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Markov 模型在卫生经济学中的应用×生命质量调整年 (QALY)×
领域卫生经济学卫生经济学
方法族Process / pipelineProcess / pipeline
起源年份19831985
提出者Beck & Pauker (medical decision analysis, Massachusetts General Hospital)Alan Williams (Health Economics Research Centre, Oxford University)
类型MethodMethod
开创性文献Beck, J. R., & Pauker, S. G. (1983). The Markov Process in Medical Prognosis. Medical Decision Making, 3(4), 419-458. DOI ↗Kind, P. (1989). The EuroQol instrument: an index of health-related quality of life. In B. Teeling Smith (Ed.), Measuring health: a practical approach. Chichester: Wiley. link ↗
别名Markov model, state transition model, cohort simulationQALY, health utility measure
相关55
摘要A Markov model is a decision-analytic tool that simulates disease progression through defined health states over time, calculating cumulative costs and quality-adjusted life years (QALYs) to enable cost-effectiveness analysis. Developed by Beck and Pauker in 1983, Markov models are now the standard framework for projecting long-term outcomes of health interventions, especially chronic diseases where patients transition between clinical states (treatment response, disease progression, remission, death). Used by health technology assessment bodies and pharmaceutical companies to predict intervention value beyond trial duration.A QALY measures health benefit as utility weight (0 = death, 1 = perfect health) multiplied by time lived. Developed by Alan Williams in 1985, QALYs enable comparison of disparate health interventions on a common metric. Used globally by health technology assessment bodies—NICE (UK), HAS (France), CADTH (Canada), WHO—to decide which treatments deserve public funding.
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ScholarGate方法对比: Markov Model in Health Economics · Quality-Adjusted Life Year. 于 2026-06-20 检索自 https://scholargate.app/zh/compare