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Patient experience – the ingredient missing from cost-effectiveness calculations

机译:患者经验–成本效益计算中缺少的成分

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Abstract: Standard cost-effectiveness calculations as used by the UK National Institute of Clinical Excellence compare the net benefit of an intervention with the financial costs to the health service. Debates about public health interventions also focus on these factors. The subjective experience of the patient, including financial costs and also transient pain, distress, and indignity, is routinely ignored. I?carried out an Internet survey which showed that members of the public assign a high financial cost to routine medical interventions such as taking a tablet regularly or attending a clinic for an injection. It is wrong to ignore such costs when attempting to obtain an overall evaluation of the benefit of medical interventions.
机译:摘要:英国国家临床卓越研究所使用的标准成本效益计算方法将干预措施的净收益与医疗服务的财务成本进行了比较。关于公共卫生干预的辩论也集中在这些因素上。通常会忽略患者的主观经验,包括经济费用以及短暂的疼痛,困扰和侮辱。我进行了一项互联网调查,结果显示,公众为例行的医疗干预(例如定期服用药片或去诊所进行注射)付出了高昂的财务费用。试图对医疗干预的益处进行全面评估时,忽略此类费用是错误的。

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