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评估HRQoL值集是否过时的分类学
Richard Norman1, Bram Roudijk2, Marcel Jonker3
1School of Population Health, Curtin University, Perth, Australia. richard.norman@curtin.edu.au.
与健康相关的生活质量 (HRQoL) 的价值观可以变得过时. 本文介绍了一种分类法,用于识别和解决过时,确保可靠的医疗保健经济评估和政策决策.
科学领域:
- 卫生经济学 卫生经济学
- 卫生政策 卫生政策
- 研究成果 研究成果 研究成果
背景情况:
- 在医疗保健经济评估中,与健康相关的生活质量 (HRQoL) 价值组对于估计质量调整寿命年 (QALYs) 至关重要.
- 由于过时的方法和非代表性的人口数据,许多现有的价值集正在变得过时.
- 确定和减轻价值设置过时性的战略对于保持决策者信心至关重要.
研究的目的:
- 开发一种分类学来分类价值集的过时.
- 探索识别不同类型的过时的方法.
- 与政策制定者合作,提出解决解决价值观陈旧问题的解决方案.
主要方法:
- 开发一个价值设置过时的四部分分类学.
- 分类包括与HTA要求不一致,过时的方法,人口漂移和偏好变化.
- 探索缓解策略,从敏感性分析到新数据收集.
主要成果:
- 该分类学确定了价值集过时的四个关键领域.
- 为每种类型的过时性提出了具体的解决方案,根据当地环境量身定制.
- 方法学家和政策制定者之间的合作被强调为关键.
结论:
- 价值设置的过时性是复杂的,需要仔细评估数据收集以来的时间.
- 拟议的分类学为评估和应对过时提供了一个框架.
- 建议定期审查和使用当前最佳实践更新价值集,平衡利益与成本.
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