健康经济学中离散选择实验的不断变化的景观:系统审查
Sven Petrus Henricus Nouwens1,2,3, Stella Maria Marceta4,5,6, Michael Bui7
1Erasmus School of Health Policy and Management, Erasmus University Rotterdam, P.O. Box 1738, 3000 DR, Rotterdam, The Netherlands. nouwens@eshpm.eur.nl.
PharmacoEconomics
|May 21, 2025
概括
离散选择实验 (DCE) 在全球范围内越来越多地用于评估医疗保健偏好. 本次审查强调了方法上的进步,并呼吁在报告中提高透明度,以确保健康经济学研究的稳健性.
科学领域:
- 卫生经济学 卫生经济学
- 卫生技术评估 卫生技术评估
- 决策科学 决策科学 决策科学
背景情况:
- 在医疗保健政策和医疗技术评估中,利益相关者的偏好评估至关重要.
- 离散选择实验 (DCE) 是量化不同人群偏好的主要方法.
- 之前的审查涵盖了DCE趋势至2017年;本研究综合了2018-2023年的发展情况.
研究的目的:
- 提供2018年至2023年期间发表的与健康相关的离散选择实验 (DCE) 的综合综述.
- 识别和分析DCE研究中的不断发展的方法和全球趋势.
- 提供对DCE在卫生中的应用现状的关键见解.
主要方法:
- 从2018年到2023年,在Medline,Embase和Web of Science数据库中进行了系统的文献搜索.
- 对已识别的研究进行选,以包含和提取DCE设计和分析数据.
- 调整搜索策略和提取项目与之前的审查,以便进行趋势比较.
主要成果:
- 发表的DCE的数量显著增加,有1279项研究符合纳入标准.
- 越来越多的DCE在全球范围内进行,亚洲和非洲的出版物显著增长.
- 实验设计和计量经济学模型的方法进步仍在继续,DCE的在线管理趋势正在继续.
结论:
- DCE的快速扩张凸显了它们在健康研究和决策中的关键作用.
- 报告DCE方法需要提高透明度,包括实验设计和有效性测试.
- 建议包括改进报告标准,应用有效性测试,遵守利益风险属性陈述的最佳实践,并采用开放科学原则.
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