缺血性卒中卫生经济学评价模型结构研究

目的 梳理和提炼现有文献中缺血性卒中卫生经济学评价模型的结构和逻辑，为规范我国缺血性 卒中经济学评价模型提供参考和支持。 方法 系统检索国内外已发表的缺血性卒中卫生经济学评价文献，对现有文献中评价模型的结构 特点进行总结和归纳。 结果 共纳入20篇国内外缺血性卒中卫生经济学评价文献，其中以决策树与马尔科夫相结合的模 型最常见，不同的研究基于对疾病发生发展的不同理解，构建了包括3、4、7及更多状态的评价模型。 结论 应基于缺血性卒中疾病特征和临床治疗路径，对缺血性卒中卫生经济学评价模型进行恰当 地规范。

Review on Health Economic Evaluation Models of Ischemic Stroke

Objective To review and analyze the health economic evaluation models of ischemic stroke,to provide reference and support for standardizing the health economic evaluation model of ischemic stroke in China.Methods We systematically reviewed the literatures on health economic evaluation of ischemic stroke,and summarized the structure characteristics of the existing models.Results A total of 20 literatures were included.Of the analyzed evaluation models,the model of decision tree combined with Markov was the most common.Due to different understanding for the onset and progression of stroke,different Markov models with 3,4,7 or more states were developed.Conclusions It was necessary to standardize the health economic evaluation model of ischemic stroke,which should be constructed based on disease progression features and clinical pathway.