基于网络的慢性阻塞性肺部疾病自我管理干预的信息价值分析
Stephanie A Robinson1,2, Marilyn L Moy3,4, John P Ney5,6
1Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, Massachusetts, USA.
概括
信息分析的价值表明,进一步研究慢性阻塞性肺病 (COPD) 基于网络的自我管理是有必要的. 额外的研究可以通过减少成本效益估计的不确定性来节省数百万美元.
科学领域:
- 卫生经济学 卫生经济学
- 肺部病理学 肺部病理学
- 数字健康数字健康
背景情况:
- 基于技术的计划显示,慢性阻塞性肺病 (COPD) 的成本有效管理具有前景.
- 成本效益估计涉及不确定性,对医疗保健决策构成风险.
- 信息价值 (VOI) 分析可以量化减少这种不确定性的价值.
研究的目的:
- 估计基于网络的COPD自我管理干预额外研究的价值.
- 降低与成本效益调查结果的不确定性相关的成本.
- 为未来的COPD数字健康研究重点和投资提供信息.
主要方法:
- 从医疗保健支付者的角度来看,使用了一万次代的成本效益模型.
- 完美信息的预期值 (EVPI) 计算在患者和人口层面.
- 根据基线健康实用性和支付意愿 (WTP) 门,分析了机会成本.
主要成果:
- 在22.7%的模型代中,机会损失发生.
- 患者水平的EVPI为78美元 (95%CI:75-82美元).
- 10年人口水平的EVPI达到了超过5.06亿美元,而WTP的门为5万美元.
结论:
- 研究费用高达5亿美元是合理的,以减少COPD数字健康干预措施的不确定性.
- 未来的研究应该探讨基线健康公用事业对干预成本效益的影响.
- 建议优先考虑基于技术的COPD管理的实施战略.
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