肺癌干预措施的预算影响模型:一个系统的文献审查
Michael Willis1, Andreas Nilsson1, Klas Kellerborg1
1The Swedish Institute for Health Economics, Lund, Sweden.
Journal of managed care & specialty pharmacy
|August 30, 2024
概括
对肺癌的预算影响模型 (BIM) 显示了预测财务影响的变化和改进空间. 对最佳实践的坚持是不一致的,突出了医疗保健决策中需要提高模型质量的需要.
科学领域:
- 卫生经济学 卫生经济学
- 药物经济学 药物经济学
- 在瘤学瘤学.
背景情况:
- 预算影响模型 (BIM) 对于评估新医疗技术的采用和预算重新分配至关重要.
- 在BIM估计和实际财务结果之间存在差异.
- 一个人工智能驱动的工具正在开发中,以识别受益于免疫治疗的非小细胞肺癌患者.
研究的目的:
- 评估肺癌干预措施对预算的影响.
- 对已发表的肺癌BIM进行系统的文献审查.
主要方法:
- 对肺癌BIM进行PubMed和EMBASE (2010-2023) 的系统文献搜索.
- 提取模型特征,包括干预,成本和遵守最佳实践.
- 对健康经济学和药物经济学专业协会的评估研究指南.
主要成果:
- 在14个国家确定了25个BIM,模型结构清晰度可变.
- 成本计算器的方法是常见的;时间范围通常是合适的.
- 市场采用假设的记录很差,癌症相关的成本很少包括在内.
- 对最佳实践的坚持是不一致的,并没有随着时间的推移而改善.
结论:
- 发表的肺癌BIM的数量很大,其频率和质量有所改善.
- 观察到显著的变化和对最佳实践的不理想遵守.
- 虽然没有单一的模型是对评估AI工具的理想选择,但为未来的开发获得了洞察力.
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