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精算学如何为卫生技术评估领域做出贡献?一种跨学科视角。

How can actuarial science contribute to the field of health technology assessment? An interdisciplinary perspective.

作者信息

Espinosa Oscar, Drummond Michael, Russo Ellyn, Williams David, Wix Donna

机构信息

Economic Models and Quantitative Methods Research Group (IMEMC), Centro de Investigaciones para el Desarrollo, Universidad Nacional de Colombia, Bogotá, D.C., Colombia.

Centre for Health Economics, University of York, York, UK.

出版信息

Int J Technol Assess Health Care. 2025 Jan 6;41(1):e3. doi: 10.1017/S0266462324004781.

DOI:10.1017/S0266462324004781
PMID:39757736
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11703631/
Abstract

A reflective analysis is presented on the potential added value that actuarial science can contribute to the field of health technology assessment. This topic is discussed based on the experience of several experts in health actuarial science and health economics. Different points are addressed, such as the role of actuarial science in health, actuarial judgment, data inputs and their quality, modeling methodologies and the use of decision-analytic models in the age of artificial intelligence, and the development of innovative pricing and payment models.

摘要

本文对精算科学可为健康技术评估领域带来的潜在附加值进行了反思性分析。基于健康精算科学和健康经济学领域多位专家的经验,对这一主题展开了讨论。探讨了不同的要点,如精算科学在健康领域的作用、精算判断、数据输入及其质量、建模方法以及在人工智能时代决策分析模型的应用,还有创新定价和支付模式的发展。

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本文引用的文献

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Cost analysis of self-monitoring blood glucose in nonintensively managed type 2 diabetes.非强化管理 2 型糖尿病患者自我监测血糖的成本分析。
Am J Manag Care. 2023 Dec;29(12):670-675. doi: 10.37765/ajmc.2023.89422.
2
A Framework for the Fair Pricing of Medicines.药品合理定价框架
Pharmacoeconomics. 2024 Feb;42(2):145-164. doi: 10.1007/s40273-023-01325-z. Epub 2023 Dec 8.
3
How are health technology assessment bodies responding to the assessment challenges posed by cell and gene therapy?健康技术评估机构如何应对细胞和基因治疗带来的评估挑战?
BMC Health Serv Res. 2023 May 13;23(1):484. doi: 10.1186/s12913-023-09494-5.
4
Advance Market Commitments (AMC) model application for Colombian purchase strategy of COVID-19 vaccines.预先市场承诺(AMC)模式在哥伦比亚新冠疫苗采购策略中的应用。
Vaccine X. 2022 Dec;12:100197. doi: 10.1016/j.jvacx.2022.100197. Epub 2022 Jul 28.
5
Solving the Evidence Interpretability Crisis in Health Technology Assessment: A Role for Mechanistic Models?解决卫生技术评估中的证据可解释性危机:机制模型能发挥作用吗?
Front Med Technol. 2022 Feb 24;4:810315. doi: 10.3389/fmedt.2022.810315. eCollection 2022.
6
Assessing the performance of health technology assessment (HTA) agencies: developing a multi-country, multi-stakeholder, and multi-dimensional framework to explore mechanisms of impact.评估卫生技术评估(HTA)机构的绩效:构建一个多国、多利益相关方和多维度的框架以探索影响机制。
Cost Eff Resour Alloc. 2021 Jul 2;19(1):37. doi: 10.1186/s12962-021-00290-8.
7
Developing a reference protocol for structured expert elicitation in health-care decision-making: a mixed-methods study.制定医疗保健决策中结构化专家 elicitation 的参考协议:混合方法研究。
Health Technol Assess. 2021 Jun;25(37):1-124. doi: 10.3310/hta25370.
8
Health technology assessment: a framework.卫生技术评估:一个框架。
RMD Open. 2020 Nov;6(3). doi: 10.1136/rmdopen-2020-001289.
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The new definition of health technology assessment: A milestone in international collaboration.新的健康技术评估定义:国际合作的里程碑。
Int J Technol Assess Health Care. 2020 Jun;36(3):187-190. doi: 10.1017/S0266462320000215. Epub 2020 May 13.
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Augmented Intelligence: Enhancing the Roles of Health Actuaries and Health Economists for Population Health Management.增强智能:提升健康精算师和健康经济学家在人群健康管理中的作用。
Popul Health Manag. 2018 Oct;21(5):341-343. doi: 10.1089/pop.2017.0146. Epub 2017 Oct 24.