在多个有效性结果下进行成本效益分析:一种概率方法
Aryana Arsham1,2, Ionut Bebu3, Thomas Mathew2
1Center for Data, Mathematical & Computational Sciences, Goucher College, Baltimore, Maryland, USA.
Statistics in medicine
|July 4, 2023
概括
新的基于概率的标准评估了多种健康结果的成本效益. 这些方法为决策者提供了灵活性,有助于评估与标准护理相比的新治疗方法.
科学领域:
- 卫生经济学 卫生经济学
- 生物统计学 生物统计学
- 临床试验分析临床试验分析
背景情况:
- 评估新疗法需要评估成本效益,尤其是在多项健康结果测量方面.
- 标准方法可能无法充分捕捉成本和多个有效性指标之间的复杂权衡.
研究的目的:
- 提出和研究新的基于概率的标准,以评估新疗法与标准疗法的成本效益.
- 开发灵活的指标,纳入政策制定者的偏好和成本和效益的门.
主要方法:
- 开发了两种条件概率指标:一种是以更低的成本提高有效性,另一种是以更大的健康益处降低成本.
- 使用百分位启动方法来确定参数置信限值,假设多变量正常.
- 采用基于U统计学理论的非参数估计程序.
主要成果:
- 建议的置信限值证明了在数值模拟中准确保持覆盖概率.
- 这些方法在2型糖尿病治疗的案例研究中得到了成功的说明.
结论:
- 开发的基于概率的标准为决策者提供了一个灵活的框架,以评估具有多个有效性指标的新疗法.
- 统计方法为医疗保健决策中的成本效益分析提供了强大的工具.
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