we conclude that there are ways in which the results suggest that the current NICE …

Persistent link: https://www.econbiz.de/10010793962

Valuing health at the end of life: A stated preference discrete choice experiment

Shah, Koonal K.; Tsuchiya, Aki; Wailoo, Allan J. - In: Social Science & Medicine 124 (2015) C, pp. 48-56

A source of debate in the field of health care priority setting is whether health gains should be weighted differently for different groups of patients. The debate has recently focused on the relative value of life extensions for patients with short life expectancy. However, few studies have...

Persistent link: https://www.econbiz.de/10011189654

Governing healthcare: Finding meaning in a clinical practice guideline for the management of non-specific low back pain

Wilson, Nicky; Pope, Catherine; Roberts, Lisa; Crouch, … - In: Social Science & Medicine 102 (2014) C, pp. 138-145

Clinical practice guidelines produced by NICE – the National Institute for Health and Care Excellence – are seen as key … mechanisms to regulate and standardise UK healthcare practice, but their development is known to be problematic, and their … the response of healthcare professionals to publication of a single NICE guideline in 2009 which proposed a re …

Persistent link: https://www.econbiz.de/10010743774

Le dernier mois de l'existence : les lieux de fin de vie et de décès en France

Pennec, Sophie; Gaymu, Joëlle; Monnier, Alain; Riou, … - In: Population (french edition) 68 (2013) 4, pp. 585-615

This article describes the residential trajectories and places of residence of patients over their last month of life, based on the end-of-life survey La Fin de vie en France, conducted in 2010 on a representative sample of deaths occurring in December 2009. The physicians who had certified the...

Persistent link: https://www.econbiz.de/10010772075

Advance Directive from the Romanian Social Cultural Perspective Iasi: Editura Lumen, 2013 (English version)

DUMITRAS, Silvia; ENACHE, Mariana; PARVU, Andrada; … - In: Postmodern Openings 12 (2013) 1, pp. 87-101

Giving value to the wishes of the terminal patients regarding the treatment at the end of their life, the use of the advance directive, as an extension of their autonomy when the patients are incompetent, represents a mean to respect and promote their dignity. The authors present and discuss the...

Persistent link: https://www.econbiz.de/10010658681

Valuing QALYs at the end of life

Pinto-Prades, Jose-Luis; Sánchez-Martínez, … - In: Social Science & Medicine 113 (2014) C, pp. 5-14

The possibility of weighting QALYs differently for different groups of patients has been a source of debate. Most recently, this debate has been extended to the relative value of QALYs at the end of life (EoL). The objective of this study is to provide evidence of societal preferences in...

Persistent link: https://www.econbiz.de/10011042752

Exergoeconomic analysis of vehicular PEM (proton exchange membrane) fuel cell systems with and without expander

Sayadi, Saeed; Tsatsaronis, George; Duelk, Christian - In: Energy 77 (2014) C, pp. 608-622

In this paper we perform an exergoeconomic analysis to a PEM (proton exchange membrane) vehicular fuel cell system used in the latest generation of environmentally friendly cars. Two alternative configurations of a fuel cell system are considered (with and without an expander), and two...

Persistent link: https://www.econbiz.de/10011077716

Does desire for hastened death change in terminally ill cancer patients?

Rosenfeld, Barry; Pessin, Hayley; Marziliano, Allison; … - In: Social Science & Medicine 111 (2014) C, pp. 35-40

did not: physical symptom distress, depression symptom severity, hopelessness, spiritual well-being, baseline DHD, and a …

Persistent link: https://www.econbiz.de/10011042293

The art of letting go: Referral to palliative care and its discontents

Broom, Alex; Kirby, Emma; Good, Phillip; Wootton, Julia; … - In: Social Science & Medicine 78 (2013) C, pp. 9-16

Accompanying patients from active treatment towards specialist palliative care is a complex sphere of clinical practice that can be fraught with interpersonal and emotional challenges. While medical specialists are expected to break ‘bad news’ to their patients and ease their transitions to...

Persistent link: https://www.econbiz.de/10011042511

Bridging the Disconnect Between Patient Wishes and Care at the End of Life

Reschovsky, James D.; Lechner, Amanda E.; Cassil, Alwyn - Mathematica Policy Research - 2015

Most Americans want to die at home, but most die in hospitals or other facilities. Most people care more about quality of life than prolonging life as long as possible, but many receive invasive, life-sustaining treatments that diminish quality of life.

Persistent link: https://www.econbiz.de/10011206326

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