关于经济评估中的溢出效应:定义,映射审查和研究议程
María J Mendoza-Jiménez1,2,3, Job van Exel4,5, Werner Brouwer4,5
1Erasmus School of Health Policy & Management (ESHPM), Erasmus University Rotterdam, Rotterdam, The Netherlands. mendozajimenez@eshpm.eur.nl.
卫生经济评估应考虑"溢出效应"对非使用者的影响. 本研究定义了溢出效应并审查了证据,提出了一项研究议程,以便一致报告这些更广泛的健康干预影响.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 干预科学 干预科学
背景情况:
- 卫生干预措施的经济评估往往忽视了直接用户以外对个人的影响.
- 术语"溢出"用于对他人的影响,但缺乏明确的定义和范围.
- 承认相互联系对于全面的经济评估至关重要.
研究的目的:
- 提出适用于健康经济评估的溢出效应的明确定义.
- 用扩展影响清单来说明溢出效应的范围.
- 为各种类型的溢出效应绘制现有证据库.
主要方法:
- 将溢出效应定义为对卫生干预直接使用者以外的各方的影响.
- 开发了一份扩展的潜在溢出效应清单.
- 对不同溢出效应类型的证据基础进行了映射审查.
主要成果:
- 溢出包括超出非正式照顾者和家庭成员的影响.
- 溢出效应的相关性是特定于环境的.
- 一些溢出效应被隐含地纳入评估,而另一些则没有一致报告.
结论:
- 为了进行透明的健康经济评估,需要对溢出效应进行一致的定义和改进的测量.
- 需要进一步的研究来系统地识别,测量和报告溢出效应.
- 采用对溢出效应的标准化方法提高了经济评估的全面性.
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