为健康益处选择成本效益方法 包装设计:一种系统的方法
Cassandra Nemzoff1,2, Sedona Sweeney1, Rob Baltussen3
1London School of Hygiene and Tropical Medicine, London, UK.
International journal of health policy and management
|August 6, 2025
概括
选择医疗福利套餐的成本效益分析方法可以使用适应性医疗技术评估原则来结构化. 这种方法平衡了准确,透明的HBP设计的时间,数据和容量需求.
科学领域:
- 卫生经济学和结果研究研究.
- 卫生政策和系统研究 卫生政策和系统研究
背景情况:
- 成本效益 (CE) 对于健康福利包 (HBP) 设计至关重要,但CE评估是资源密集的.
- 大多数HBP练习依赖于全球证据,因为当地CE评估的需求.
- 为了准确性,所有权和透明度,需要一个结构化的国家程序来选择CE评估方法.
研究的目的:
- 将适应性卫生技术评估 (aHTA) 的原则应用于对HBPs的CE分析方法的选择.
- 为在国家HBP设计中系统地选择CE方法提供建议.
主要方法:
- 修订了aHTA方法的定义和分类.
- 在aHTA框架内对以前的HBP评估进行了范围审查,以映射aHTA框架内的CEA方法.
- 对作者进行了一项调查,以解决文献中的差距.
主要成果:
- 在以前的HBP评估中确定了四种aHTA方法:专家意见,审查,模型调整和新模型.
- 对HBP的aHTA方法在1-13个月之间,需要在健康经济学,医学和公共卫生方面提供各种数据和能力.
- 讨论了选择方法的关键考虑因素.
结论:
- 为了选择合适的CE评估方法,平衡时间,数据和能力至关重要.
- 结构化,HBP评估的本地设计可以通过适应性方法选择来支持.
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