Quality of Life and Technology Assessment

Publisher: National Academies Press
ISBN: 9780309040983
eISBN Pdf: 9780309582209
Place of publication: United States
Year of digital publication: 1989
Month: January
Pages: 131
DDC: 615
Language: English

Caption

The field of health care technology assessment focuses on the use of medical technologies—their impacts on safety, efficacy, and effectiveness; cost-effectiveness and cost benefit; quality; and their social, legal, and ethical implications. This wide-ranging monograph addresses some of the gaps in understanding health status and quality of life, such as the use of quality-of-life measures in technology assessment, organ transplantation, and pharmaceutical trials. One chapter provides basic references for the technical attributes of many established measures and some lesser known ones. The final chapter offers recommendations concerning the appropriate applications of these measures and highlights areas for cooperative research.

Quality of Life and Technology Assessment
Copyright
Acknowledgments
Preface
Contents
1 Conceptual Background and Issues in Quality of Life
- CONCEPTUAL BACKGROUND
  - A Continuum of Health-Related Measures
  - Health Status
  - Quality-of-Life Measures
- ISSUES RELATING TO SELECTING HEALTH AND QUALITY-OF-LIFE MEASURES
- REFERENCES
2 The Use of Quality-of-Life Measures in Technology Assessment
- LITERATURE REVIEWS
  - Study Design
  - Not Reinventing the Wheel
- THE VALUE OF ASSESSING QUALITY OF LIFE AS AN OUTCOME
  - Work Status
- DIAGNOSIS—AN OPEN PROBLEM
- ROLES OF THE EXAMPLES
- TWELVE APPLICATIONS OF QUALITY-OF-LIFE MEASURES TO TECHNOLOGY ASSESSMENT
  - Study 1. Antihypertensive Medications
    - Key
    - Description of Measures
    - Purpose of the Study
    - Methods
    - Results and Conclusions
    - Comments
  - Study 2. Arthritis Medications
    - Key
    - Description of Measures
    - Purpose of the Study
    - Methods
    - Results and Conclusions
    - Comments
  - Study 3. Adjuvant Chemotherapy
    - Key
    - Description of Measures
    - Purpose of the Study
    - Methods
    - Results and Conclusions
    - Comments
  - Study 4. Alternative Chemotherapy Regimens in Advanced Breast Cancer
    - Key
    - Description of Measures
    - Purpose of the Study
    - Methods
    - Results and Conclusions
    - Comments
  - Study 5. Counseling for Stage IV Cancer
    - Key
    - Description of Measures
    - Purpose of the Study
    - Methods
    - Results and Conclusions
    - Comments
  - Study 6. Surgery for Breast Cancer
    - Key
    - Description of Measures
    - Purpose of the Study
    - Methods
    - Results and Conclusions
    - Comments
  - Study 7. Cardiac Transplant and Coronary Artery Bypass Graft Surgery
    - Key
    - Description of Measures
    - Purpose of the Study
    - Methods
    - Results and Conclusions
    - Comments
  - Study 8. Cardiac Rehabilitation Programs
    - Key
    - Description of Measures
    - Purpose of the Study
    - Methods
    - Results and Conclusions
    - Comments
  - Study 9. Long-term Dialysis and Renal Transplant
    - Key
    - Description of Measures
    - Purpose of the Study
    - Methods
    - Results and Conclusions
    - Comments
  - Study 10. Renal Transplantation and Dialysis
    - Key
    - Description of Measures
    - Purpose of the Study
    - Methods
    - Results and Conclusions
    - Comments
  - Study 11. Case Management and Usual and Customary Services for Chronically Mentally Ill Patients
    - Key
    - Description of Measures
    - Purpose of the Study
    - Methods
    - Results and Conclusions
    - Comments
  - Study 12. Health Insurance Payment Mechanisms
    - Key
    - Description of Measures
    - Purpose of the Study
    - Methods
    - Results and Conclusions
    - Comments
- REFERENCES
3 Quality-of-Life Measures in Liver Transplantation
- QUALITY-OF-LIFE MEASURES
  - Alterations in Neuropsychiatric Testing
  - Ability to Return to Work, School, or Prior Social Situation
  - Presence of Psychopathology
  - Scores on Specific Quality-of-Life Questionnaires
- CONCLUSIONS
- REFERENCES
4 Quality-of-Life Measures and Methods Used to Study Antihypertensive Medications
- REFERENCES
5 The Use of Quality-of-Life Measures in the Private Sector
- METHOD OF STUDY
  - Private-Sector Research in Quality of Life
  - Food and Drug Administration Perspective
  - Private Industry Perspective
- RESULTS OF THE QUALITY-OF-LIFE SURVEY
  - Pharmaceutical Industry
  - Medical Device Companies
- CONCLUSIONS
- REFERENCES
- SELECTED FURTHER READING
6 Assessing Quality of Life: Measures and Utility
- ISSUES IN SELECTING QUALITY-OF-LIFE MEASURES
  - Disease-Specific Versus Global Assessments
  - Clinical Endpoints Versus Long-Term Outcomes
  - Patient Ratings Versus Proxy Assessments
  - Objective Versus Subjective Measures
  - Cognitive Functioning
  - Ratings and Utilities
  - Timing of the Assessments
  - Summary
- STRATEGIES USED TO ASSESS INSTRUMENTS
  - Reliability
  - Validity
- A REVIEW OF SELECTED MEASURES FOR ASSESSING QUALITY OF LIFE
- A REVIEW OF UTILITY ASSESSMENTS IN QUALITY OF LIFE
- THREE SOURCES OF DESCRIPTIVE INFORMATION FOR QUALITY-OF-LIFE MEASURES
- TEN REVIEW FORMS FOR QUALITY-OF-LIFE MEASURES
  - 1. Review Form for Quality of Life Index and Quality of Life Uniscale
    - Primary References:
    - References and Applications:
  - 2. Review Form for Life Situation Survey
    - Primary Reference:
    - References:
  - 3. Review Form for Quality of Life Index
    - Primary Reference:
    - Reference:
  - 4. Review Form for the Quality of Life Index for Colostomy Patients
    - Primary Reference:
    - Reference:
  - 5. Review Form for Quality of Life Index
    - Primary Reference:
    - Reference:
  - 6. Review Form for Karnofsky Index of Performance Status (KPS)
    - Primary Reference:
    - References:
  - 7. Review for Functional Living Index—Cancer
    - Primary Reference:
    - References and Applications:
  - 8. Review Form for Selby et al.'s Quality of Life Measure
    - Primary Reference:
    - References and Applications:
  - 9. Review Form for Linear Analogue Self-Assessment
    - Primary References:
    - References and Applications:
  - 10. Review Form for Breast Cancer Chemotherapy Questionnaire
    - Primary Reference:
- REFERENCES
7 Applications of Quality-of-Life Measures and Areas for Cooperative Research
- REFERENCE
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