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卫生经济学多用途疾病建模的蓝图:两次专家小组商的结果
Junfeng Wang1,2, Xavier Pouwels3, Bram Ramaekers4
1Department of Epidemiology and Health Economics, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.
PharmacoEconomics
|April 13, 2024
概括
多用途疾病模型 (MUDMs) 可以通过提高卫生政策决策的一致性来改善卫生技术评估 (HTA). 这项研究为它们的定义和应用提供了蓝图,解决了单次使用模型当前的低效性问题.
科学领域:
- 卫生经济学 卫生经济学
- 医疗技术评估 (HTA) 是指对医疗技术进行评估.
- 决策建模 决策建模
背景情况:
- 目前在HTA中的健康经济决策模型往往是单一用途,导致效率低下和不一致的健康政策决策.
- 多用途疾病模型 (MUDMs) 提供了一个潜在的解决方案,用于在同一疾病的不同治疗比较中标准化决策.
- 关于MUDM的精确定义和应用存在不确定性.
研究的目的:
- 为应用多用途疾病模型 (MUDMs) 制定蓝图.
- 建立关于MUDM的定义,术语和应用的共识.
- 识别和优先考虑MUDM的潜在应用,挑战和功能.
主要方法:
- 一个两轮修改的Delphi过程,涉及54名健康经济建模专家和利益相关者.
- 一个探索性范围审查,为初始问卷提供信息.
- 与外部顾问和政策制定者举行共识会议,以完善调查结果.
主要成果:
- "多用途疾病模型"一词被商定,并提供了正式的定义.
- 优先考虑了十个潜在的应用程序,包括比较替代政策和支持资源配置.
- 确定了20个问题作为挑战,强调了模式透明度和利益相关者的角色.
- 11个用于MUDM运营的功能获得了高优先级分数,强调定期更新和重新验证.
结论:
- 在HTA中,MUDM可以增强成本效益信息和决策支持.
- 它们的应用对于具有多种治疗方法,高疾病负担和复杂建模需求的疾病是最有益的.
- 开发的蓝图是政策制定者指导MUDM的开发,使用和维护的起点.
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