Download Quality of Life and Technology Assessment (Monograph of the by Institute of Medicine, Council on Health Care Technology PDF

By Institute of Medicine, Council on Health Care Technology

The box of future health care expertise evaluation specializes in using clinical technologies--their affects on safeguard, efficacy, and effectiveness; cost-effectiveness and value profit; caliber; and their social, criminal, and moral implications. This wide-ranging monograph addresses a few of the gaps in knowing future health prestige and caliber of existence, reminiscent of using quality-of-life measures in know-how evaluation, organ transplantation, and pharmaceutical trials. One bankruptcy presents easy references for the technical attributes of many verified measures and a few lesser identified ones. the ultimate bankruptcy bargains suggestions about the acceptable purposes of those measures and highlights components for cooperative research.

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Extra info for Quality of Life and Technology Assessment (Monograph of the Council on Health Care Technology)

Example text

The NHP comprises two parts. Part I consists of a set of 38 yes or no statements relating to six dimensions of social functioning: physical mobility, pain, sleep, energy, social isolation, and emotional reaction. Part II lists seven yes or no statements that refer to the effects of health problems on occupation, ability to perform tasks at home, social life, relationships, sexual functioning, hobbies and interests, and holidays. Quality of Life Questionnaire. This questionnaire has five sections: profession, financial aspects, assessment of symptoms, general life-style, and expectations.

The investigators reinterviewed 63 percent of the patients one year later. Results and Conclusions Patients in the case management group were twice as likely to be readmitted to a mental institution; they stayed longer, incurred higher costs, and used more than twice as many community-based services as the patients in the other group. Investigators found few significant differences in quality-of-life measures between the two groups. They concluded that the experimental case management approach appeared to increase costs substantially without demonstrating any important effect on the quality of life of mental patients.

These results may not be generalizable to therapy at an earlier stage of the disease, or to other types of intermittent treatment. The quality-of-life measures used in this study demonstrate the effectiveness of palliative chemotherapy in improving the quality of life of terminally ill cancer patients. Similar investigations may be possible for other types of metastatic cancer where the probability of survival is low, and where it is unclear whether chemotherapy toxicity is outweighed by a low probability that tumor response will lead to symptom relief.

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