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首页> 外文期刊>Revista Espa?ola de Salud Pública >Quality assessment of economic evaluations in health care : a checklist and user guide
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Quality assessment of economic evaluations in health care : a checklist and user guide

机译：医疗保健经济评估的质量评估：清单和用户指南

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The aim of this paper is to promote the efficiency in the process of incorporating new health technologies, as well as to guide their implementation by physicians. An iterative method has been used to draw a checklist based on parsimony and measurability criteria. Authors made a first version of the checklist on the basis of theoretical literature and economic evaluation guidelines. This preliminary version was discussed and its validity was tested in two focus groups by doctors and managers of the regional public health systems of Murcia and Andalusia. As a result of this iterative process, we present a 12 criteria checklist in which a score is assigned to everyone of its items. The overall score a study receives (with a maximum of 100 points) is confronting to a set of cost per QALY thresholds, in order to assess if the technology been evaluated is cost-effective or not. The thresholds was selected from a previous study. We present a checklist and user guide which includes a cost per QALY thresholds matrix. This is an original proposal that has not been previously published in the Spanish literature. Our instrument needs some future improvements in terms of its validation and its spread to other types of cost-effectiveness analysis, apart from those that use QALYs. Nevertheless, our proposal may be useful to provide guidance on the usage and financing of new health technologies in Spain.
机译：本文的目的是在整合新的健康技术的过程中提高效率，并指导医生实施这些技术。已使用一种迭代方法根据简约性和可度量性标准来绘制清单。作者根据理论文献和经济评估指南制作了清单的第一版。讨论了该初步版本，并由穆尔西亚和安达卢西亚自治区的公共卫生系统的医生和管理人员在两个焦点小组中测试了其有效性。作为此迭代过程的结果，我们提供了一个12条标准清单，其中将一个分数分配给它的每个项目。为了评估所评估的技术是否具有成本效益，一项研究获得的总体评分（最高100分）正面临着一组针对每个QALY成本的门槛。阈值选自先前的研究。我们提供一份清单和用户指南，其中包括每个QALY阈值成本矩阵。这是原始建议，以前未在西班牙文献中发表过。除了使用QALY的仪器以外，我们的仪器在验证以及将其推广到其他类型的成本效益分析方面还需要未来的改进。尽管如此，我们的建议对于在西班牙使用和资助新卫生技术提供指导可能还是有用的。

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