ナショナル・インスティテュート・フォー・クリニカル・エクセレンス (NICE) の意思決定のための合理的な枠組み
Karl Claxton1, Mark Sculpher, Michael Drummond
1Department of Economics and Related Studies, University of York, Heslington, York, UK. kpc1@york.ac.uk
Lancet (London, England)
|September 21, 2002
まとめ
この研究は,医療当局が証拠に基づいた新しい医療技術をいつ採用するかを決定するのに役立つ新しい枠組みを導入しています. テクノロジーを承認するか,将来の評価のためにさらなる研究を要求するかの決定を導く.
科学分野:
- 健康経済学とは
- 医療技術の評価 医療技術の評価
- 規制科学とは,規制に関する科学です.
背景:
- 規制機関と補償機関は,証拠の不確実性のために,新しい医療技術を採用する上で課題に直面しています.
- 技術の採用に関する決定は,しばしば証拠の十分性とさらなる研究の必要性を混同します.
研究 の 目的:
- 医療技術の評価のための分析的枠組みを提示する.
- 現在の証拠に基づいた養子縁組の決定と,将来の研究の需要を区別する.
- 規制当局と払い戻し当局の意思決定の過程を導くために.
主な方法:
- 採用決定と研究要求を分離するための分析的枠組みを開発した.
- フレームワークを新しいアルツハイマー病の薬物治療を含むケーススタディに適用しました.
- ケーススタディのアプリケーションのために,公開された分析を使用しました.
主要な成果:
- このフレームワークは,技術特性に基づいて,証拠要件が大きく異なることを示しています.
- 必要な証拠の量と種類は,医療技術によって大きく異なります.
- このフレームワークは,将来の研究研究の効率的な設計に役立ちます.
結論:
- 提案された枠組みは,医療技術評価に対する構造的なアプローチを提供します.
- テクノロジーの採用に関する規制および払い戻しに関する決定に明確性をもたらします.
- このフレームワークは,根拠に基づいた意思決定を支援し,研究投資を最適化します.
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