基于资产的健康改善方法及其评估方法的成本和经济证据:系统审查
Alice Wreford1,2, Linda Birt3,4, Jennifer A Whitty3,5
1University of East Anglia, Norwich, UK. a.wreford@uea.ac.uk.
BMC public health
|March 16, 2024
概括
基于资产的方法 (ABA) 赋予弱势社区使用当地资源进行健康管理的权力. 虽然有望节省成本并吸引服务不足的群体,但需要更多的经济证据才能得出最终的成本效益结论.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 社区健康 社区健康
背景情况:
- 基于资产的方法 (ABA) 通过利用现有的社区资源来解决健康不平等问题.
- 这些方法使弱势群体能够管理自己的健康,从而有可能降低医疗保健成本.
- 针对从传统服务中脱离的个人提供了显著的成本节约潜力.
研究的目的:
- 系统地审查基于资产的方法 (ABA) 的现有成本和经济证据.
- 识别和分析用于为ABAs开发经济证据的方法.
主要方法:
- 在Medline,CENTRAL和Web of Science数据库中进行了全面的搜索.
- 搜索术语包括"成本","干预细节"和"地方".
- 使用关键评估技能计划 (CASP) 工具评估了偏见风险,通过叙事综合总结了发现.
主要成果:
- 关于11个不同的ABA的12篇论文符合纳入标准.
- 在研究设计,比较器,成本纳入和结果衡量方面存在显著差异.
- 研究表明潜在的经济效率,但有限的比较器阻碍了最终的结论.
结论:
- 目前对ABA的经济证据有限,尽管它们在吸引服务不足的群体方面表现有前途,其净成本可能更低.
- 作为嵌入式服务,ABA在传统的经济评估中面临挑战,这些评估将服务视为相互排斥的服务.
- 为了更深入地了解ABA经济学和成本效益,进一步研究更多的背景和细节至关重要.
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