临床试验是一个具有成本效益的投资吗?
1Department of Health Administration, University of Toronto, Ontario, Canada.
JAMA
|October 6, 1989
概括
临床试验,即使是昂贵的临床试验,也具有强大的经济价值. 这项研究表明,投资随机试验具有成本效益,为人口带来显著的健康益处.
科学领域:
- 卫生经济学 卫生经济学
- 临床研究方法论 临床研究方法论
- 生物医学投资分析
背景情况:
- 评估临床研究的经济可行性对于资金分配至关重要.
- 以前的评估往往侧重于干预措施,而不是试验本身.
- 了解临床试验投资回报率可以为未来的研究重点提供信息.
研究的目的:
- 评估进行随机临床试验的经济吸引力.
- 量化选择的随机试验的成本效益.
- 为决策者提供有关生物医学研究资金的数据.
主要方法:
- 开发了一个成本效益模型来评估七个选择的随机试验.
- 该模型结合了试验绩效的成本和预计的健康状况益处.
- 增量成本效益比率 (ICER) 计算为每节省的生命年.
主要成果:
- 研究的试验的ICERs从每生命年节省的2美元至3美元 (阿司匹林治疗不稳定的心痛) 到每生命年节省的396美元至685美元 (冠状动脉手术研究).
- 这些成本效益比率明显优于已证明有效性的干预措施.
- 调查结果表明,评估的临床试验代表了合理的经济投资.
结论:
- 精选的临床试验,包括一些有争议和昂贵的临床试验,在经济上是有吸引力的投资.
- 临床研究的成本效益支持其在改善人口健康方面的价值.
- 有证据表明,资助生物医学研究,特别是设计精良的试验,是合理的.
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