Health systems around the world seek to address patients’ unmet health needs for a range of acute and chronic diseases. Simultaneously, governments strive to keep healthcare spending sustainable, while providing equal access to high-quality care. This has fuelled debate around what constitutes a valuable healthcare intervention in a health system and the corollary consideration of what governments are willing to pay for a certain health intervention. Until recently, the value of information in general, and the value of diagnostic information (VODI) specifically, was not part of the discussion.However, investment in diagnostic information can be a key development as information may guide more effective and efficient healthcare and help maintain an affordable health system. This paper therefore explores ways to best define, evaluate, and reward the value created from diagnostics in healthcare and how to include these value considerations in decision-making processes for diagnostics. The authors ultimately call for a holistic VODI framework that accounts for the full range of potential benefits of diagnostic testing, beyond the traditional clinical and health economic domains, and that is essential to recognise, measure, and fully leverage the benefits of diagnostics for patients, health systems, and society.

中文翻译：

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诊断信息在个性化医疗保健中的价值：促进将此技术引入医疗保健系统的综合概念

世界各地的卫生系统都在寻求解决患者对一系列急性和慢性疾病的未满足的健康需求。同时，政府努力保持医疗保健支出的可持续性，同时提供平等获得高质量护理的机会。这引发了围绕什么构成卫生系统中有价值的医疗干预以及政府愿意为某种健康干预支付多少的必然考虑的争论。直到最近，一般信息的价值，特别是诊断信息 (VODI) 的价值，还没有成为讨论的一部分。然而，对诊断信息的投资可能是一个关键的发展，因为信息可以指导更有效和高效的医疗保健并帮助维持负担得起的卫生系统。因此，本文探讨了最佳定义、评估、并奖励从医疗保健诊断中创造的价值，以及如何将这些价值考虑因素纳入诊断决策过程中。作者最终呼吁建立一个全面的 VODI 框架，该框架考虑了诊断测试的所有潜在好处，超越了传统的临床和健康经济领域，这对于识别、衡量和充分利用诊断对患者的好处至关重要，卫生系统和社会。