Quantitative Health Sciences and the Neurological Institute Center for Outcomes Research, Cleveland Clinic, Cleveland, OH; and the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH.
Chest. 2020 Jul;158(1S):S88-S96. doi: 10.1016/j.chest.2020.03.008.
Economic evaluations, including cost-effectiveness analyses, are frameworks for decision-making. They help to illustrate tradeoffs between selecting one choice over another. This form of analysis is of great power and value to the health-care system. Health-care decisions are complex; they require synthesis of a myriad of data variables and sources, and the impact of the choices made is significant. Given this importance and the increasing demand and complexity of health decisions, it is imperative to ensure that economic evaluations are of high quality, comprehensive, and follow the guidelines and recommendations of experts in the field. This article provides an overview of the types of economic evaluations and their role in decision-making. It also discusses key study design considerations, including methods, scope, results, and reporting. Links to published checklists are provided along with additional sources of information, including a glossary of terms (Appendix), to guide the researcher to produce high-quality economic evaluations and guide the reviewer to provide high-quality feedback during the review process.
经济评估,包括成本效益分析,是决策的框架。它们有助于说明在选择一个选项而不是另一个选项时的权衡取舍。这种分析形式对医疗保健系统具有巨大的力量和价值。医疗保健决策是复杂的;它们需要综合大量的数据变量和来源,并且所做选择的影响是重大的。鉴于这种重要性以及对医疗决策的需求和复杂性的不断增加,至关重要的是要确保经济评估具有高质量、全面性,并遵循该领域专家的准则和建议。本文概述了经济评估的类型及其在决策中的作用。它还讨论了关键研究设计注意事项,包括方法、范围、结果和报告。提供了已发布检查表的链接以及其他信息来源,包括术语词汇表(附录),以指导研究人员进行高质量的经济评估,并指导审查员在审查过程中提供高质量的反馈。