医疗技术创新的经济评估方法的映射审查
C van Lieshout1,2, G W J Frederix3,4, L Schoonhoven5
1Department of Epidemiology and Health Economics, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands. C.vanlieshout@umcutrecht.nl.
Cost effectiveness and resource allocation : C/E
|March 20, 2024
概括
对医疗技术的经济评估在方法上有很大差异. 许多研究缺乏对标准方法的充分报告,这可能会阻碍创新实施和患者的结果.
科学领域:
- 卫生经济学 卫生经济学
- 医疗技术评估 医疗技术评估
背景情况:
- 经济评估对于采用医疗保健创新至关重要.
- 制药经济评估的指导方针已建立,但对医疗技术的指导方针却较少.
研究的目的:
- 分析医疗技术经济评估中使用的方法.
- 确定在这个领域使用的方法的范围和严格性.
主要方法:
- 进行了映射审查,重点关注2022年的出版物.
- 包括的研究包括医疗技术的成本效益和成本效益分析.
- 从每个研究中提取了关键的方法特征.
主要成果:
- 分析了364篇论文,74%的成本效益,25%的成本效益.
- 在64%的分析中使用模型;36%是基于试验的.
- 敏感性分析很常见 (概率73%,确定性84%),但时间地平线和前景报告不足 (15-25%).
结论:
- 医疗技术的经济评估方法存在显著差异.
- 观察到标准方法的应用和报告不一致.
- 这可能导致研究浪费和推迟实施有价值的创新,影响患者的结果.
相关概念视频
01:23Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
126
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,...
126
01:15Methods of Documentation VI: Case Management Model
571
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...
571
01:30Health Information Technology and Healthcare Information System
837
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
837
01:15Nursing Evaluation
3.3K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.3K
01:16Clinical Trials
6.7K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
6.7K
01:23Methods of Documentation V: CBE
901
Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
901