在价值评估框架中考虑健康差异
Dominique Seo1, Divya Patil1, Joe Vandigo2
1Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, MD, USA.
ClinicoEconomics and outcomes research : CEOR
|October 3, 2024
概括
价值评估框架不一致地解决了健康差异,尽管有患者的意见. 在医疗保健资源分配中,公平的成本效益分析 (CEA) 需要系统的方法和透明度.
科学领域:
- 卫生经济学 卫生经济学
- 卫生公平性健康公平性
- 价值评估是如何评估价值的
背景情况:
- 成本效益分析 (CEA) 对医疗保健资源分配至关重要.
- 利益相关者认为价值评估框架在解决健康差异方面不一致.
- 对于经济学家来说,有建议将差异纳入CEA.
研究的目的:
- 评估一家总部位于美国的价值评估组织如何将患者和护理人员对健康差异的意见纳入其中.
- 在价值评估报告中确定与健康差异相关的主题.
- 评估报告的考量与实际做法之间的一致性.
主要方法:
- 来自美国一个价值评估组织的19份证据报告的审查.
- 对患者/护理人员观点和上下文考虑的部分进行主题分析.
- 绘图确定了NIMHD健康差异框架中的主题.
主要成果:
- 从外部角度确定了30个与股权相关的主题,17个来自模型开发人员.
- 发现了CEA明确考虑健康差异的例子.
- 考虑在报告中不一致,并不总是与患者的意见或组织背景保持一致.
结论:
- 需要一个系统的方法来将健康差异纳入价值评估框架.
- 需要在确定成本效益方面提高透明度.
- 确保患者输入与最终CEA之间的协调对于健康公平至关重要.
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