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[风险分担协议:研究设计与评估标准的选择]

[Risk-sharing agreements: choice of study design and assessment criteria].

作者信息

Launois R, Ethgen O

机构信息

Réseau d'évaluation en économie de la santé (REES), 28, rue d'Assas, 75006 Paris, France.

出版信息

Ann Pharm Fr. 2013 Sep;71(5):346-57. doi: 10.1016/j.pharma.2013.08.009. Epub 2013 Sep 4.

Abstract

A new taxonomy of market entry agreements (MEA), also known as risk-sharing agreements, was built. It is no longer based on the conventional distinction between outcome performance and financial contracts, proposed by Carlson. Instead, it formulates a clear distinction between monitoring studies and evaluation or impact studies. The nature of the studies implemented within these two categories is fundamentally different: monitoring studies contribute to continuous program performance tracking against expected results and evaluation studies seek to identify the specific effect associated with the treatment while controlling for potential sources of selection bias. In accordance with this framework, differential study designs, indicators and financial clauses were proposed to reduce clinical, economic and budgetary uncertainty.

摘要

构建了一种新的市场进入协议(MEA)分类法,也称为风险分担协议。它不再基于卡尔森提出的传统的结果绩效与金融合同之间的区分。相反,它明确区分了监测研究与评估或影响研究。这两类研究的性质根本不同:监测研究有助于对照预期结果对项目绩效进行持续跟踪,而评估研究则试图在控制潜在选择偏差来源的同时确定与治疗相关的具体效果。根据这一框架,提出了不同的研究设计、指标和财务条款,以降低临床、经济和预算方面的不确定性。

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