对儿科成本效益分析中使用的方法进行系统审查,以包括家庭溢出效应
Ramesh Lamsal1,2, E Ann Yeh3,4, Eleanor Pullenayegum1,5
1Child Health Evaluative Sciences, Peter Gilgan Centre for Research and Learning, The Hospital for Sick Children, 686 Bay Street, 11th Floor, Toronto, ON, M5G 0A4, Canada.
儿科成本效益分析 (CUA) 很少包括家庭溢出效应,导致不完整的成本效益评估. 本次审查强调了需要标准化的方法和理论框架来纳入这些关键的家庭影响.
科学领域:
- 卫生经济学 卫生经济学
- 儿科卫生干预措施 儿科卫生干预
- 成本效益分析 成本效益分析
背景情况:
- 儿童健康干预措施对家庭福祉产生影响,但儿科成本效益分析 (CUA) 往往忽略了这些家庭溢出效应.
- 这种遗漏导致对儿科卫生干预的真正成本和益处的不完全理解.
- 在评估,估值和将家庭溢出效应纳入CUAs时存在方法上的挑战.
结论:
- 关于在儿科 CUAs 中测量和纳入家庭溢出效应,缺乏共识,这体现在方法的变化中.
- 卫生技术评估 (HTA) 机构缺乏实际指导方针,并且没有包括这些影响的理论基础.
- 制定标准化的方法和理论框架对于更严格的证据至关重要,以告知有关儿科健康干预的决策.
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