Differences in Health Values among Patients, Family Members, and Providers for Outcomes in Schizophrenia

Objective. The objectives of this study were to determine whether there are important differences in how patients, family members, and health care providers (HCPs) value health outcomes in schizophrenia and to assess the degree to which such differences, if they exist, could adversely affect clinica...

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Bibliographic Details
Published in:Medical care 2000-10, Vol.38 (10), p.1011-1021
Main Authors: Lenert, Leslie A., Ziegler, Jennifer, Lee, Tina, Sommi, Roger, Mahmoud, Ramy
Format: Article
Language:English
Subjects:
Adult
Adverse effects
Analysis of Variance
Antipsychotic agents
Antipsychotic Agents - adverse effects
Antipsychotic Agents - therapeutic use
Attitude of Health Personnel
Attitude to Health
Consumer Behavior
Cross-Sectional Studies
Drug effects
Family
Family members
Female
Gold standard
Humans
Male
Medical personnel
Mental health outcomes
Odds Ratio
Parkinson Disease, Secondary - etiology
Patient Simulation
Quality of Life
Schizophrenia
Schizophrenia - drug therapy
Schizophrenic Psychology
Symptoms
Treatment Outcome
United States
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Summary:Objective. The objectives of this study were to determine whether there are important differences in how patients, family members, and health care providers (HCPs) value health outcomes in schizophrenia and to assess the degree to which such differences, if they exist, could adversely affect clinical and policy decision making. Methods. Participants viewed videotaped depictions of simulated patients with mild and moderate symptoms of schizophrenia, with and without a common adverse drug effect (pseudoparkinsonism), and then provided standard gamble and visual analog scale ratings of desirability of these states. Subjects. A convenience sample of unrelated patients (n = 148), family members of patients (n = 91), and HCPs (nurses, psychologists, doctors of pharmacy, and doctors of medicine; n = 99) was drawn from geographically and clinically diverse environments. Results. Patients' and family members' utilities for health states averaged 0.1 to 0.15 units higher than those of HCPs (P
ISSN:0025-7079
1537-1948
DOI:10.1097/00005650-200010000-00005