Medical Department, MiMedx, Inc., Marietta, Georgia.
Int Wound J. 2019 Dec;16(6):1391-1397. doi: 10.1111/iwj.13202. Epub 2019 Sep 3.
Estimating the economic value of emerging technologies in clinical medicine presents a number of problems. New technologies may have a limited clinical history, few supportive peer-reviewed publications, and only anecdotal evidence as they enter the market and seek clinician approval and reimbursement from payers. Although clinical efficacy/effectiveness research is a minimal starting point for making the case for adoption of a product, establishing a competitive cost-effectiveness position against other products and establishing the case for economic value must be made as well when presenting to health plans or other payers. Economic valuation methods have been well developed in the business community. Reviewed here are the components of a well-crafted case for the economic value of a product in general and in the wound industry specifically, in a multidomain approach to demonstrate values using demographic, clinical, financial, operational, and intangible assessments.
评估临床医学中新兴技术的经济价值存在诸多问题。新技术在进入市场并寻求临床医生的认可以及支付方的报销时,可能具有有限的临床病史、很少有支持性的同行评议出版物,并且只有轶事证据。尽管临床疗效/有效性研究是证明产品采用合理性的最低起点,但在向健康计划或其他支付方提出时,还必须针对其他产品建立竞争成本效益地位,并为经济价值提出理由。经济估值方法在商业界已经得到了很好的发展。本文回顾了在多领域方法中,一般产品以及具体到伤口行业的产品的经济价值的精心制作案例的组成部分,使用人口统计学、临床、财务、运营和无形评估来展示价值。