Economic evaluation and health care. What does it mean?
Economic evaluation and health care. What does it mean?
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经济评估和医疗保健。
作者：
R. Robinson
自从卫生保健的物有所值的概念被引入国民健康保险制度以来，经济术语和行话已经成为我们日常生活的一部分--但我们是否了解不同类型的经济评估都意味着什么，特别是那些听起来类似于外行的评估？这篇文章向读者介绍了经济评估的目的，并简要解释了成本最小化分析(在所比较的程序的结果相同时使用)、成本效果分析(用于结果可能不同，但可以用常见的自然单位表示，例如用于治疗高血压的毫米汞柱)、成本效用分析(用于结果确实不同的时候，例如生活质量量表)和成本效益分析(用于对所接受的服务进行货币价值评估时)。以后的文章将更详细地讨论每一个问题。
Ever since the concept of value for money in health care was introduced into the NHS, economic terms and jargon have become part of our everyday lives--but do we understand what the different types of economic evaluation all mean, particularly those that sound similar to the uninitiated? This article introduces readers to the purpose of economic evaluation, and briefly explains the differences between cost-minimisation analysis (used when the outcomes of the procedures being compared are the same); cost-effectiveness analysis (used when the outcomes may vary, but can be expressed in common natural units, such as mm Hg for treatments of hypertension); cost-utility analysis (used when outcomes do vary--for example, quality of life scales); and cost-benefit analysis (used when a monetary value is being placed on services received). Further articles will deal with each one in more detail.