TY - JOUR PY - 1998// TI - Treatment choices by seriously ill patients: the Health Stock Risk Adjustment model JO - Medical decision making A1 - Gaskin, D. J. A1 - Kong, J. A1 - Meropol, N. J. A1 - Yabroff, K. Robin A1 - Weaver, C. A1 - Schulman, K. A. SP - 84 EP - 94 VL - 18 IS - 1 N2 - Anecdotal evidence suggests that patients who have life-threatening conditions often choose to undergo high-cost, high-risk treatments for them. This kind of risk-seeking behavior seems irrational because most patients are risk-averse. The Health Stock Risk Adjustment (HSRA) model seeks to explain this phenomenon. The model is based on the concept of relative health stock--the ratio of patients' expected quality-adjusted life years (QALYs) after a diagnosis to their expected QALYs before the diagnosis. The model predicts risk-averse patients will behave in a risk-seeking manner as their relative health stocks deteriorate. The HSRA model can help physicians better understand why some seriously ill patients seek high-risk treatments while others elect to forgo treatment. State legislatures and insurers are attempting to appropriately design insurance benefits for patients with life-threatening conditions. The HSRA model can help predict which patients will most likely take advantage of these benefits.
Language: en
LA - en SN - 0272-989X UR - http://dx.doi.org/ ID - ref1 ER -