Health Economic Studies An Introduction to Cost-benefit, Cost-effectiveness, and Cost-utility Analyses
Health Economic Studies An Introduction to Cost-benefit, Cost-effectiveness, and Cost-utility Analyses
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DOI：
10.1097/brs.0000000000000576
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发表时间：
2014-10-15
期刊：
影响因子：
3
通讯作者：
Berven, Sigurd
中科院分区：
文献类型：
--
作者：
Angevine, Peter D.;Berven, Sigurd
研究设计。叙事概述。客观性。为临床医生提供经济学研究的基本知识，包括成本效益、成本效益和成本效用分析。背景数据摘要。随着有关公共卫生政策、保险报销和患者护理的决策纳入了传统结果之外的因素，如满意度或症状缓解，卫生经济学研究在文献中日益突出。这一趋势可能会继续下去，因此，对临床医生来说，对常见类型的经济学研究有一个基本的了解并能够批判性地阅读它们是重要的。在这篇简短的文章中，讨论了经济学研究的基本概念以及成本效益、成本效益和成本效用研究的区别。对卫生经济分析领域进行了概述。成本效益、成本效益和成本效用研究都将成本和结果数据整合到决策分析模型中。这些不同类型的研究主要通过评估结果的方式来区分。获取准确的成本数据通常是困难的，可能会限制研究的概括性。通过对卫生经济分析的基本了解，临床医生可以向消费者告知这些重要的研究。
Study Design. Narrative overview.Objective. To provide clinicians with a basic understanding of economic studies, including cost-benefit, cost-effectiveness, and cost-utility analyses.Summary of Background Data. As decisions regarding public health policy, insurance reimbursement, and patient care incorporate factors other than traditional outcomes such as satisfaction or symptom resolution, health economic studies are increasingly prominent in the literature. This trend will likely continue, and it is therefore important for clinicians to have a fundamental understanding of the common types of economic studies and be able to read them critically. In this brief article, the basic concepts of economic studies and the differences between cost-benefit, costeffectiveness, and cost-utility studies are discussed.Methods. An overview of the field of health economic analysis is presented.Results. Cost-benefit, cost-effectiveness, and cost-utility studies all integrate cost and outcome data into a decision analysis model. These different types of studies are distinguished mainly by the way in which outcomes are valued. Obtaining accurate cost data is often difficult and can limit the generalizability of a study.Conclusion. With a basic understanding of health economic analysis, clinicians can be informed consumers of these important studies.