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Recomendaciones para la realización, las prácticas metodológicas y la presentación de informes de los análisis de

Gillian D Sanders¹, Peter J Neumann², Anirban Basu³

¹Duke Clinical Research Institute, Duke University, Durham, North Carolina.

|September 14, 2016

Resumen

El segundo grupo de expertos sobre la relación coste-eficacia en la salud y la medicina actualizó las directrices para el análisis de la relación coste-eficacia. Las recomendaciones clave incluyen el uso de dos perspectivas de casos de referencia y un inventario de impacto para un análisis exhaustivo.

Área de la Ciencia:

Economía de la salud
Investigación en servicios de salud
Política de salud pública

Sus antecedentes:

El informe de 1996 del Grupo de expertos sobre la relación coste-eficacia en la salud y la medicina impulsó los avances en los métodos de análisis de la relación coste-eficacia.
La creciente demanda de una prestación de asistencia sanitaria eficiente requiere técnicas analíticas sólidas para evaluar las consecuencias de las intervenciones sanitarias.

Objetivo del estudio:

Revisar el estado actual del análisis de la rentabilidad y proponer recomendaciones actualizadas para mejorar su calidad y aplicación.
Orientar a las diversas partes interesadas, incluidos los investigadores, los responsables políticos y los proveedores de atención médica, en la realización y utilización de la AEC.

Principales métodos:

Formación del segundo grupo de expertos sobre la relación coste-eficacia en la salud y la medicina en 2012, compuesto por expertos en CEA.
Un proceso de construcción de consenso de 3,5 años para desarrollar recomendaciones, seguido de una revisión externa por pares y comentarios del público.

Principales resultados:

Recomienda el establecimiento de un "caso de referencia" con prácticas metodológicas estándar para mejorar la calidad y la comparabilidad de las EAC.
Aboga por la realización de la EAC desde dos perspectivas: una perspectiva del sector de la salud y una perspectiva social.
Introduce un "inventario de impacto" para enumerar y aclarar sistemáticamente todas las consecuencias, tanto dentro como fuera del sector sanitario.

Conclusiones:

Las recomendaciones del Segundo Grupo tienen por objeto estandarizar y mejorar el rigor de los análisis de rentabilidad.
Las innovaciones clave incluyen perspectivas de casos de referencia duales y el inventario de impacto para una evaluación integral de las consecuencias.
Estas actualizaciones son cruciales para la toma de decisiones informadas en la política de salud y la asignación de recursos.

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