卫生干预措施的社会决定因素的成本效益:评估多部门社区伙伴关系的努力
Amanda A Honeycutt1, Olga A Khavjou2, Zohra Tayebali2
1Public Health Division, Health Practice Area, Social, Statistical, and Environmental Sciences, RTI International, Research Triangle Park, North Carolina; National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
American journal of preventive medicine
|July 25, 2024
概括
解决健康社会决定因素 (SDOH) 的多部门社区伙伴关系 (MCP) 显示出预防死亡和降低成本的潜力. 这些努力可能具有成本效益,特别是从社会角度来看,支持未来对SDOH干预措施的投资.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 健康 公平 卫生 公平
背景情况:
- 多部门社区伙伴关系 (MCP) 越来越多地专注于解决健康的社会决定因素 (SDOH),以改善慢性疾病的结果和健康公平.
- 评估这些SDOH干预措施的经济影响和长期有效性对于可持续的公共卫生倡议至关重要.
研究的目的:
- 快速评估MCP的SDOH干预措施的潜在成本,成本效益和长期影响.
- 提供数据支持未来对社区健康倡议的投资.
主要方法:
- 关于启动和持续成本,干预范围和时间的数据是在2022年从13个MCP收集的.
- 预防影响模拟模型被用于估计SDOH干预措施的5年,10年和20年的影响,成本和成本效益.
主要成果:
- 在20年内,SDOH的干预措施有可能预防970例过早死亡,避免1.05亿美元的医疗费用和4.08亿美元的生产力损失.
- 从医疗保健的角度来看,从20年的累积成本效益来看,从医疗保健的角度来看,每年质量调整后的生命年值为38,300美元.
- 社会视角分析表明潜在的成本降低和改善健康结果.
结论:
- 结果支持未来对SDOH干预措施的投资,通过提供对所需资源和潜在回报的见解.
- 大多数MCP实施的SDOH干预措施都显示出有希望的长期影响和潜在的成本效益.
- 了解与SDOH干预相关的成本对于资助者和MCP来说至关重要,以便有效地规划资源分配.
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