Prashker M J
Boston Veterans Administration Medical Center, Massachusetts.
Curr Opin Rheumatol. 1994 Mar;6(2):140-6. doi: 10.1097/00002281-199403000-00004.
Health care research in rheumatology has traditionally underemphasized economic studies, but the advent of health care reform makes this type of research more important than ever. This paper reviews studies relating to economics and rheumatology as well as methodologic issues relating to the conduct of such studies. The topics covered include data collection in health services research, problems in the use of traditional measures of health-related quality of life and rheumatology, cost-effectiveness analyses, cost studies, studies documenting changes in utilization, and the merits of using contingent valuation methods as the outcome variable in rheumatologic cost-effectiveness studies. It is important for researchers in rheumatology to continue investigation into the most efficient means of providing care to our patients.
传统上，风湿病领域的医疗保健研究一直未充分重视经济学研究，但医疗保健改革的出现使得此类研究比以往任何时候都更为重要。本文回顾了与经济学和风湿病相关的研究以及进行此类研究的方法学问题。涵盖的主题包括卫生服务研究中的数据收集、传统的健康相关生活质量和风湿病测量方法的使用问题、成本效益分析、成本研究、记录利用情况变化的研究，以及在风湿病成本效益研究中使用条件估值法作为结果变量的优点。风湿病研究人员继续探究为患者提供护理的最有效方式非常重要。
