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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
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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
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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
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Valuing qalys at the end of life
Prades, Jose Luis Pinto; Martínez, Fernando Sanchez; … - Departamento de Economía, Universidad Pablo de Olavide - 2011
There have been changes in the way that NICE evaluates medical treatments for patients who are in the last stages of … their lives. If medicines fulfil some criteria to be considered “end of life” NICE considers if QALYs gained under these …
Persistent link: https://www.econbiz.de/10009644867
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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
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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
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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
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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
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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
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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