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The Journal of the Royal Statistical Society, Series A (Statistics in Society)最新文献

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Time Series for Data Sciences: Analysis and Forecasting 数据科学的时间序列:分析与预测
Pub Date : 2023-11-07 DOI: 10.1093/jrsssa/qnad134
Anoop Chaturvedi
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引用次数: 0
A Bayesian change-point detection approach to the economic evaluation of risky projects: an application to healthcare technology assessment 对风险项目进行经济评估的贝叶斯变化点检测方法:在医疗保健技术评估中的应用
Pub Date : 2023-10-24 DOI: 10.1093/jrsssa/qnad129
Daniele Bregantini, Laetitia H M Schmitt, Jacco J J Thijssen
Abstract We propose a Bayesian hypothesis testing framework that allows for the assessment of evidence collected during a clinical trial about the cost-effectiveness of a healthcare technology. The model exploits a Bayesian updating rule that makes the link between the evidence collected in clinical research and the expected payoffs of adoption to the healthcare system. The framework takes into account the cost of decision errors in the payoff function, allowing the decision maker to compute the cost of taking a decision when evidence is far from the optimal decision triggers. We show, using a real-world cost-effectiveness study based on clinical trial evidence, how rules derived from a sequential adaptive design approach can lead to quicker decisions when compared to the value of information decision framework. Our application shows that a sequential approach has the potential to lead to quicker decisions, higher payoffs, and better health outcomes.
摘要 我们提出了一个贝叶斯假设检验框架,可用于评估临床试验期间收集的有关医疗保健技术成本效益的证据。该模型利用贝叶斯更新规则,将临床研究中收集的证据与医疗系统采用该技术的预期回报联系起来。该框架考虑了报酬函数中的决策失误成本,允许决策者在证据与最优决策触发点相差甚远时计算决策成本。我们通过一项基于临床试验证据的真实世界成本效益研究表明,与信息价值决策框架相比,从顺序自适应设计方法中得出的规则如何能更快地做出决策。我们的应用表明,顺序方法有可能带来更快的决策、更高的回报和更好的健康结果。
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引用次数: 0
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The Journal of the Royal Statistical Society, Series A (Statistics in Society)
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