1 Department of Epidemiology, Erasmus MC, Rotterdam, The Netherlands.
2 Department of Otolaryngology-Head and Neck Surgery, University of Ottawa, Ottawa, ON, Canada.
Otolaryngol Head Neck Surg. 2019 Jan;160(1):11-21. doi: 10.1177/0194599818800477. Epub 2018 Sep 25.
Decisions about resource allocation are increasingly based on value trade-offs between health outcomes and cost. This process relies on comprehensive and standardized definitions of health status that accurately measure the physical, mental, and social well-being of patients across disease states. These metrics, assessed through clinical trials, observational studies, and health surveys, can facilitate the integration of patient preferences into clinical practice. This ninth installment in the Evidence-Based Medicine in Otolaryngology Series is a practical overview of health outcome valuation, as well as the integration of both quality and quantity of life into standardized metrics for health research, program planning, and resource allocation. Tools for measuring preference-based health states, measures of effectiveness, and the application of metrics in economic evaluations are discussed.
资源分配决策越来越多地基于健康结果和成本之间的价值权衡。这一过程依赖于对健康状况的全面和标准化定义,这些定义能够准确衡量不同疾病状态下患者的身体、心理和社会福祉。这些通过临床试验、观察性研究和健康调查评估的指标,可以促进将患者偏好纳入临床实践。耳鼻喉科循证医学系列的第九部分是对健康结果评估的实用概述,以及将生活质量和数量纳入健康研究、计划制定和资源分配的标准化指标。讨论了用于衡量基于偏好的健康状况的工具、有效性测量指标以及在经济评估中应用指标的方法。