Min James K, Shaw Leslee J, Berman Daniel S
Division of Cardiology, Department of Medicine, Weill Medical College of Cornell University, New York Presbyterian Hospital, 520 E 70th Street, K415, New York, NY 10021, USA.
Expert Rev Cardiovasc Ther. 2008 Jan;6(1):43-55. doi: 10.1586/14779072.6.1.43.
Computed tomography has been introduced as a noninvasive imaging modality used for coronary artery calcium scoring in asymptomatic individuals and contrast-enhanced coronary angiography in symptomatic individuals. As the rising costs of healthcare reflect, in part, the development of these types of new expensive technologies for cardiac diagnosis, the economic considerations that surround them should be of interest to clinicians and payers alike. In this review, we discuss basic principles underlying economic efficiency analyses of medical products, using computed tomography in coronary artery disease as a case in point.
计算机断层扫描已作为一种非侵入性成像方式被引入,用于无症状个体的冠状动脉钙化评分以及有症状个体的对比增强冠状动脉造影。正如医疗保健成本的不断上升部分反映了这些用于心脏诊断的新型昂贵技术的发展一样,围绕它们的经济考量应该受到临床医生和支付方的关注。在本综述中,我们以冠状动脉疾病中的计算机断层扫描为例,讨论医疗产品经济效率分析的基本原则。