更公平的经济评估方法:直接开发坦桑尼亚和马拉维的概念能力福利属性
Edith Chikumbu1, Victor Katiti2, Christopher Bunn3
1Malawi Epidemiology and Intervention Research Unit, P.O Box 46, Chilumba, Malawi.
Social science & medicine (1982)
|July 19, 2024
概括
这项研究探讨了坦桑尼亚和马拉维的能力福祉,确定了健康经济评估的八个关键属性. 这项研究通过集中当地声音来定义美好生活来促进公平.
科学领域:
- 卫生经济学 卫生经济学
- 能力方法 能力方法
- 全球卫生平等全球卫生平等
背景情况:
- 能力福祉为健康经济评估提供了一个整体的框架,特别适用于非洲环境.
- 现有措施在全球南方经常失败,有可能导致结构性不平等的嵌入.
- 需要在不同全球环境中,在人口层面探索健康和护理决策的评估空间.
研究的目的:
- 在坦桑尼亚和马拉维的成年人群的评估空间中引出能力福祉的核心概念.
- 为健康经济评估制定上下文相关的措施.
- 在对健康干预的全球经济评估中促进更大的公平性.
主要方法:
- 与坦桑尼亚和马拉维的68名参与者进行了半结构化采访 (2021年10月 - 2022年7月).
- 用于数据分析的专题编码框架和分析账户.
- 通过两个团队的独立数据收集和分析来确保方法论的严谨性,随后进行综合分析.
主要成果:
- 在坦桑尼亚和马拉维确定了能力福祉的八个共同属性:财务安全,基本需求,成就/个人发展,依恋/爱情/友,社区参与,信仰/精神,健康和决策自主.
- 这些属性为产生健康经济评估的结果指标提供了基础.
- 这些发现强调了当地观点在定义福祉方面的重要性.
结论:
- 将坦桑尼亚和马拉维成年人的声音集中在能力福利的定义上,有助于更公平的健康经济评估.
- 鉴定出的属性可以为制定评估卫生干预措施的文化相关措施提供信息.
- 这项研究有助于减少全球卫生经济评估中的结构性不平等.
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