在健康经济评估中包含的乘数效应和补偿机制:系统性审查
Marieke Krol1,2, Nikkie Hosseinnia1,3, Werner Brouwer1,4
1Erasmus School of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, Netherlands.
补偿机制和乘数效应在健康经济评估中显著影响生产力成本估计. 然而,目前的证据很少,定义和测量方法不清楚,需要进一步研究.
科学领域:
- 卫生经济学 卫生经济学
- 经济评估 经济评估
- 估计生产力损失的估计.
背景情况:
- 补偿机制和乘数效应影响疾病,残疾或死亡造成的生产力损失.
- 这些因素对于在健康经济评估中估计生产力成本至关重要.
- 本次审查审查了它们在健康经济评估中的纳入.
研究的目的:
- 系统地审查有关补偿机制和乘数效应的文献.
- 评估它们在健康经济评估中的纳入.
- 为了识别理解和测量的差距.
主要方法:
- 在EconLit和PubMed数据库中进行系统的文献搜索.
- 开发一种数据提取形式,重点关注补偿机制和乘数效应.
- 包括26项研究:经验,方法,评论和成本效益分析.
主要成果:
- 没有发现对补偿机制和乘数效应的统一定义或一致的术语.
- 研究表明对生产力成本估计有很大影响,但证据很少.
- 测量方法各不相同,缺乏验证,假设的概括性/有效性不清楚.
结论:
- 补偿机制和乘数效应显著影响生产力损失和成本.
- 关于它们的特征,测量和估值的不确定性阻碍了它们在经济评估中被纳入.
- 需要进一步的研究来澄清这些现象及其应用.
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