Med Decis Making - Expected net present value of sample information: from burden to investment.

Tópicos

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Resumo

The Expected Value of Information Framework has been proposed as a method for identifying when health care technologies should be immediately reimbursed and when any reimbursement should be withheld while awaiting more evidence. This framework assesses the value of obtaining additional evidence to inform a current reimbursement decision. This represents the burden of not having the additional evidence at the time of the decision. However, when deciding whether to reimburse now or await more evidence, decision makers need to know the value of investing in more research to inform a future decision. Assessing this value requires consideration of research costs, research time, and what happens to patients while the research is undertaken and after completion. The investigators describe a development of the calculation of the expected value of sample information that assesses the value of investing in further research, including an only-in-research strategy and an only-with-research strategy.

Resumo Limpo

expect valu inform framework propos method identifi health care technolog immedi reimburs reimburs withheld await evid framework assess valu obtain addit evid inform current reimburs decis repres burden addit evid time decis howev decid whether reimburs now await evid decis maker need know valu invest research inform futur decis assess valu requir consider research cost research time happen patient research undertaken complet investig describ develop calcul expect valu sampl inform assess valu invest research includ onlyinresearch strategi onlywithresearch strategi

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