将基于模拟模型的结果与县级数据相结合,用于对新干预措施的地理健康公平影响评估
Jeroen P Jansen1, Michael P Douglas2, Kathryn A Phillips1
1Department of Clinical Pharmacy, UCSF Center for Translational and Policy Research on Precision Medicine (TRANSPERS), San Francisco, California; UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, California; UCSF Philip R. Lee Institute for Health Policy, San Francisco, California.
概括
本研究提出了一种新的方法来评估新卫生技术如何使用模拟模型和县级数据影响地理健康差异. 这种方法有助于确定从干预中受益最多的领域,促进健康公平.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
背景情况:
- 美国存在持续的地理健康差异,需要评估新兴技术对健康公平的影响.
- 公平的健康政策需要了解新的健康干预措施如何影响健康结果的区域差异.
研究的目的:
- 引入和展示一种评估新兴卫生技术对地理健康公平影响的方法.
- 将模拟模型预测与县级人口统计数据相结合,用于健康公平评估.
主要方法:
- 开发了一种方法,将模拟模型结果 (QALY,成本) 与美国县级关于股权相关子组的数据集成在一起.
- 计算了特定县的QALY,增量净健康效益和经质量调整的预期寿命 (QALE),包括技术和没有技术.
- 在各县之间量化QALY和QALE的不平等,以评估健康公平影响.
主要成果:
- 这种方法用液体活检来说明非小细胞肺癌一线治疗的方法.
- 证明了能够量化受技术采用影响的健康结果的地理差异的能力.
结论:
- 将模拟建模与当地人口统计数据相结合,为健康公平影响评估提供了一个新的框架.
- 这种方法有助于了解新卫生技术对地理健康差异的影响,并确定有针对性的受益领域.
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