移植的经济评估:一个范围审查和小说PESTLE利益相关者差距分析
Jonathan Hong1, Ilene L Hollin2, Trevor A Ellison3
1The University of Manitoba, Department of Surgery, Winnipeg, Manitoba, Canada.
Transplantation proceedings
|December 2, 2023
概括
这次系统性审查分析了移植的经济评估,在所有评估的参数中发现了研究差距. 未来的研究应该解决移植经济学中发现的这些差距.
科学领域:
- 卫生经济学 卫生经济学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 移植研究 移植研究
背景情况:
- 经济评估对于了解医疗保健干预措施至关重要.
- 移植是一个重要的医疗和经济考虑.
- 之前的文献评论没有全面评估移植的经济研究格局.
研究的目的:
- 系统地审查有关移植经济评估的现有文献.
- 确定当前的研究趋势,并量化移植经济研究的范围.
- 为未来的移植经济调查确定研究缺口.
主要方法:
- 搜索了4个医疗和2个经济数据库,并补充了手工搜索的参考列表.
- 包括以英语出版的原始研究文章和经济工作论文.
- 排除了评论,评论,论文和摘要;进行了全文数据抽象以进行差距分析.
主要成果:
- 分析了1968年至2016年间发表的299篇文章,其中超过73%的文章是在2000年之后发表的.
- 主要话题包括免疫抑制药物,透析与移植,器官分配和捐献器官市场.
- 主要方法涉及成本效益 (153篇文章) 和经济建模 (69篇文章),有限的系统性审查与元分析 (6篇文章).
结论:
- 确定了移植在所有评估参数的经济评估中的重大研究缺口.
- 提出了一种新的差距分析系统,适用于卫生经济学领域的范围审查.
- 强调需要有针对性的未来研究,以填补脏移植的经济知识缺陷.
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