Sonnenberg F A, Roberts M S, Tsevat J, Wong J B, Barry M, Kent D L
University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick 08903.
Med Care. 1994 Jul;32(7 Suppl):JS52-64.
This paper presents a framework for a peer review process for medical decision analysis models. This framework is based on the collective experience of the members of the Inter-PORT Decision Modeling work group, a team of decision analysis experts comprising members from each of the Patient Outcomes Research Teams (PORTs), sponsored by the Agency for Health Care Policy and Research. Important general principles of correct model structure include choice of model type, perspective of the analysis, choice of utility scheme and identification of strategies that should be included and events that should be modeled. In addition, a set of rules for correct decision model structure may help to identify common errors. Although not necessarily exhaustive, this scheme provides an approach by which a reviewer may judge the adequacy of a decision model presented for publication or as the basis for a health policy.
本文提出了一个医学决策分析模型同行评审过程的框架。该框架基于跨PORT决策建模工作组成员的集体经验,该工作组由决策分析专家组成,成员来自每个患者结局研究团队(PORT),由医疗保健政策与研究机构赞助。正确模型结构的重要一般原则包括模型类型的选择、分析的视角、效用方案的选择以及应包含的策略和应建模的事件的识别。此外,一套正确决策模型结构的规则可能有助于识别常见错误。虽然不一定详尽无遗,但该方案提供了一种方法,评审者可据此判断提交发表或作为卫生政策基础的决策模型是否充分。