Notes:
Here is an example of the patient perspective using my representation.
Multiple Attributes represented as scales, not lone terms; heterogeneous in nature
Psychometric classifications: Intervals, dichotomous scales, nominal ordered scales
Here’s How I Imagine Using This representation:
- to address the Need for a method of relating the axes of the individual perspective to a utility model.
- I have devised a way to translate between ordered attribute scales and the utility of health states.
Necessary Features present For Individual’s Value System Representation
- to fully represent the individual, we use an exhaustive set of dimensions
- to cover the potential scope, we verify endpoints are extremes
- to be useful for comparing decision options, bipolar scales must be measurable attributes or in the words of Keeney & Raiffa, a complete list, attribute scales with comprehensive scope and have operational quality
- missing features from Keeney & Raiffa’s required list for rational decision making are: non-redundant when the individual is redundant minimized problem dimension when the individual is does not minimize dimension
Medical Decision Analysis depends upon
- Von Neumann-Morgenstern utility perspective
- which relies upon the assignment of a number between 0 and 1 to any state considered
- properly structured elicitation produces ordered attribute scales suitable for mapping to such intervalsSo how do we get a complete, comprehensive, operational list of attribute scales?