費用対効果分析の実施,方法論的実践,および報告に関する勧告:保健医療における費用対効果に関する第2回パネル
Gillian D Sanders1, Peter J Neumann2, Anirban Basu3
1Duke Clinical Research Institute, Duke University, Durham, North Carolina.
JAMA
|September 14, 2016
まとめ
医療と医療における費用対効果に関する第2パネルは,費用対効果分析 (CEA) のガイドラインを更新しました. 重要な勧告は,2つの参照ケースの視点と包括的な分析のためのインパクトインベントリを使用することです.
科学分野:
- 健康 経済
- 医療サービス研究
- 公衆衛生政策
背景:
- 医療と医療における費用対効果に関するパネルの1996年の報告書は,費用対効果分析 (CEA) の方法の進歩を促した.
- 医療の効率的な提供に対する需要が増えるため,健康への介入の結果を評価するための強力な分析技術が必要になります.
研究 の 目的:
- 費用対効果分析 (CEA) の現状を見直し,その質と適用を改善するための最新の勧告を提案する.
- 研究者,政策立案者,ヘルスケアプロバイダーを含む様々な利害関係者をCEAの実施と利用に導く.
主な方法:
- 2012年にCEAの専門家からなる第2次費用対効果に関するパネルの設立
- 3年半のコンセンサス構築プロセスを経て,勧告を策定し,その後は外部ピアレビューと公衆のコメントを提出する.
主要な成果:
- CEAの質と比較性を高めるために,標準的な方法論的慣行を持つ"基準ケース"を確立することを推奨する.
- 医療セクターと社会という2つの観点からCEAを実施することを提唱しています.
- 医療セクター内外のすべての影響を体系的にリストアップし,明確にするために"インパクトインベントリ"を導入します.
結論:
- 第2パネルの勧告は,費用対効果の分析の標準化と厳格性を改善することを目的としています.
- 重要なイノベーションは,二重基準ケースの視点と,包括的な結果評価のためのインパクトインベントリです.
- これらの更新は,健康政策と資源配分における情報に基づいた意思決定に不可欠です.
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