Bance M L, Hyde M L, Malizia K
Department of Otolaryngology, University of Toronto Faculty of Medicine, Mount Sinai Hospital, Ontario.
J Otolaryngol. 1994 Apr;23(2):109-20.
Demonstrating improved outcomes and cost containment are current health care imperatives. For many diseases, competing diagnostic tests are available. Each has a direct economic cost and indirect costs based on missed disease. It is often difficult to determine the most efficient testing strategy for a given patient. Clinical Decision Analysis can optimise diagnostic strategies to maximise cost-effectiveness. Analytic techniques are developed to allow analysis of diagnostic strategies that include multi-test protocols. The test parameters required for modelling these strategies are derived from a literature analysis.
证明改善治疗效果和控制成本是当前医疗保健的当务之急。对于许多疾病而言，有多种相互竞争的诊断测试可供选择。每种测试都有直接的经济成本以及因漏诊疾病而产生的间接成本。通常很难为特定患者确定最有效的检测策略。临床决策分析可以优化诊断策略，以实现成本效益最大化。已开发出分析技术，以便能够对包括多项测试方案的诊断策略进行分析。为这些策略建模所需的测试参数来自文献分析。
