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Modelling in the economic evaluation of health care: selecting the appropriate approach

机译:卫生保健经济评估中的模型:选择适当的方法

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Objectives: To provide an overview of alternative approaches to modelling in economic evaluation, and to highlightnsituations where each of the alternative modelling techniques should be employed.nMethods: A review of the available approaches to modelling in the economic evaluation of health careninterventions with a leading discussion of examples of published studies leading to guidance in the selection of annappropriate approach in different circumstances.nResults: The main approaches to modelling used in economic evaluations in health care are decision trees, Markovnmodels and individual sampling models. These methods assume independence of individuals within the model.nWhere interaction between individuals is important, other methods such as discrete-event simulation or systemndynamics are preferable.nConclusions: The paper highlights the crucial question to be answered when selecting the approach to modelling:ncan the individuals being simulated in the model be regarded as independent? This issue is very commonly notnrecognised by analysts but is fundamental to the appropriate application of modelling in economic evaluation.
机译:目标:概述经济评估中建模的替代方法,并突出说明应采用每种替代建模技术的位置。n方法:对卫生保健干预措施经济评估中可用的建模方法进行回顾,并进行主要讨论结果:在卫生保健经济评估中使用的建模的主要方法是决策树,马尔可夫模型和个体抽样模型。这些方法假设模型中个体之间的独立性.n在个体之间的相互作用很重要的地方,其他方法(例如离散事件模拟或系统动力学)是更可取的。n结论:本文重点介绍了选择建模方法时要回答的关键问题:模型中被模拟的个人是否被视为独立的?分析人员通常不会认识到此问题,但对于在经济评估中正确应用模型至关重要。

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