An Introduction of EVIDEM Framework and Its Application in Healthcare Decision Making
10.13422/j.cnki.syfjx.20220154
- VernacularTitle:EVIDEM框架介绍及其在卫生决策中的应用
- Author:
Ze-qi DAI
1
;
Si-min XU
1
;
Xue WU
1
;
Lu-lu JIA
2
;
Jin-song GENG
3
;
Hui ZHAO
4
;
Xing LIAO
1
Author Information
1. Center for Evidence Based Chinese Medicine，Institute of Basic Research in Clinical Medicine，China Academy of Chinese Medical Sciences，Beijing 100700，China
2. Beijing Children′s Hospital，Capital Medical University，Beijing 100045，China
3. Medical School，Nantong University，Nantong 226001，China
4. China Center for Evidence Based Traditional Chinese Medicine，Beijing 100700，China
- Publication Type:Journal Article
- Keywords:
evidence and value;
evidence and value：impact on DEcisionMaking （EVIDEM）;
multiple criteria decision analysis （MCDA）;
health technology assessment （HTA）;
healthcare decision making;
Chinese patent medicine;
clinical comprehensive evaluation
- From:
Chinese Journal of Experimental Traditional Medical Formulae
2022;28(4):212-218
- CountryChina
- Language:Chinese
-
Abstract:
Evidence and value：impact on DEcisionMaking （EVIDEM） framework was developed by EVIDEM collaboration. Its core is the combination of multiple criteria decision analysis （MCDA） model and standardized health technology assessment （HTA） report， which aims to evaluate the overall value of medical interventions. It has been tested and implemented in the real-world evaluation environments. After more than 10 years of development， EVIDEM framework has been updated to version 10， and the relevant operation manuals have been published. More than 40 countries have joined the collaboration and more than 20 countries have carried out relevant studies. The framework is constructed with patients， population and sustainability as the overall goals， combing the evidence and value， forming a relatively complete decision-making framework system composed of 2 levels， 7 dimensions and 20 criteria. The two levels include normative universal criteria and contextual criteria. The normative universal criteria， namely EVIDEM core model， is the quantitative evaluation， consisting of 5 dimensions and 13 criteria. Contextual criteria， namely contextual tools， are qualitative evaluation， consisting of 2 dimensions and 7 criteria. The specific operation steps of EVIDEM framework include selecting and constructing criteria， assigning weights， integrating and evaluating evidence， quantitative and qualitative evaluation of value， comprehensive value estimation and ranking based on value estimation. EVIDEM framework is applicable to disease diagnosis， treatment， management and other fields. Its application scope includes medical insurance reimbursement， clinical practice decision-making， drug selection and so on， which can provide a method for more systematic， transparent and scientific healthcare decision-making. At present， the framework has been introduced into the field of traditional Chinese medicine and can provide a scientific and feasible evaluation tool and methodology system for the clinical comprehensive evaluation of Chinese patent medicine.
