Decision Making in Health and Medicine: Integrating Evidence and Values, 2nd Edition

by M. G. Myriam Hunink, Milton C. Weinstein, Eve Wittenberg, Michael F. Drummond, Joseph S. Pliskin

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. Draws on evidence-based medicine, comparative effectiveness research, and health technology assessment, demonstrating the interdisciplinary nature of medical decision making Uses concepts from clinical medicine, public health, clinical epidemiology, biostatistics, health economics, psychology The accompanying website contains practical supplementary material for class assignments and as an aid to better understanding

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