摘要
目的系统评价中国与加拿大预算影响分析研究的研究质量。方法计算机检索PubMed、EMbase、The Cochrane Library、CNKI、WanFang Data和VIP,搜集中国与加拿大预算影响分析的相关研究,检索时间均从建库至2016年11月1日。由2位评价员独立筛选文献、提取资料并评价纳入研究的研究质量。对研究的质量评价结果进行描述性分析。结果最终纳入27个研究。来自中国的研究平均分为3.8分,加拿大研究平均分为5.5分。国内预算影响分析研究存在一些不足,如研究中未明确阐明研究角度、或未以预算持有部门的角度进行分析、未利用敏感性分析检查未来市场变动的不确定性、未设置对照情形等,均不利于指导医保或预算持有部门进行科学合理的决策。结论目前国内预算影响分析研究质量较差,应建立统一的预算影响分析指南,提高研究质量,合理、科学地指导医药决策。
Objective To assess the quality of budget impact analysis in China and Canada. Methods We searched databases including PubMed, EMbase, The Cochrane Library, CNKI, WanFang Data and VIP from inception to 1st November, 2016, to collect studies about budget impact analysis. Two reviewers independently screened literatures, extracted data and assessed the quality of included studies. Results 27 literatures were included. The mean grades of Chinese and Canadian literatures were 3.8 and 5.5, respectively. Some Chinese studies did not explicitly clarify the research perspective. Few studies in China were conducted according to budget holders＇ perspective and with a short time horizon, or examined the results using sensitivity analyses responsive to the uncertainty surrounding future market developments, or compared between current and comparator scenarios. These deficiencies were not conducive to scientific and rational decision-making. Conclusion The quality of budget impact analysis is relatively low in China. It is needed to establish uniform budget impact analysis guideline to improve quality to guide decision making.
出处
《中国循证医学杂志》
CSCD
2017年第10期1231-1236,共6页
Chinese Journal of Evidence-based Medicine
基金
2015年中国药科大学"华海药业研究生创新基金"(编号:CX15S-014HH)
关键词
预算影响分析
质量评估
中国
加拿大
Budget impact analysis
Quality evaluation
China
Canada
作者简介
通信作者：李洪超，Email：lihongchao@cpu．edu．cn
