在QALY之后:卫生技术评估新起点的训练。

IF 1.1 Q1 MATHEMATICS
JOURNAL OF INTERDISCIPLINARY MATHEMATICS Pub Date : 2023-10-10 eCollection Date: 2023-01-01 DOI:10.24926/iip.v14i1.5211
Paul C Langley, Elliott M Sogol
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引用次数: 0

摘要

需要一种新的范例来支持卫生技术评估(HTA)。最近对HTA治疗评估标准现状的评估得出结论,从业者被锁定在一个模因中,而不是一个范式中。这种模因否定了对客观知识进化的承诺,否定了对临时新事实的发现,而支持通过构建假设驱动的模拟来创造近似信息,这些模拟支持非经验可评估的成本效益主张。在卫生技术评估中,这种致力于构建假设驱动的模型模拟,为相对成本效益创造终身假想索赔的做法,正日益被认为是分析上的死胡同。作为创建不可评估的近似建模信息的框架引入,它缺乏对正常科学标准或Rasch或现代测量理论要求的任何承诺;没有一个关于产品定价和获取的声明符合可信度、经验评估或复制的标准[i]。基于数学上不可能的质量调整生命年(QALY),迫切需要在卫生技术评价方面有一个新的开始,以确保产品评价的标准符合物理和更成熟的社会科学(如教育、心理学和经济学)的标准。人们认识到,有必要从支持不可评估的模型索赔,为处方决策提供信息,转变为HTA努力支持常规科学标准和基础测量标准的框架。我们必须把重点放在达到自然科学和先进社会科学的标准上。采用新框架并非易事。如果HTA想在医疗保健决策中保留任何被认真对待的尝试,这不是一种选择,而是势在必行。为了实现这一目标,对HTA最低标准的承诺是必不可少的,药学教学项目可以发挥关键作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
After The QALY: Training for a New Start Paradigm in Health Technology Assessment.
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来源期刊
CiteScore
2.70
自引率
23.50%
发文量
141
期刊介绍: The Journal of Interdisciplinary Mathematics (JIM) is a world leading journal publishing high quality, rigorously peer-reviewed original research in mathematical applications to different disciplines, and to the methodological and theoretical role of mathematics in underpinning all scientific disciplines. The scope is intentionally broad, but papers must make a novel contribution to the fields covered in order to be considered for publication. Topics include, but are not limited, to the following: • Interface of Mathematics with other Disciplines • Theoretical Role of Mathematics • Methodological Role of Mathematics • Interface of Statistics with other Disciplines • Cognitive Sciences • Applications of Mathematics • Industrial Mathematics • Dynamical Systems • Mathematical Biology • Fuzzy Mathematics The journal considers original research articles, survey articles, and book reviews for publication. Responses to articles and correspondence will also be considered at the Editor-in-Chief’s discretion. Special issue proposals in cutting-edge and timely areas of research in interdisciplinary mathematical research are encouraged – please contact the Editor-in-Chief in the first instance.
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