息治疗和终身护理经济评估的方法学挑战和潜在解决方案:系统审查
Claudia Fischer1, Damian Bednarz1, Judit Simon1,2
1Department of Health Economics, Center for Public Health, Medical University of Vienna, Vienna, Austria.
Palliative medicine
|December 24, 2023
概括
息护理的经济评估在患者识别,概括性和结果测量方面面临挑战. 本综述综合了改善终身护理经济评估的方法.
科学领域:
- 卫生经济学 卫生经济学
- 息护理研究 息护理研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对息治疗和终身护理的需求不断增加,需要对价值的强有力的证据.
- 昂贵的新疗法凸显了这一领域经济评估的必要性.
- 目前关于息治疗中经济评估方法的指导是有限的.
研究的目的:
- 识别和总结缓和和终身护理经济评估中的方法挑战.
- 概述这些评估的潜在解决方案和建议.
- 解决在这个专业领域提供全面指导的需求.
主要方法:
- 系统审查关于方法考虑的出版物.
- 在多个数据库 (Medline,Embase等) 进行的搜索. 和灰色文学.
- 信息的专题综合,与综合健康经济评估报告标准保持一致.
主要成果:
- 在最初的6502项研究中,有81项研究符合条件.
- 确定了9个关键主题的挑战,包括患者识别,概括性,成本观点,比较器定义,时间地平线,结果选择,测量和估值.
- 特别强调了成本和结果测量和估值中发现的具体问题.
结论:
- 提供了对息和终身护理经济评估的方法考虑的全面概述.
- 确定了在这个领域未来的方法研究的关键知识差距.
- 旨在指导和提高息治疗中经济评估的质量.
相关概念视频
Ethical Dilemmas II
1.1K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.1K
Ethical Issues
969
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
969
Methods of Documentation VI: Case Management Model
574
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
574
Cancer Survival Analysis
355
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
355
Continuing Care
1.5K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.5K
Kaplan-Meier Approach
149
The Kaplan-Meier estimator is a non-parametric method used to estimate the survival function from time-to-event data. In medical research, it is frequently employed to measure the proportion of patients surviving for a certain period after treatment. This estimator is fundamental in analyzing time-to-event data, making it indispensable in clinical trials, epidemiological studies, and reliability engineering. By estimating survival probabilities, researchers can evaluate treatment effectiveness,...
149


