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价值评估的健康的替代措施:同等价值生命年
Jonathan D Campbell1, Melanie D Whittington2, Steven D Pearson2
1Institute for Clinical and Economic Review, 14 Beacon Street, 8th Floor, Boston, MA, 02108, USA. jcampbell@icer.org.
PharmacoEconomics
|July 17, 2023
概括
同等价值寿命年 (evLY) 为成本效益分析提供了质量调整寿命年 (QALY) 的替代方案. 它解决了人们对QALYs低估慢性残疾治疗的担忧,确保公平的医疗技术评估.
科学领域:
- 卫生经济学 卫生经济学
- 卫生技术评估 卫生技术评估
- 结果测量 结果测量
背景情况:
- 经质量调整的寿命年 (QALY) 是成本效益分析中的标准指标.
- QALYs可能低估了有利于慢性残疾人的治疗方法.
- 有关QALY在医疗技术评估中的公平应用存在担忧.
研究的目的:
- 分析等价值生命年 (evLY) 的优缺点,作为QALY的替代或补充.
- 在健康技术评估中使用evLY的经验分享.
- 为evLY提供一个概念上的理由和估计方法.
主要方法:
- 对evLY措施的概念分析.
- 描述evLY估计方法的描述.
- 对QALY和evLY结果进行比较分析.
- 开发一个可下载的工具,用于evLY估计.
主要成果:
- 渐进式的evLYs是可行的,并解决慢性残疾治疗方法的低估.
- 每次EVLY的84,000美元的门与每次QALY的100,000美元的门一致.
- evLY提供了一定的健康益处,可以补充或替代QALY.
结论:
- evLY是成本效益分析的一个有价值的工具,特别是在对慢性疾病或残疾患者有益的治疗方面.
- 建议在全面的医疗技术评估中将evLY与QALY一起报告.
- 在QALY使用受到质疑的环境中,evLY可能特别重要,例如美国.
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