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Related Experiment Videos

Health outcome models for policy analysis.

R M Kaplan1

  • 1Department of Community and Family Medicine, University of California, San Diego, La Jolla 92093.

Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association
|January 1, 1989
PubMed
Summary

A new health policy model uses the "well-year" to measure healthcare benefits. This common unit allows cost-effective comparison of diverse treatments, including behavioral interventions against traditional medicine.

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Area of Science:

  • Health Policy
  • Health Economics
  • Outcomes Research

Background:

  • Limited resources necessitate robust evaluation of new healthcare technologies.
  • Existing cost-effectiveness models struggle with diverse outcome units across different interventions.
  • Comparing vastly different healthcare alternatives (e.g., transplantation vs. prevention) requires a unified metric.

Purpose of the Study:

  • To present a general health policy model for evaluating diverse healthcare interventions.
  • To introduce a common unit of benefit, the "well-year," for standardized comparison.
  • To enable objective assessment of return on investment for various health technologies.

Main Methods:

  • The model defines a "well-year" as one year of full health.

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  • It integrates life expectancy data with health-related quality of life (HRQoL) metrics.
  • HRQoL incorporates mobility, physical activity, social activity, and symptom data, weighted by utility (0=death, 1=optimal health).

    • Main Results:

    • The model provides a unified framework to compare disparate healthcare approaches.
    • Preliminary analysis indicates behavioral interventions are cost-effective per well-year.
    • This model facilitates comparison of interventions like transplantation, rehabilitation, and preventive care.

    Conclusions:

    • The "well-year" model offers a standardized approach to health technology assessment.
    • It allows for equitable comparison of diverse healthcare strategies based on value.
    • Behavioral interventions show promising cost-effectiveness relative to traditional medical and surgical treatments.