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Value-based medicine: concepts and application
Jong-Myon Bae
Epidemiol Health. 2015;37:e2015014.   Published online March 4, 2015
DOI: https://doi.org/10.4178/epih/e2015014
  • 22,365 View
  • 359 Download
  • 20 Web of Science
  • 51 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
Global healthcare in the 21st century is characterized by evidence-based medicine (EBM), patient-centered care, and cost effectiveness. EBM involves clinical decisions being made by integrating patient preference with medical treatment evidence and physician experiences. The Center for Value-Based Medicine suggested value-based medicine (VBM) as the practice of medicine based upon the patient-perceived value conferred by an intervention. VBM starts with the best evidence-based data and converts it to patient value-based data, so that it allows clinicians to deliver higher quality patient care than EBM alone. The final goals of VBM are improving quality of healthcare and using healthcare resources efficiently. This paper introduces the concepts and application of VBM and suggests some strategies for promoting related research.
Summary
Korean summary
21세기 의학은 근거기반, 환자중심, 비용효과적인 의료를 지향하고 있다. 근거기반의학은 의사결정에 있어 최선의 의학적 근거를 기반으로 하려는 패러다임이다. 이런 근거기반의학에 더하여 환자의 가치를 치료 결정에 적극 반영하기 위하여 가치기반의학이 제기되었다. 가치기반의학은 최선의 근거에 따라 진료를 하면서도 의료자원을 효율적으로 사용하도록 만들어서, 궁극적으로 한 나라의 보건의료의 질적 향상을 도모하게 한다. 본 논문의 목적은 가치기반의학의 개념을 소개하고 관련 연구의 활성화를 위한 전략적 제언을 하는 것이다.

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The clinical decision analysis using decision tree
Jong-Myon Bae
Epidemiol Health. 2014;36:e2014025.   Published online October 30, 2014
DOI: https://doi.org/10.4178/epih/e2014025
  • 22,163 View
  • 407 Download
  • 30 Web of Science
  • 44 Crossref
AbstractAbstract PDFSupplementary Material
Abstract
The clinical decision analysis (CDA) has used to overcome complexity and uncertainty in medical problems. The CDA is a tool allowing decision-makers to apply evidence-based medicine to make objective clinical decisions when faced with complex situations. The usefulness and limitation including six steps in conducting CDA were reviewed. The application of CDA results should be done under shared decision with patients’ value.
Summary

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