Thokala Praveen, Dixon Simon, Jahn Beate
Health Economics and Decision Science, School of Health and Related Research, University of Sheffield, Regent Court, 30 Regent Street, Sheffield, S1 4DA, UK,
Pharmacoeconomics. 2015 Mar;33(3):193-203. doi: 10.1007/s40273-014-0228-9.
Within health technology assessment (HTA), cost-effectiveness analysis and budget impact analyses have been broadly accepted as important components of decision making. However, whilst they address efficiency and affordability, the issue of implementation and feasibility has been largely ignored. HTA commonly takes place within a deliberative framework that captures issues of implementation and feasibility in a qualitative manner. We argue that only through a formal quantitative assessment of resource constraints can these issues be fully addressed. This paper argues the need for resource modelling to be considered explicitly in HTA. First, economic evaluation and budget impact models are described along with their limitations in evaluating feasibility. Next, resource modelling is defined and its usefulness is described along with examples of resource modelling from the literature. Then, the important issues that need to be considered when undertaking resource modelling are described before setting out recommendations for the use of resource modelling in HTA.
在卫生技术评估（HTA）中，成本效益分析和预算影响分析已被广泛视为决策的重要组成部分。然而，尽管它们涉及效率和可承受性问题，但实施和可行性问题在很大程度上被忽视了。HTA通常在一个审议框架内进行，该框架以定性方式处理实施和可行性问题。我们认为，只有通过对资源限制进行正式的定量评估，这些问题才能得到充分解决。本文认为有必要在HTA中明确考虑资源建模。首先，描述了经济评估和预算影响模型及其在评估可行性方面的局限性。接下来，定义了资源建模，并描述了其有用性以及文献中的资源建模示例。然后，在提出HTA中使用资源建模的建议之前，描述了进行资源建模时需要考虑的重要问题。
