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医疗保健中信息分析的价值:原则与应用综述

Value of information analysis in healthcare: a review of principles and applications.

作者信息

Tuffaha Haitham W, Gordon Louisa G, Scuffham Paul A

机构信息

Griffith Health Institute, Griffith University, Gold Coast, QLD, Australia, and Centre for Applied Health Economics, School of Medicine, Griffith University , Meadowbrook, QLD , Australia.

出版信息

J Med Econ. 2014 Jun;17(6):377-83. doi: 10.3111/13696998.2014.907170. Epub 2014 Mar 27.

Abstract

BACKGROUND

Economic evaluations are increasingly utilized to inform decisions in healthcare; however, decisions remain uncertain when they are not based on adequate evidence. Value of information (VOI) analysis has been proposed as a systematic approach to measure decision uncertainty and assess whether there is sufficient evidence to support new technologies.

SCOPE

The objective of this paper is to review the principles and applications of VOI analysis in healthcare. Relevant databases were systematically searched to identify VOI articles. The findings from the selected articles were summarized and narratively presented.

FINDINGS

Various VOI methods have been developed and applied to inform decision-making, optimally designing research studies and setting research priorities. However, the application of this approach in healthcare remains limited due to technical and policy challenges.

CONCLUSION

There is a need to create more awareness about VOI analysis, simplify its current methods, and align them with the needs of decision-making organizations.

摘要

背景

经济评估在医疗保健决策中的应用日益广泛;然而,当决策并非基于充分证据时,其仍具有不确定性。信息价值(VOI)分析被提议作为一种系统方法,用于衡量决策不确定性并评估是否有足够证据支持新技术。

范围

本文的目的是回顾VOI分析在医疗保健中的原理和应用。系统检索了相关数据库以识别VOI相关文章。对所选文章的研究结果进行了总结并以叙述形式呈现。

研究结果

已开发并应用了各种VOI方法来为决策提供信息、优化研究设计和确定研究优先级。然而,由于技术和政策挑战,这种方法在医疗保健中的应用仍然有限。

结论

有必要提高对VOI分析的认识,简化其现有方法,并使其与决策组织的需求相一致。

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