关于进行成本效益分析,方法实践和报告的建议:第二个卫生和医学成本效益小组
Gillian D Sanders1, Peter J Neumann2, Anirban Basu3
1Duke Clinical Research Institute, Duke University, Durham, North Carolina.
卫生和医学成本效益第二小组更新了成本效益分析 (CEA) 的指导方针. 主要建议包括使用两个参考案例和影响清单进行全面分析.
科学领域:
- 健康经济学
- 医疗服务研究
- 公共卫生政策
背景情况:
- 1996年卫生和医学成本效益小组的报告推动了成本效益分析 (CEA) 方法的进步.
- 越来越多的高效医疗服务需求需要强大的分析技术来评估医疗干预的影响.
研究的目的:
- 审查成本效益分析 (CEA) 的现状,并提出改善其质量和应用的最新建议.
- 引导包括研究人员,政策制定者和医疗保健提供者在内的各种利益相关者进行和利用CEA.
主要方法:
- 2012年建立第二个健康和医学成本效益小组,由CEA专家组成.
- 一个为期3.5年的共识建设过程,以制定建议,随后进行外部同行审查和公众评论.
主要成果:
- 建议建立一个"参考案例",使用标准的方法来提高CEA的质量和可比性.
- 倡导从两个角度进行CEA:医疗保健部门的角度和社会角度.
- 引入"影响清单",以系统地列出和澄清医疗保健部门内外的所有后果.
结论:
- 第二个小组的建议旨在标准化和提高成本效益分析的严格性.
- 主要创新包括双重参考案例视角和综合后果评估的影响清单.
- 这些更新对于健康政策和资源分配的明智决策至关重要.
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