Useful article, beyond the title, you'll find different value frameworks to apply to diagnostic tests and their proposal:
Table 4. Value framework proposed.
| Essential/core | |
| Criteria∗ | Subcriteria∗ |
| Clinical Benefit and Test Performance | Clinical consecuences of the use of the test |
| Test performance | |
| Safety and Unwanted consequences | Procedural safety |
| Consequences of the wrong diagnosis | |
| Safety of test preparation | |
| Safety of test operators | |
| Quality of scientific evidence | |
| Economical aspects | Economic evaluation (clinical effectiveness and/or budget impact analysis) |
| Other costs | |
| Organizational aspects and feasibility within the clinical path | Impact on the health services provision system |
| Impact on the path of patient care | |
| High importance | |
| Health priority of the health system | |
| Disease burden | |
| Equity | Neglected diseases test |
| Test in communicable diseases and high prevalence | |
| Low access to health services | |
| Ethical and legal aspect | |
| Severity of the disease | |
| Absence of alternative diagnostic technologies | |
| Medium importance | |
| Nonclinical benefits | Experience of who takes the test |
| Value of the information | |
| Load on caregivers or family | |
| Preparation and/or care | |
| Number of results associated with the test | |
| Test processing time | |
| Self test | |
| Environmental impact | |
| Broader social impact | |
| Low importance | |
| Innovation | |
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See definitions of criteria and subcriteria in Appendix 3 (in Supplemental Materials found at https://doi.org/10.1016/j.jval.2020.11.008).
