Brown Melissa M, Luo Betsy, Brown Heidi C, Brown Gary C
Center for Value-Based Medicine, Flourtown, PA, USA.
Curr Opin Ophthalmol. 2009 May;20(3):188-94. doi: 10.1097/icu.0b013e328329cd59.
To describe comparative effectiveness and assess its role in crafting new healthcare policy.
Senate Bill S.3408 would establish a nongovernment-affiliated Healthcare Comparative Effectiveness Research Institute that would work with healthcare experts and stakeholders in healthcare to prioritize interventions and services to be studied. A value-based medicine system of standardized comparative effectiveness and cost-effectiveness data using utilities would allow physicians to assess the total value (improvement in quality of life and/or length of life) conferred by interventions.
Standardized comparativeness and cost-effectiveness data will give physicians an information system to identify the interventions that confer the greatest value to patients, and thus deliver higher quality care than possible with evidence-based data alone while allowing the most cost-effective care.
描述比较效果并评估其在制定新医疗政策中的作用。
参议院法案S.3408将设立一个与政府无关的医疗比较效果研究机构，该机构将与医疗专家及医疗领域的利益相关者合作，确定有待研究的干预措施和服务的优先顺序。一个基于价值的医学系统，利用效用指标提供标准化的比较效果和成本效果数据，这将使医生能够评估干预措施所带来的总价值（生活质量和/或寿命的改善）。
标准化的比较效果和成本效果数据将为医生提供一个信息系统，以识别那些能为患者带来最大价值的干预措施，从而提供比仅依据循证数据所能提供的更高质量的医疗服务，同时实现最具成本效益的医疗。
