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手术的经济学手术的经济学

J E Brazier¹, A G Johnson

¹Sheffield Health Economics Group, School of Health and Related Research, University of Sheffield, UK. jbrazier@sheff.ac.uk

Lancet (London, England)

|October 12, 2001

概括

经济评估对于诸如胆结石切除之类的手术程序至关重要. 评估成本和效益,包括患者的生活质量,确保采用具有成本效益的外科创新.

科学领域:

卫生经济学卫生经济学
手术方面的创新.
比较有效性研究比较有效性研究.

背景情况:

胆结石病很普遍,需要手术干预,门不同.
胆结石的手术治疗已经出现了创新,但经济评估并不频繁.
操作率的增加凸显了对资源影响评估的需要.

研究的目的:

倡导严格的经济评估在外科手术,反映其他医疗保健部门.
强调手术技术的成本效益分析的重要性.
促进将经济评估纳入外科手术实践.

主要方法:

对手术干预的成本和收益的比较评估.
在常规环境中利用经过良好的临床试验的数据.
纳入患者报告的生活质量作为关键结果指标.
采用建模来整合临床试验之外的各种证据来源.

主要成果:

对创新的胆结石去除技术 (腹腔镜,迷你胆囊切除术,石术) 的经济评估是罕见的.
在某些地区,胆结石去除的操作率显著增加.
现有的经济评估不足以指导采用新的外科手术方法.

结论:

经济评估对于外科手术与其他干预措施竞争至关重要.
具有成本效益的证据,加上适当的补偿,是影响外科实践的关键.
整合经济评估和生活质量措施将推动基于证据的外科采用.

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