Dartmouth Digital Library Program

Measuring quality of life in economic evaluations of treatment for severe mental illness.
Quality of life -- Evaluation. ; Health status indicators. ; Psychiatric rating scales. ; Mental illness -- Treatment -- Evaluation. ; Mental illness -- Treatment -- Economic aspects. ; Mental illness -- Treatment -- Social aspects.
Background. It is not clear whether a generic quality-of-life instrument can appropriately represent severe mental illness in an economic evaluation. This problem is particularly salient for resource-allocation decisions where policymakers compare...
Dartmouth Dissertations

Development and investigation of a decision support system to facilitate shared decision making in community mental health.
Community mental health services -- Decision making. Mentally ill -- Care -- Decision making. Psychotherapist and patient.
Background. Electronic decision support systems (EDSS) using a shared decision making framework may be a new technology to facilitate service planning in public sector mental health care. The case management context is a ripe testing ground for...
Dartmouth Dissertations

Eliciting patients' preferences for the intensity of preference-sensitive health care: An integrated research strategy.
Patients -- Decision making. Patients -- Attitudes. Motivation (Psychology) -- Social aspects. Preferences (Philosophy) Medical care -- Evaluation. Medical care -- Research -- Methodology. Medical care -- Decision making.
Statement of Problem Characterizing the public's preferential attitudes towards relatively more-/less-intense elective options in ""preference-sensitive"" health care situations is particularly relevant for the prioritization policies of...
Dartmouth Dissertations

Valuing health for economic evaluation in spine disorders.
Health status indicators -- Measurement. Health surveys -- Methodology. Medical economics. Spine -- Diseases.
Several ""health state classification systems"" are available to estimate health state values (HSV) for economic evaluation. Evidence of variation in estimates from different systems raises concern that system choice may affect study conclusions...
Dartmouth Dissertations

Explaining hospital costs and utilization in the nationwide inpatient sample
A fuller understanding of cost and utilization, per discharge and for all-payers, is needed at the hospital level. I conducted three studies to address this need. In study 1, I examine the amount of variation in costs and LOS per discharge that can...
Dartmouth Dissertations

Shared decision making for people with severe mental illness.
Mentally ill -- Care -- Decision making. Mental illness -- Treatment -- Decision making. Mental health services -- Decision making. Mental health -- Information services. Medical informatics. Mental Disorders -- drug therapy.
Objective. We explored preferences and perceptions about treatment decision-making roles among persons with severe mental illness and evaluated two computer-based medication values clarification tools. Methods. In this study we conducted a pilot...
Dartmouth Dissertations

Teaching diverse orthopaedic patient populations about deliberative decision making skills : testing a design strategy for online patients' decision aids
Clinical medicine -- Decision making. ; Medical informatics. ; Patient participation. ; Osteoarthritis -- Treatment. ; Knee -- Diseases -- Treatment. ; Decision Making. ; Decision Support Techniques.
Problem Statement. Effective patients' decision aids (PtDAs) help patients understand clinical information and reduce decisional conflict. PtDAs that also explicitly provide guidance through four """"Deliberative Steps"""" may achieve additional...
Dartmouth Dissertations

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