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WFRF:(Hodgson Shirley)
 

Sökning: WFRF:(Hodgson Shirley) > Points to consider ...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
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003SE-LIBR
00520170322162000.0
007cr||||||||||||
008170322s2015 sw |||| o |||| ||eng c
024a http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-2457992 uri
024a urn:nbn:se:uu:diva-2457992 urn
024a 10.1038/ejhg.2014.1902 doi
040 a S
041a eng
042 9 EPLK
100a Severin, Franziska4 aut
2451 0a Points to consider for prioritizing clinical genetic testing servicesh [Elektronisk resurs]b a European consensus process oriented at accountability for reasonableness
260 c 2015
500 a Published
506a gratis
520 a Given the cost constraints of the European health-care systems, criteria are needed to decide which genetic services to fund from the public budgets, if not all can be covered. To ensure that high-priority services are available equitably within and across the European countries, a shared set of prioritization criteria would be desirable. A decision process following the accountability for reasonableness framework was undertaken, including a multidisciplinary EuroGentest/PPPC-ESHG workshop to develop shared prioritization criteria. Resources are currently too limited to fund all the beneficial genetic testing services available in the next decade. Ethically and economically reflected prioritization criteria are needed. Prioritization should be based on considerations of medical benefit, health need and costs. Medical benefit includes evidence of benefit in terms of clinical benefit, benefit of information for important life decisions, benefit for other people apart from the person tested and the patient-specific likelihood of being affected by the condition tested for. It may be subject to a finite time window. Health need includes the severity of the condition tested for and its progression at the time of testing. Further discussion and better evidence is needed before clearly defined recommendations can be made or a prioritization algorithm proposed. To our knowledge, this is the first time a clinical society has initiated a decision process about health-care prioritization on a European level, following the principles of accountability for reasonableness. We provide points to consider to stimulate this debate across the EU and to serve as a reference for improving patient management.
650 7a Medical and Health Sciences2 hsv
650 7a Health Sciences2 hsv
650 7a Health Care Service and Management, Health Policy and Services and Health Economy2 hsv
650 7a Medicin och hälsovetenskap2 hsv
650 7a Hälsovetenskaper2 hsv
650 7a Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi2 hsv
700a Borry, Pascal4 aut
700a Cornel, Martina C4 aut
700a Daniels, Norman4 aut
700a Fellmann, Florence4 aut
700a Victoria Hodgson, Shirley4 aut
700a Howard, Heidi C4 aut
700a John, Jürgen4 aut
700a Kääriäinen, Helena4 aut
700a Kayserili, Hülya4 aut
700a Kent, Alastair4 aut
700a Koerber, Florian4 aut
700a Kristoffersson, Ulf4 aut
700a Kroese, Mark4 aut
700a Lewis, Celine4 aut
700a Marckmann, Georg4 aut
700a Meyer, Peter4 aut
700a Pfeufer, Arne4 aut
700a Schmidtke, Jörg4 aut
700a Skirton, Heather4 aut
700a Tranebjærg, Lisbeth4 aut
700a Rogowski, Wolf H4 aut
7101 2a Uppsala universitetb Medicinska och farmaceutiska vetenskapsområdet4 pbl
7721 8i channel recordw 19753896
7730 8i Värdpublikationt European Journal of Human Geneticsg 23, 729-735x 1018-4813
8564 0u http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-245799
8564 0u http://dx.doi.org/10.1038/ejhg.2014.190
8564 0u http://uu.diva-portal.org/smash/get/diva2:791534/FULLTEXT01
841 5 APISa x ab 170322||0000|||||001||||||000000e 1
0245 APISa urn:nbn:se:uu:diva-2457992 urn
852 5 APISb APIS
8564 05 APISu http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-245799

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