Drummond M F, Aguiar-Ibanez R, Nixon J
Centre for Health Economics, University of York, Heslington, York YO10 5DD, The United Kingdom.
Singapore Med J. 2006 Jun;47(6):456-61; quiz 462.
Given the need to assess the value for money of healthcare treatments, economic evaluation has been gaining popularity over the past ten years. Studies comparing the costs and consequences of alternative healthcare interventions have been published in all fields of healthcare. This article describes the basic forms of economic evaluation and outlines the key methodological features to be considered in the critical appraisal of studies. Issues such as the appropriateness of the study question, the selection of alternatives to be compared, the measurement of costs and consequences, and the assessment of uncertainty are discussed. Additionally, an analytical critique of economic evaluations undertaken in Singapore is provided, and the prospects for economic evaluation in the future are discussed.
鉴于有必要评估医疗保健治疗的性价比，在过去十年中，经济评估越来越受到欢迎。比较替代性医疗保健干预措施的成本和后果的研究已在医疗保健的各个领域发表。本文描述了经济评估的基本形式，并概述了在对研究进行批判性评价时应考虑的关键方法学特征。讨论了诸如研究问题的适当性、要比较的替代方案的选择、成本和后果的测量以及不确定性的评估等问题。此外，还对新加坡进行的经济评估进行了分析性批判，并讨论了未来经济评估的前景。
