Sculpher M, Drummond M, Buxton M
Health Economics Research Group, Brunel University, UK.
J Health Serv Res Policy. 1997 Jan;2(1):26-30. doi: 10.1177/135581969700200107.
The economic evaluation of health care technologies has a key role within the new National Health Service health technology assessment process. There has, however, been little discussion of the best way of combining economic and clinical research. Economic evaluation should be iterative, generating progressively firmer estimates of cost-effectiveness and helping to maximise the efficiency of health care R&D. Here, four stages of economic analysis are suggested, starting with stage I when the basic clinical science is complete, and finishing with stage IV analysis to generalise the results of earlier studies to routine clinical practice.
卫生保健技术的经济评估在新的国民医疗服务体系卫生技术评估过程中起着关键作用。然而，关于将经济研究与临床研究相结合的最佳方式，却鲜有讨论。经济评估应该是迭代式的，逐步得出更可靠的成本效益估计，并有助于最大限度地提高卫生保健研发的效率。本文提出了经济分析的四个阶段，从基础临床科学完成后的第一阶段开始，到将早期研究结果推广至常规临床实践的第四阶段分析结束。
