Auer Reto, Rodondi Nicolas, Wasserfallen Jean-Blaise, Aujesky Drahomir, Cornuz Jacques
Hospices, CHUV, 1011 Lausanne.
Rev Med Suisse. 2009 Nov 25;5(227):2402, 2404-8.
The resources of our heath care system are limited. Choices in the attribution of resources are necessary to ensure its stability. A cost-effectiveness analysis compares the effects of one health intervention to another, taking into account the costs (including the saved costs) and the saved life years, adjusted for the quality of life (cost-utility). Cost-effectiveness analyses should take the societal perspective and the studied intervention should be compared to a relevant intervention actually in use. Physicians, at the interface between patients and payers, are in an ideal position to interpret, or even perform cost-effectiveness analysis, and to promote the interventions that are most effective and that have a reasonable cost.
我们医疗保健系统的资源是有限的。为确保其稳定，有必要对资源分配做出选择。成本效益分析会比较一种健康干预措施与另一种的效果，同时考虑成本（包括节省的成本）和经生活质量调整后的挽救生命年数（成本效用）。成本效益分析应从社会角度出发，且所研究的干预措施应与实际正在使用的相关干预措施进行比较。处于患者和支付方之间的医生，处于解释甚至进行成本效益分析以及推广最有效且成本合理的干预措施的理想位置。
