Medical decision making : an international journal of the Society for Medical Decision Making
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Multicenter Study
Advance care planning norms may contribute to hospital variation in end-of-life ICU use: a simulation study.
There is wide variation in end-of-life (EOL) intensive care unit (ICU) use among academic medical centers (AMCs). Our objective was to develop hypotheses regarding medical decision-making factors underlying this variation. ⋯ In this simulation study of 2 AMCs, hospital-based physicians had different perceptions of an identical case. We hypothesize that different advance care planning norms may have influenced their decision-making heuristics.
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There is widespread recognition that interventions targeting "superspreaders" are more effective at containing epidemics than strategies aimed at the broader ⋯ Our approach offers a means of estimating willingness to pay for search costs associated with targeted vaccination of superspreaders, which can inform policies regarding whether a targeted intervention should be implemented and, if so, up to what levels.