PMID: 2504801Sep 1, 1989Paper

Methodologic issues in policy modeling for cardiovascular disease

Journal of the American College of Cardiology
M C Weinstein

Abstract

Clinical decision models are intended to guide the choices of individual clinicians; policy models are intended to guide the choices of persons and organizations that affect the aggregate allocations of resources to health care problems. Although it is difficult to identify any single policymaker in the United States who can alter the aggregate effect of the millions (or billions) of individual clinical decisions, there are many potential users of policy models: payers, providers, state and local health departments, the National Institutes of Health, professional organizations, hospitals and producers of medical devices, among others. Policy models deal with populations of individuals, may be static or dynamic and may be descriptive or prescriptive. Two types of policy models that have been applied to cardiovascular disease with a focus on coronary artery bypass surgery are discussed: 1) economic evaluation models, specifically cost-effectiveness, cost utility and cost-benefit analyses; and 2) population simulation models. Cost-effectiveness models are preferable for reasons that are discussed.

References

Mar 31, 1977·The New England Journal of Medicine·M C Weinstein, W B Stason
Jan 1, 1985·Annual Review of Public Health·M C Weinstein, W B Stason
Jan 1, 1986·Social Science & Medicine·G GuyattR Labelle
Jan 1, 1985·Medical Decision Making : an International Journal of the Society for Medical Decision Making·P DoubiletM C Weinstein
Nov 1, 1984·Medical Care·M H Boyle, G W Torrance

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Citations

Mar 1, 1993·The American Journal of Cardiology·W S WeintraubR A Guyton
May 6, 2006·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·M T HalpernB Geneste
Dec 26, 2006·Health Care Management Science·K CooperJ Raftery
Oct 1, 1993·Medical Decision Making : an International Journal of the Society for Medical Decision Making·R W KleinJ R Wilson
Sep 23, 2008·Journal of Health Services Research & Policy·David Taylor-RobinsonSimon Capewell
Jul 1, 1993·Stroke; a Journal of Cerebral Circulation·L W NiessenP J Koudstaal
Jun 5, 2013·Primary Care Respiratory Journal : Journal of the General Practice Airways Group·Susannah McLeanAziz Sheikh

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