Opportunity costs and uncertainty in the economic evaluation of health care interventions
指出当前成本效益分析中阈值未知的固有缺陷,提出基于机会成本概念和决策规则的新分析框架(决策平面),以更有效地向政策制定者传达不确定性。
Considerable methodological research has been conducted on handling uncertainty in cost-effectiveness analysis. The current literature suggests the concepts of net health benefits and cost-effectiveness acceptability curves to circumvent the technical shortcomings of cost-effectiveness ratio statistics. However, these approaches do not provide a solution for the inherent problem that the threshold cost-effectiveness ratio itself is unknown. The authors suggest analysing uncertainty in cost-effectiveness analysis by directly addressing the concept of opportunity costs using the decision rule described by Birch and Gafni (1992) and introduce a new graphical framework (the "decision making plane") for communicating with policy makers.