Faculty of Medicine, McGill University, Montreal, Canada and United BioSource Corporation, Lexington, MA, USA (JJC)
Health Economics & Health Technology Assessment, Institute of Health & Wellbeing, University of Glasgow, UK (AHB)
Med Decis Making. 2012 Sep-Oct;32(5):667-77. doi: 10.1177/0272989X12454577.
Models-mathematical frameworks that facilitate estimation of the consequences of health care decisions-have become essential tools for health technology assessment. Evolution of the methods since the first ISPOR modeling task force reported in 2003 has led to a new task force, jointly convened with the Society for Medical Decision Making, and this series of seven papers presents the updated recommendations for best practices in conceptualizing models; implementing state-transition approaches, discrete event simulations, or dynamic transmission models; dealing with uncertainty; and validating and reporting models transparently. This overview introduces the work of the task force, provides all the recommendations, and discusses some quandaries that require further elucidation. The audience for these papers includes those who build models, stakeholders who utilize their results, and, indeed, anyone concerned with the use of models to support decision making.
模型——即有助于评估医疗保健决策后果的数学框架——已成为健康技术评估的重要工具。自 2003 年第一个 ISPOR 建模工作组报告以来,这些方法不断发展,促成了一个新的工作组,该工作组与医学决策学会联合召集,这一系列共七篇论文提出了有关概念模型的最佳实践的更新建议;实施状态转移方法、离散事件模拟或动态传播模型;处理不确定性;以及透明地验证和报告模型。本概述介绍了工作组的工作,提供了所有建议,并讨论了一些需要进一步阐明的难题。这些论文的受众包括构建模型的人、利用其结果的利益相关者,以及确实关心使用模型来支持决策的任何人。