The DOI matches its Crossref record; 23 of the 23 references it cites were found in a registry or an index.
Decision Making in Health and Medicine: Integrating Evidence and Values
Abstract
Decision making in health care involves consideration of a complex set of diagnostic, therapeutic and prognostic uncertainties. Medical therapies have side effects, surgical interventions may lead to complications, and diagnostic tests can produce misleading results. Furthermore, patient values and service costs must be considered. Decisions in clinical and health policy require careful weighing of risks and benefits and are commonly a trade-off of competing objectives: maximizing quality of life vs maximizing life expectancy vs minimizing the resources required. This text takes a proactive, systematic and rational approach to medical decision making. It covers decision trees, Bayesian revision, receiver operating characteristic curves, and cost-effectiveness analysis, as well as advanced topics such as Markov models, microsimulation, probabilistic sensitivity analysis and value of information analysis. It provides an essential resource for trainees and researchers involved in medical decision modelling, evidence-based medicine, clinical epidemiology, comparative effectiveness, public health, health economics, and health technology assessment.
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“Another approach is to use within-cycle corrections (WCC).2,22”
From An Introductory Tutorial on Cohort State-Transition Models in R Using a Cost-Effectiveness Analysis Example (2023) · cites this paper as [22]
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“Materials and Methods A Markov decision model was used to evaluate the cost-effectiveness of APT components.(4) A Markov decision model is a mathematical framework for modeling decision making in situations where outcomes are partly random and partly under the control of a decision maker.”
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“To improve decision-making in healthcare, there is a need to address ethical concerns because of the growing use of high technology and the great complexity of our healthcare systems (8,9,10,11).”
BackgroundHalama, P., & Pitel, L. (2016) · doi:10.21909/sp.2016.02.711 · Cited by 3
“It is considered a complex, or even complicated process, because of many possible diagnoses or therapeutic procedures, as well as the need to involve patients’ preferences or economic aspects (Hunink et al., 2001).”
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“We suggest that the Delphi method can be used as a convenient tool for reaching a rapid agreement on utilization of resources of the healthcare system under budgetary constraints.”
MethodSelf-citationDoes Introduction of Thresholds in Decision Aids Benefit the Patient?
Bisig, B., Moreira, J., Combes, M., Asiimwe, A., Bisoffi, Z., Haegeman, F., Bottieau, E., & den Ende, J. V. (2012) · Medical Decision Making · doi:10.1177/0272989x12461854 · Cited by 3
“However, acceptance of clinician regret as a valid consideration in clinical decision making is debated, since decisions should be made from the patient’s perspective, not from the doctor’s.(18) Therefore, we performed pertinent analyses with and without regret; for the latter analyses, we considered disutility equal…”
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Metadata
- Authors
- Hunink, M. G. M., Weinstein, M. C., Wittenberg, E., Drummond, M. F., Pliskin, J. S., Wong, J. B., & Glasziou, P. P.
- Affiliations
- Erasmus University Rotterdam (NL)
- Harvard University (US)
- University of York (GB)
- Ben-Gurion University of the Negev (IL)
- Tufts University (US)
- Bond University (AU)
- ORCID
- Venue
- Cambridge University Press eBooks
- Publisher
- Cambridge University Press
- Published
- 2014-10-05
- OpenAlex
- W3023658191
- Cited by
- 425
- References
- 0
- Citations by year
- 2026: 17 · 2025: 25 · 2024: 17 · 2023: 23 · 2022: 37 · 2021: 37 · 2020: 35 · 2019: 22 · 2018: 24 · 2017: 18 · 2016: 17 · 2015: 17 · 2014: 20
- FWCI
- 31.10
- Type
- book
- Language
- en
- Open access
- closed
- Locations
- Cambridge University Press eBooks (publishedVersion)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Epidemiology
- Keywords
- clinical decision-making, clinical decision analysis, decision tree, receiver operating characteristic, cost-effectiveness analysis, Markov model, microsimulation, probabilistic sensitivity analysis, value of information analysis, health policy, risk-benefit trade-off, diagnostic uncertainty, treatment side effects, health economics, health technology assessment
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