Padula William V, McQueen Robert Brett, Pronovost Peter J
*Department of Health Policy & Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD †Center for Pharmaceutical Outcomes Research, Skaggs School of Pharmacy & Pharmaceutical Sciences, University of Colorado, Aurora, CO ‡Departments of Anesthesiology & Critical Care Medicine and Surgery, Johns Hopkins Medicine, Baltimore, MD.
Med Care. 2017 Nov;55(11):915-917. doi: 10.1097/MLR.0000000000000813.
The Second Panel on Cost-Effectiveness in Health and Medicine recommendations for conduct, methodological practices, and reporting of cost-effectiveness analyses has a number of questions unanswered with respect to the implementation of transparent, open source code interface for economic models. The possibility of making economic model source code could be positive and progressive for the field; however, several unintended consequences of this system should be first considered before complete implementation of this model. First, there is the concern regarding intellectual property rights that modelers have to their analyses. Second, the open source code could make analyses more accessible to inexperienced modelers, leading to inaccurate or misinterpreted results. We propose several resolutions to these concerns. The field should establish a licensing system of open source code such that the model originators maintain control of the code use and grant permissions to other investigators who wish to use it. The field should also be more forthcoming towards the teaching of cost-effectiveness analysis in medical and health services education so that providers and other professionals are familiar with economic modeling and able to conduct analyses with open source code. These types of unintended consequences need to be fully considered before the field's preparedness to move forward into an era of model transparency with open source code.
《健康与医学成本效益分析第二小组关于成本效益分析的实施、方法实践及报告的建议》中，关于经济模型透明开源代码接口的实施仍有一些问题未得到解答。公开经济模型源代码对该领域可能具有积极意义且是一种进步；然而，在全面实施此模式之前，应首先考虑该系统的一些意外后果。首先，建模者对其分析拥有的知识产权令人担忧。其次，开源代码可能会使经验不足的建模者更容易获取分析结果，从而导致结果不准确或被误解。我们针对这些问题提出了几种解决方案。该领域应建立开源代码许可制度，以便模型创建者能够控制代码的使用，并向希望使用代码的其他研究者授予许可。该领域还应在医学和卫生服务教育中更积极地开展成本效益分析教学，以使医疗服务提供者和其他专业人员熟悉经济建模并能够使用开源代码进行分析。在该领域准备好迈向开源代码模型透明时代之前，需要充分考虑这些意外后果。
