Decision Thresholds and Changes in Risk for Preventive Treatment. (24th November 2014)

• Record Type: Journal Article
• Authors: Courbage, Christophe; Rey, Béatrice
• Is Part Of: Health economics. Volume 25:Number 1(2016)
• Page Start: 111
• Page End: 124
• Publication Date: 2014-11-24
• Subjects: decision threshold -- preventive treatment -- side effects -- changes in risk; Medical economics -- Periodicals; Economics, Medical -- Periodicals; Health Care Costs -- Periodicals; Health Policy -- economics -- Periodicals; Health Services -- economics -- Periodicals; 362.1
• DOI: 10.1002/hec.3127
• Languages: English
• ISSNs: 1057-9230

Abstract

Abstract: This paper investigates the notion of treatment threshold for preventive treatment with potential side effects in the context of changes in risk. Changes in risk are defined by the concept of n th‐order stochastic dominance and concern the effectiveness of preventive treatment, side effects, severity of the potential disease, and comorbidity risk. The impact of a riskier environment on the probability of disease threshold above which the preferable decision is to undergo preventive treatment is shown to depend on both mixed risk averse individual preferences and the configuration of increase in risk considered. These results suggest that neglecting differences between risks when evaluating the treatment threshold is likely to lead to substantial errors in most cost‐benefit applications for preventive treatment. Copyright © 2014 John Wiley & Sons, Ltd.