在结核病的基于模型的经济评估中包括非医疗干预:一个范围审查
Lauren C Ramsay1,2, Marina Richardson1,2, Rafael N Miranda1,2
1University of Toronto, Toronto, ON, Canada.
PloS one
|August 25, 2023
概括
对结核病 (TB) 干预措施的经济评估对于非医疗方法来说很少. 这次审查突出了一个差距,显示只有2%的研究评估了社会风险因素,尽管这些因素对于减少结核病负担的重要性很重要.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 经济评估对于制定健康优先事项至关重要,但对非医疗干预的指导仍然有限.
- 结核病 (TB) 对应公平待遇的群体造成不成比例的影响,需要评估针对社会风险因素的干预措施,以减少疾病负担.
- 评估非医疗干预措施对于全面的结核病控制战略至关重要.
研究的目的:
- 在低发病率环境中对结核病干预措施的基于模型的经济评估进行范围审查.
- 确定对结核病的非医学干预措施的评估程度.
- 描述医疗和非医疗结核病干预措施的经济评估方法.
主要方法:
- 在多个数据库 (MEDLINE,Embase,EconLit,PsychINFO) 和灰色文献中进行了全面的文献搜索.
- 搜索遵循了Arksey和O'Malley框架,专注于结核病干预措施的决策分析建模.
- 包括在2022年9月6日之前发表的研究,这些研究是在结核病发病率较低的司法管辖区进行的.
主要成果:
- 在包括的127项研究中,只有3项 (2%) 评估了非医疗干预措施 (例如戒烟,住房改善,食品券).
- 这三项非医疗干预评估包括结核病传播动态和强大的不确定性分析.
- 大多数研究 (n=119) 专注于医疗干预,主要是查计划和治疗方案.
结论:
- 在对结核病的非医疗干预措施的经济评估中存在很大的差距.
- 现有的经济评估方法可以适应评估非传统的非医疗性结核病干预措施.
- 需要进一步的研究来评估结核病控制的社会和行为干预措施的成本效益.
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