首页|Utility analysis for clinical decision-making in small treatment settings.
Utility analysis for clinical decision-making in small treatment settings.
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Data-driven clinical decision-making can be difficult in settings that service relatively few patients because of the small samples available, the patients' potential dissimilarity from participants in published research, and highly limited resources. This study was designed to demonstrate how utility analyses might assist clinical decision-making in small treatment settings and provide data for promoting programmatic improvements. Data came from a study to identify rural juvenile delinquents suspected to not benefit from residential behavioral treatment. A prospective correlational design was used with data from a midwestern juvenile criminal justice residential unit in which about 30 males were treated annually. Outcomes included treatment performance measures and number of delinquent offenses during the year after treatment. Utility analyses suggested that delinquents who were less likely to benefit from residential treatment could be identified a priori using a modified Psychopathy Checklist, Revised. Cost utility analysis estimated
Cost-Benefit AnalysisCosts and Cost AnalysisDecision MakingOutcome Assessment Health Care费用效益分析成本及成本分析判定
Ridenour TA、Treloar JH、Dean RS
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Penn State University, Prevention Research Center, University Park, PA 16801, USA. tari3@psu.edu