[医疗保健中的经济评估方面]
[Aspects of economic evaluation in health care].
作者信息
Noelle G, Jaskulla E, Sawicki P T
机构信息
Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen (IQWiG), Köln.
出版信息
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2006 Jan;49(1):28-33. doi: 10.1007/s00103-005-1189-0.
Health economists use models to estimate comparative costs and usage of interventions in health care. However the concepts and methods used have inherent weaknesses, especially in the determination of relevant and exact effect sizes. Health economic methodologies do not replace sociopolitical decision making, but they can play an important role in rational decision making about necessary changes to our social and health system if the instruments themselves are neither over- nor underestimated.
卫生经济学家使用模型来估计医疗保健干预措施的相对成本和使用情况。然而，所使用的概念和方法存在固有缺陷，尤其是在确定相关且准确的效应大小时。卫生经济方法并不能取代社会政治决策，但如果这些工具本身既没有被高估也没有被低估，那么它们在对我们的社会和卫生系统进行必要变革的理性决策中可以发挥重要作用。
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