Expected social utility of life time in the presence of a chronic disease.
Interventive action aimed at reducing the incidence of an irreversible chronic noncommunicable disease in a population has various effects. Hopefully, it increases total longevity in the population and it causes the disease to develop later in time in a smaller portion of the population. In this paper a statistical model is built by which these effects can be estimated. A three dimensional probability density function that underlies this model is changed by the interventive action. It is shown how a three dimensional utility function can be defined to appropriately judge this change.
Mulder
P G
PG
Department of Epidemiology and Biostatistics, Erasmus University Medical School, Rotterdam, The Netherlands.
Hempenius
A L
AL
D002318:Cardiovascular Diseases / Q000209:etiology / Q000401:mortality; D002908:Chronic Disease / Q000401:mortality* / Q000523:psychology; D015331:Cohort Studies; D003362:Cost-Benefit Analysis; D003659:Decision Making, Organizational; D005544:Forecasting; D006285:Health Planning / Q000458:organization & administration; D006801:Humans; D015994:Incidence; D008017:Life Expectancy; D008297:Male; D008875:Middle Aged; D015233:Models, Statistical; D011322:Primary Prevention / Q000191:economics / Q000592:standards; D015397:Program Evaluation; D011788:Quality of Life; D012044:Regression Analysis; D012680:Sensitivity and Specificity; D012907:Smoking / Q000009:adverse effects; D000074606:Smoking Prevention; D012945:Social Values; D013269:Stochastic Processes; D026712:Value of Life