多方利益相关者对美国健康干预措施价值评估的附加价值元素的看法
R Brett McQueen1, Andras Inotai2, Antal Zemplenyi3
1Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
概括
健康的人在评估健康技术价值时优先考虑疾病严重程度和脆弱人群. 这些额外的价值元素,以及以患者为中心的因素,对于为医疗保健决策提供信息和提高评估一致性至关重要.
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
- 决策科学科学 决策科学
背景情况:
- 传统的成本效益方法在捕捉卫生技术的全部价值方面存在局限性.
- 需要将额外的价值元素纳入卫生技术评估中.
- 在了解这些额外价值元素如何影响决策方面存在差距.
研究的目的:
- 从美国健康个体的角度来看,优先考虑额外的价值元素.
- 为了比较视角特定价值元素在医疗技术评估中的重要性.
- 为制定价值框架和美国政府评估提供信息.
主要方法:
- 一个有针对性的文献审查确定和分类了额外的价值元素.
- 进行了一项基于多个利益相关者的群体偏好诱导研究 (N=28).
- 利益相关者对价值元素进行了排名并生成了正常化权重,将其与以患者为中心的元素进行比较.
主要成果:
- 排名最高的附加值因素是"疾病的严重程度" (26.2%) 和"弱势和脆弱的目标人群高度代表" (21.8%).
- "更广泛的经济影响" (17.3%),"风险保护" (13.8%),"疾病的稀有性" (11.3%),和"新的作用机制" (9.7%) 也是显著的.
- 附加值元素的相对权重为52%,而以患者为中心的价值元素的相对权重为48%.
结论:
- 调查结果可以为价值框架和美国政府评估的优先设定提供信息.
- 基于小组的诱导方法是可重复的,并且对结构化的审议过程有价值.
- 这种方法可以提高评估中利益相关者所重视的要素的一致性和可预测性.
相关概念视频
01:29Concepts of Health and Illness
14.5K
Health is a condition of the body, mind, and spirit where an individual remains free from illness. Similarly, wellness is an active state, including living a lifestyle that promotes physical, mental, and emotional health. Physical health is critical for the overall well-being and can be affected by lifestyle, activity level, diet, and behavior. The highest attainable standard of health is a fundamental and universal human right. Consider Lisa, a fifteen-year-old born with congenital...
14.5K
01:25Models of Health Promotion and Illness Prevention I
2.0K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.0K
01:23Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
133
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
133
01:29Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.2K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
2.2K
01:18Models of Health Promotion and Illness Prevention II
1.6K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
1.6K
01:26Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K