Medical technology adoption, uncertainty, and irreversibilities: is a bird in the hand really worth more than in the bush?
研究了当前医疗技术采纳决策如何影响未来治疗选择,发现不可逆性会提升保留未来选项的治疗方式的价值,而部分可逆性可能增加或减少该价值,取决于患者类型分布。
The influence of current medical technology adoption decisions on the use of future potential interventions is often overlooked. Some health interventions, once exercised, restrict future potential interventions for both related and unrelated medical conditions. For example, treatment of a patient with an antibiotic may lead to resistance in that patient that precludes future treatment with the same or related compounds. This irreversibility raises the value of treatment modalities that preserve future treatment options. Surprisingly, partial reversibility with or without learning can either increase or decrease this value, depending on the distribution of patient types within the treated population. Evaluations that ignore these option values miss an important part of the welfare equation that is becoming increasingly important as individuals live longer and the stock of medical treatments increases.