Fieller方法与净健康收益

Fieller's method and net health benefits

Health Economics · 2000
被引 65
人大 A-

中文导读

解释了增量净健康收益(INHB)与增量成本效果比(ICER)的Fieller置信区间之间的关系,并通过数值例子说明如何计算和解释净健康收益分析。

Abstract

Statistical and conceptual difficulties complicate the estimation of the incremental cost-effectiveness ratio (ICER). An alternative approach is to measure cost-effectiveness by the incremental net health benefit (INHB), defined as the difference in mean effectiveness of a new treatment compared with a standard, adjusted for cost difference by subtracting the health foregone if purchasing care at the rate of a marginally cost-effective therapy. Because net health benefit (NHB) is dependent on this threshold rate, one can construct confidence intervals for the INHB at various values of the rate. It turns out that the set of rates where new and standard are not significantly different is equal to the Fieller's method confidence set for the ICER. We review the derivation of the Fieller's method confidence set, present numerical examples, and discuss the implications of our result for the calculation and interpretation of NHB analyses.

增量成本效果比净健康收益Fieller方法置信区间