一个健康干预消除狂犬病的成本效益:系统性审查
Zinia T Nujum1, Miqdad Asaria2, Karishma Krishna Kurup3
1Senior Visiting Fellow, Department of Health Policy, London School of Economics and Political Science, London WC2A2AE, UK.
Transactions of the Royal Society of Tropical Medicine and Hygiene
|October 30, 2023
概括
一个健康的方法提供了一个有前途的策略,以消除犬媒介狂犬病. 最优的方案结合了大规模的狗疫苗接种,咬伤病例管理和缩短的人类疫苗方案,以实现成本效益.
科学领域:
- 兽医公共卫生 兽医公共卫生
- 流行病学 流行病学
- 卫生经济学 卫生经济学
背景情况:
- "一个健康" (OH) 方法对于实现到2030年消除由狗媒介的人类狂犬病的全球目标至关重要.
- 实施用于消除狂犬病的OH缺乏标准化的定义和方法.
- 需要进行经济评估,以确定具有成本效益的干预方案.
研究的目的:
- 系统地审查对消除狂犬病的OH方法的经济评估 (EEs).
- 为了确定基于OH的最佳狂犬病消除计划的成本有效的干预套件.
- 突出OH狂犬病干预措施经济评估中的知识差距.
主要方法:
- 经济评估的系统文献综述.
- 在MEDLINE OVID,Embase OVID,全球健康OVID,CINAHL EBSCO和ECONLIT EBSCO中进行的搜索.
- 专注于利用OH方法消除狂犬病的研究.
主要成果:
- 一个最佳的OH狂犬病计划应该整合大规模的狗疫苗接种和咬伤病例管理.
- 建议有效地使用暴露后预防和1周缩短的人体皮内疫苗方案.
- 审查确定了有效,具有成本效益的狂犬病消除策略的关键组成部分.
结论:
- 未来的EE应纳入可行性评估的实施研究.
- 建议对EEs采取更广泛的社会视角,包括人类健康和动物福利成本/结果.
- 标准化的经济评估对于优化OH狂犬病消除计划至关重要.
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