对于NICE的早期价值评估中使用的方法:范围审查
Eugenie Evelynne Johnson1,2, Giovany Orozco-Leal3, Madeleine Still1,2
1Evidence Synthesis Group, Population Health Sciences Institute, Faculty of Medical Sciences, https://ror.org/01kj2bm70Newcastle University, Newcastle upon Tyne, UK.
这项研究审查了NICE的早期价值评估 (EVA),发现报告方法的不一致性. 未来的EVA应提高透明度和方法创新,以改善医疗技术评估.
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
- 医疗服务研究 医疗服务研究
背景情况:
- 英国国家卫生和护理卓越研究所 (NICE) 实施了早期价值评估 (EVA),以加快获得创新的健康技术.
- EVA旨在解决未满足的医疗需求,并与国家卫生服务的长期计划保持一致.
- 在已发表的文献中存在一个空白,详细介绍了EVA评估报告中的方法论共同点和差异.
研究的目的:
- 进行由NICE发布的完成的EVA的范围审查.
- 识别和分析早期价值评估评估报告中使用的方法.
- 突出EVA中使用的方法的变化和一致性.
主要方法:
- 对所有已完成的EVA进行了快速范围审查,这些EVA在NICE网站上可用到2024年7月23日.
- 选和数据提取由两名独立审查员使用试点形式进行.
- 数据被合成并使用叙事总结,图形或表格格式呈现.
主要成果:
- 包括来自16个EVA的17个EVA报告.
- 方法报告有所不同,一些报告省略了审查员数量和数据提取的细节.
- 计划的分析方法包括元分析 (5),叙事综合 (9),叙事总结 (7).
- 使用了11个概念决策模型,经济评估包括成本效益分析 (5),成本效益分析 (4) 和成本后果分析 (3).
结论:
- 建议在未来的EVA报告中提高报告方法的透明度.
- 电子商务评估为采用新的方法方法提供了机会.
- 鼓励增加EVA作者,利益相关者 (患者,临床医生,公司) 和NICE之间的沟通灵活性.
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