Phillips C J, Moore R A
School of Health Science, University of Wales, Swansea, UK.
Int J Clin Pract. 1998 Jul-Aug;52(5):335-40.
The occurrence of a fracture is the most obvious manifestation of osteoporosis. Preventive measures can reduce the risk of such events. The cost of preventing fractures depends on the cost and effectiveness of the intervention and the cost associated with treating the fractures. This paper aims to develop a framework for commissioners to evaluate new technologies by integrating the evidence on effectiveness with the costs likely to be incurred in providing interventions and the probable benefits generated. The explicit aim is to show how the effectiveness of an intervention designed to prevent hip fractures in the elderly, combined with an analysis of its potential economic impact, can provide an indication of how quality improvements in health-care provision and cost savings may be generated.
骨折的发生是骨质疏松症最明显的表现。预防措施可以降低此类事件的风险。预防骨折的成本取决于干预措施的成本和效果以及治疗骨折的相关成本。本文旨在为医疗服务购买者制定一个框架，通过将有效性证据与提供干预措施可能产生的成本以及可能带来的效益相结合，来评估新技术。明确的目标是展示一种旨在预防老年人髋部骨折的干预措施的有效性，结合对其潜在经济影响的分析，如何能够表明在医疗保健提供方面的质量改进和成本节约是如何产生的。
