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Which Nontraditional Outcomes Should Be Measured in Healthcare Decision‐Making in Schizophrenia? A Systematic Review
Author(s) -
Vieta Ana,
Badia Xavier,
Álvarez Enric,
Sacristán José A.
Publication year - 2012
Publication title -
perspectives in psychiatric care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.538
H-Index - 35
eISSN - 1744-6163
pISSN - 0031-5990
DOI - 10.1111/j.1744-6163.2011.00325.x
Subject(s) - health care , schizophrenia (object oriented programming) , patient choice , inclusion (mineral) , medicine , mental healthcare , health professionals , clinical decision making , psychology , psychiatry , nursing , family medicine , mental health , social psychology , political science , law
PURPOSE: This article aims to define the utility of nontraditional outcomes (NTOs) in healthcare decision‐making in schizophrenia. DESIGN AND METHODS: A systematic review of studies published between January 1, 1996, and December 31, 2008, was performed. A 10‐point evidence‐based utility index (UI) was used to assess the utility of NTOs: high (UI: 7.5–10), medium (UI: ≥5 to <7.5), and low (UI: <5) utility. FINDINGS: Of 736 citations identified, 94 met inclusion criteria. One hundred ninety‐four NTOs were identified (patient reported outcomes [38.7%] and economic outcomes [61.3%]). Of these, 68 (35.1%) were appropriate for decision making. PRACTICE IMPLICATIONS: Numerous NTOs with low utility in schizophrenia are being used for healthcare policy and clinical care by policy makers, managers, and healthcare professionals. Medium and low utility NTOs should be used with caution.