效用值在COPD中的应用现状及思考

发布时间：2018-04-11 06:13

本文选题：成本-效用分析 + 效用值　；参考：《中国全科医学》2015年08期

【摘要】：成本-效用分析(CUA)综合考虑了人的生命质量和生存时间,在国内外应用日趋广泛。本研究对效用值的测量方法进行了总结,并对CUA研究中存在的问题进行思考。效用值的测量有直接测量法和间接测量法,直接测量法包括刻度法(RS)、标准博弈法(SG)、时间权衡法(TTO)、人数权衡法(PTO)和量值评估法(ME)等,间接测量法通过量表调查患者对某一健康状态的偏好程度,然后采用合适的计量经济学模型构建该量表的效用值积分体系。目前,国内COPD的CUA研究中,效用值测量的理论基础尚不完善,是否存在边际递减效应尚不明确,缺乏符合我国国情的生活质量量表,对效应值的测量方法仍需规范。
[Abstract]:Cost-utility analysis (CUAA), which takes into account the quality of life and life time, is widely used at home and abroad.In this study, the methods of measuring utility value are summarized, and the problems in CUA research are considered.The measurement of utility value includes direct measurement method and indirect measurement method. Direct measurement method includes scale method, standard game method, time tradeoff method, population tradeoff method (PTO) and value evaluation method (MEM), etc.Indirect measurement was used to investigate the degree of patients' preference to a certain state of health, and then an appropriate econometric model was used to construct the utility value integral system of the scale.At present, in the CUA research of COPD in China, the theoretical basis of utility value measurement is not perfect, the marginal decline effect is not clear, the quality of life scale according to the situation of our country is lacking, and the measuring method of effect value still needs to be standardized.
【作者单位】：河南中医学院第一临床医院;河南中医学院第一附属医院呼吸科呼吸疾病诊疗与新药研发河南省协同创新中心;河南中医学院老年医学研究所;
【基金】：国家自然科学基金面上项目(81473799);国家自然科学基金青年基金项目(30772797) 河南省科技创新人才计划(144100510010)
【分类号】：R563.9

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