[From evidence-based medicine to value-based medicine].
Evidence base medicine (EBM) is based on objective evidence, which provides best available knowledge for physicians to scientifically make medical and therapeutic decisions for the care of all individual patients in order to improve the effectiveness of treatment and to prolong the life of patients. EBM has made a significant progress in clinical practice. But medical therapies cannot always bring a better life quality and clinically, patients' preference should be always taken into account. Value-based medicine medicine (VBM) is the practice of medicine that emphasizes the value received from an intervention. It takes evidence-based data to a higher level by combining the parameters of patient-perceived value with the cost of an intervention. The fundamental instrument of VBM is cost-utility analysis. VBM will provide a better practice model to evaluate the therapeutic package and cost effectiveness for individual and general health care.
Zhang
Shao-dan
SD
Beijing Tongren Opthalmic Center, Capital University of Medical Sciences, Beijing, China. shaodan_bao@126.com
Liang
Yuan-bo
YB
Li
Si-zhen
SZ
D003362:Cost-Benefit Analysis; D019317:Evidence-Based Medicine; D006801:Humans; D011788:Quality of Life