Ballatori Enzo
Dipartimento di Medicina Interna e Sanità Pubblica, Università, L'Aquila.
Recenti Prog Med. 2008 Jan;99(1):42-7.
Aim of the paper is to outline the methodology of pharmacoeconomic studies dealing with therapeutical interventions. The specificities of the cost evaluation are described, highlighting that the perspective of the evaluation must be always defined. The main types of pharmacoeconomic analyses are discussed, particularly the cost-effectiveness analysis (CEA) and the cost-utility analysis (CUA), and, in both cases, the importance of the incremental cost ratio is stressed. Moreover, sensitivity analysis is introduced as a tool to evaluate the stability of the results, when there is uncertainty in some estimation. Finally, the importance of pharmacoeconomic models is highlighted, although a great caution should be adopted in interpreting their results.
本文旨在概述针对治疗性干预措施的药物经济学研究方法。文中描述了成本评估的特点,强调评估视角必须始终明确。讨论了药物经济学分析的主要类型,特别是成本效益分析(CEA)和成本效用分析(CUA),并在这两种情况下都强调了增量成本比的重要性。此外,还介绍了敏感性分析这一工具,用于在某些估计存在不确定性时评估结果的稳定性。最后,强调了药物经济学模型的重要性,不过在解释其结果时应格外谨慎。