Yokota Fumie, Thompson Kimberly M
Department of Health Policy and Management, Harvard School of Public Health, Cambridge, MA, USA.
Med Decis Making. 2004 May-Jun;24(3):287-98. doi: 10.1177/0272989X04263157.
This article provides the first comprehensive review of value of information (VOI) analyses related to health risk management published in English in peer-reviewed journals by the end of 2001. VOI analysis represents a decision analytic technique that explicitly evaluates the benefit of collecting additional information to reduce or eliminate uncertainty. Through a content analysis of VOI applications, this article characterizes various attributes of VOI applications, shows the evolution of the methodology and advances in computing tools that allow analysis of increasingly complex problems, and suggests the need for some standardization of reporting methods and results. The authors' analysis shows a lack of cross-fertilization across topic areas and the tendency of articles to focus on demonstrating the usefulness of the VOI approach rather than applications to actual management decisions. This article provides important insights for VOI applications in medical decision making.
本文首次全面回顾了截至2001年底在同行评审期刊上以英文发表的与健康风险管理相关的信息价值(VOI)分析。VOI分析是一种决策分析技术,它明确评估收集额外信息以减少或消除不确定性的益处。通过对VOI应用的内容分析,本文描述了VOI应用的各种属性,展示了方法的演变以及计算工具的进步,这些进步使得能够分析日益复杂的问题,并提出了报告方法和结果标准化的必要性。作者的分析表明,各主题领域之间缺乏交叉融合,且文章倾向于专注于证明VOI方法的有用性,而非应用于实际管理决策。本文为VOI在医疗决策中的应用提供了重要见解。