An economic perspective on evidence-based patient choice in surgery
Authors: Salkeld G.1; Solomon M.J.2
Source: ANZ Journal of Surgery, Volume 73, Number 6, June 2003 , pp. 427-430(4)
Publisher: Blackwell Publishing
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Abstract:
The aim of the present paper is to provide an economic perspective on current and emerging issues relating to surgical decision-making. The central issue discussed in the paper is choice and how this relates to patient management. The paper explores three factors that may influence the nature of choice; they are - evidence-based medicine, patient involvement in making choices and the role of cost-effectiveness analysis in surgery. Together, these factors are driving a shift from the traditional model of care based on medical beneficence to one based more on individual patient autonomy. This shift has been described as a move towards ‘evidence-based patient choice’ (EBPC). The concept of EBPC is relatively new and ill defined. Yet it encapsulates what is happening now and what will occur more dramatically in the future; that is, the nature of the relationship between surgeon and patient is changing. We hope that this paper will provoke discussion on the concept of EBPC and cost-effectiveness analysis in surgical decision-making.Document Type: Research article
DOI: 10.1046/j.1445-2197.2003.t01-1-02648.x
Affiliations: 1: Surgical Outcomes Research Centre (SOuRCe), School of Public Health and 2: Department of Surgery, University of Sydney, Sydney, New South Wales, Australia
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