患者和公众参与健康经济学的"建模中的价值观"框架 建模:在LEAP模型项目中开发和应用
Stephanie Harvard1,2, Rachel Carter3, Sian Hoe Cheong3
1Division of Respiratory Medicine, University of British Columbia (UBC), Gordon and Leslie Diamond Health Care Centre, 2775 Laurel Street, Vancouver, BC, V5Z 1M9, Canada. stephanie.harvard@ubc.ca.
模型中的价值观 (VIM) 框架增强了患者和公众参与 (PPI) 的健康经济模型. 它指导着协作和决策,提高了研究的透明度和合理性.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健服务研究 医疗服务研究
- 决策科学 决策科学 决策科学
背景情况:
- 患者和公众参与 (PPI) 在健康经济学建模中至关重要,但缺乏正式指导.
- 在建模中结构化和评估PPI的现有方法是有限的.
研究的目的:
- 引入"模型中的价值观" (VIM) 框架,用于在健康经济模型中对PPI进行结构化和评估.
- 引导建模者和利益相关者在价值负载决策方面的合作.
- 提高健康经济学研究的透明度和合理性.
主要方法:
- 开发了基于哲学理论的五步VIM框架.
- 在终身暴露和喘结果预测 (LEAP) 模型项目中应用了VIM框架.
- 这些步骤包括识别伦理问题,描述决策,选择策略,审议决策和报告.
主要成果:
- 该VIM框架促进了对PPI的建模决策的优先级.
- 它支持对LEAP模型中不确定性的透明审议.
- 这导致了方法上的变化,包括新的灵敏度分析和修订的结果指标.
结论:
- 基于理论的VIM框架有效地提高了PPI在健康经济学建模中的作用.
- 它提高了健康经济学研究的透明度,合理性和适合性.
- VIM框架为建模中的协作决策提供了一个结构化的方法.
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