FOUNDATIONS OF COST-EFFECTIVENESS ANALYSIS FOR HEALTH AND MEDICAL PRACTICES
FOUNDATIONS OF COST-EFFECTIVENESS ANALYSIS FOR HEALTH AND MEDICAL PRACTICES
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DOI：
10.1056/nejm197703312961304
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发表时间：
1977-01-01
影响因子：
158.5
通讯作者：
STASON, WB
中科院分区：
文献类型：
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作者：
WEINSTEIN, MC;STASON, WB
卫生保健资源的限制要求资源分配决策必须考虑与预期收益相关的成本。在成本效益分析中，净医疗保健成本与净健康效益的比率提供了一个可以确定优先事项的指数。生活质量问题，包括治疗的不利和有益影响，可以作为对预期寿命的调整纳入健康益处的计算中。未来收益和成本的时间可以通过适当使用贴现来解释。当前的决策必然基于不完美的信息，但敏感性分析可以提高某些决策的可信度，同时提出进一步研究可能对指导其他决策有价值的领域。分析应适应各种医疗保健决策者的需求，包括规划者、管理者和提供者。 (新英格兰医学杂志 296:716–721, 1977)
Limits on health-care resources mandate that resource-allocation decisions be guided by considerations of cost in relation to expected benefits. In cost-effectiveness analysis, the ratio of net health-care costs to net health benefits provides an index by which priorities may be set. Quality-of-life concerns, including both adverse and beneficial effects of therapy, may be incorporated in the calculation of health benefits as adjustments to life expectancy. The timing of future benefits and costs may be accounted for by the appropriate use of discounting. Current decisions must inevitably be based on imperfect information, but sensitivity analysis can increase the level of confidence in some decisions while suggesting areas where further research may be valuable in guiding others. Analyses should be adaptable to the needs of various health-care decision makers, including planners, administrators and providers. (N Engl J Med 296:716–721, 1977)