Doherty N, Hicks B
Health Serv Res. 1977 Summer;12(2):190-203.
A generalized cost-effectiveness technique for comparing alternative health care programs is described, and an example is given of its use in evaluating programs for care of the elderly. The analytical method requires setting criteria and standards for each outcome and cost dimension and assessing the relationship between these standards and patient status. The relative effectiveness and costs of each setting are examined in a simple tabular display that allows comparison of each program's attainments on each criterion so that alternatives may be ranked according to the extent to which they meet standards and incur costs.
描述了一种用于比较替代医疗保健方案的通用成本效益技术,并给出了其在评估老年人护理方案中的应用示例。该分析方法要求为每个结果和成本维度设定标准和准则,并评估这些标准与患者状况之间的关系。通过简单的表格展示来考察每个方案的相对有效性和成本,该表格允许比较每个方案在每个准则上的达成情况,以便根据各方案符合标准和产生成本的程度对替代方案进行排序。