Busse R
Technische Universität, Berlin.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2006 Jan;49(1):3-10. doi: 10.1007/s00103-005-1196-1.
The article briefly describes the development of health economics and defines its most important areas of research (e.g. subjective and objective valuation of health; demand for and supply of health services; health insurance; planning, regulation and management; evaluation of health systems; and microeconomic evaluation). Regarding economic evaluation, the article emphasises the choice of comparators, the assessment of costs and effects, the various types of economic analyses, average vs incremental cost-effectiveness, usage of trial data vs modelling as well as sensitivity analyses. It discusses the question of generalisability and introduces a checklist to assess quality and results of published studies.
本文简要描述了卫生经济学的发展,并界定了其最重要的研究领域(如健康的主观和客观评估;卫生服务的需求与供给;健康保险;规划、监管与管理;卫生系统评估;以及微观经济评估)。关于经济评估,本文强调了对照物的选择、成本和效果的评估、各种类型的经济分析、平均成本效益与增量成本效益、试验数据与模型的使用以及敏感性分析。它讨论了普遍性问题,并介绍了一份用于评估已发表研究的质量和结果的清单。