Cost-Effectiveness Ratio for Comparing Social and Health Policies

• Autorzy: Carlotta Galeone , Angiola Pollastri

Warianty tytułu

Współczynnik efektywności kosztów do porównywania polityki społecznej i zdrowotnej

• Języki publikacji: EN

Abstrakty

Analiza inkrementalnego współczynnika efektywności kosztów (incremental - cost-effectiveness ratio, ICER) jest ważną częścią społecznych i zdrowotnych procesów decyzyjnych, ponieważ jednocześnie dostarcza informacje o koszcie i skuteczności nowej interwencji medycznej. Szczególne znaczenie dla analizy ma kalkulacja przedziału ufności dla współczynnika ICER. W artykule zostanie zaprezentowana nowa parametryczna metoda budowy przedziałów ufności dla ICER, bazująca na rozkładzie ilorazu skorelowanych zmiennych o rozkładzie normalnym. Zaprezentowana metoda pozwala na oszacowanie współczynnika ICER w każdy warunkach, w przeciwieństwie do klasycznej parametrycznej metody zaproponowanej przez Fiellera.(abstrakt oryginalny)

EN

The analysis of the incremental cost-effectiveness ratio (ICER) is an important part of the social and health decision-making process, because ICER is used to obtain simultaneous information on the cost and effectiveness of a new intervention when compared to another one. Despite the increasing use of the ICER, studies on its statistical methodology have still not been sufficiently developed. In particular, the calculation of the confidence interval for the ICER is fundamental to take into account the uncertainty due to differences in samples. In this paper, a new parametric technique for the construction of confidence intervals for the ICER is proposed. It is based on the distribution of the ratio of two correlated normal variables. The method discussed has always existed, despite the degenerate cases of the classical parametric method proposed by Fieller, for which the classical region is not an interval. The computation of the confidence intervals proposed in the present paper may also be achieved in a feasible way.(original abstract)

Słowa kluczowe

PL

Efektywność; Efektywność kosztowa; Zmienne losowe; Polityka społeczna; Polityka zdrowotna

EN

Effectiveness; Cost effectiveness; Random variable; Societal policy; Health care policy

• Czasopismo: Śląski Przegląd Statystyczny
• Rocznik: 2013
• Numer: nr 11 (17)
• Strony: 123-131

Twórcy

autor

Carlotta Galeone

• Università degli Studi di Milano, Italy

autor

Angiola Pollastri

• Università degli Studi di Milano-Bicocca, Italy

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