Thoma Achilleas, Ignacy Teegan A, Ziolkowski Natalia, Voineskos Sophocles
Division of Plastic Surgery; ; Surgical Outcomes Research Centre, Department of Surgery; ; Department of Clinical Epidemiology & Biostatistics, McMaster University, Hamilton, Ontario;
Can J Plast Surg. 2012 Fall;20(3):187-93. doi: 10.1177/229255031202000319.
Increased spending and reduced funding for health care is forcing decision makers to prioritize procedures and redistribute funds. Decision making is based on reliable data regarding the costs and benefits of medical and surgical procedures; such a study design is known as an economic evaluation. The onus is on the plastic surgery community to produce high-quality economic evaluations that support the cost effectiveness of the procedures that are performed. The present review focuses on the cost-utility analysis and its role in deciding whether a novel technique/procedure/technology should be accepted over one that is prevalent. Additionally, the five steps in undertaking a cost-utility (effectiveness) analysis are outlined.
医疗保健支出的增加和资金的减少正迫使决策者对医疗程序进行优先级排序并重新分配资金。决策基于有关医疗和外科手术成本与效益的可靠数据；这种研究设计被称为经济评估。整形外科界有责任进行高质量的经济评估，以支持所实施手术的成本效益。本综述重点关注成本效用分析及其在决定是否应采用新技术/程序/技术而非普遍使用的技术方面的作用。此外，还概述了进行成本效用（有效性）分析的五个步骤。
