使用通用线性模型估计与疾病相关的成本模型国家:一个教程
Junwen Zhou1, Claire Williams2, Mi Jun Keng2
1Health Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Old Road Campus, Headington, Oxford, OX3 7LF, UK. junwen.zhou@ndph.ox.ac.uk.
PharmacoEconomics
|November 10, 2023
概括
本教程指导医疗保健成本估计,用于使用患者级数据的决策分析模型. 它提供了一种实用的,逐步的方法来建模与特定疾病状态相关的医疗保健成本.
科学领域:
- 卫生经济学 卫生经济学
- 生物统计学 生物统计学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 决策分析模型需要准确的疾病成本估计来评估干预措施.
- 患者级数据和异质性越来越多地被用于建模,要求个性化成本数据.
- 医疗保健成本数据带来了独特的统计挑战,包括许多零和偏差分布.
研究的目的:
- 为决策分析模型提供关于估计医疗保健成本的实际指导.
- 提出一个逐步指南,使用个人参与者数据进行成本估计.
- 为了解决决策建模的成本估计缺乏实际指导.
主要方法:
- 使用通用线性模型 (GLM) 框架进行成本建模.
- 专注于从研究问题概念化到成本推导的实际方面.
- 包括一个实用的例子与R代码用于建模心血管疾病的医院费用.
主要成果:
- 展示如何使用患者层面的数据来估计在离散时期的成本.
- 为建模与特定疾病状态相关的医疗保健成本提供了一个框架.
- 描述了GLM在心血管疾病背景下用于成本估计的应用.
结论:
- 提供了一份实用,逐步的指南,用于估计医疗保健成本,使用患者级数据.
- 提出GLM框架作为一个合适的方法来建模复杂的医疗保健成本数据.
- 本指南支持开发更准确和个性化的决策分析模型.
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