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1.
Health Care Manag Sci ; 25(4): 725-749, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36001218

RESUMO

Hepatitis C virus (HCV) is one of the leading causes of liver disease and is responsible for massive health and economic burden worldwide. The disease is asymptomatic in its early stages, but it can progress over time to fatal end-stage liver disease. Thus, the majority of individuals infected with HCV are unaware of their chronic condition. Recent treatment options for HCV can completely cure the infection but are costly. We developed a game model between a pharmaceutical company (PC) and a country striving to maximize its citizens' utility. First, the PC determines the price of HCV treatment; then, the country responds with corresponding screening and treatment strategies. We employed an analytical framework to calculate the utility of the players for each selected strategy. Calibrated to detailed HCV data from Israel, we found that the PC will gain higher revenue by offering a quantity discount rather than using standard fixed pricing per treatment, by indirectly forcing the country to conduct more screening than it desired. By contrast, risk-sharing agreements, in which the country pays only for successful treatments are beneficial for the country. Our findings underscore that policy makers worldwide should prudently consider recent offers by PCs to increase screening either directly, via covering HCV screening, or indirectly, by providing discounts following a predetermined volume of sales. More broadly, our approach is applicable in other healthcare settings where screening is essential to determine treatment strategies.


Assuntos
Hepatite C , Humanos , Hepatite C/tratamento farmacológico , Comércio , Israel , Preparações Farmacêuticas
2.
PLoS One ; 16(3): e0249273, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33780507

RESUMO

The internet is flooded with malicious content that can come in various forms and lead to information theft and monetary losses. From the ISP to the browser itself, many security systems act to defend the user from such content. However, most systems have at least one of three major limitations: 1) they are not personalized and do not account for the differences between users, 2) their defense mechanism is reactive and unable to predict upcoming attacks, and 3) they extensively track and use the user's activity, thereby invading her privacy in the process. We developed a methodological framework to predict future exposure to malicious content. Our framework accounts for three factors-the user's previous exposure history, her co-similarity to other users based on their previous exposures in a conceptual network, and how the network evolves. Utilizing over 20,000 users' browsing data, our approach succeeds in achieving accurate results on the infection-prone portion of the population, surpassing common methods, and doing so with as little as 1/1000 of the personal information it requires.


Assuntos
Segurança Computacional , Medição de Risco , Software
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