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对预防儿童口腔疾病的干预措施的成本效益分析设计
Joanne Spetz1, Johnie Rose2, James G Kahn1
1Philip R. Lee Institute for Health Policy Studies and Healthforce Center, University of California, San Francisco, CA, United States.
本研究详细介绍了四项随机试验的经济分析策略,重点是减少儿童口腔健康差异. 综合经济评估指导临床医生,支付者和决策者进行预防性牙科护理干预.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 牙科公共卫生 牙科公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 美国国家牙科和面研究院 (NIDCR) 在2015年启动了一个联盟,通过随机试验解决儿童的口腔健康差异问题.
- 协调中心为这些试验提供必要的支持,包括数据管理和分析.
研究的目的:
- 描述四项随机试验中使用的经济分析策略,重点是改善儿童的预防性口腔健康护理.
- 在当前的经济分析方法中将这些战略置于背景中.
主要方法:
- 成立了一个成本协作工作组,以促进信息共享和协调四个试验中的经济分析方法.
- 研究小组使用结构化表来记录经济分析的数据来源.
- 定期召开会议,讨论进展,挑战和分析协调.
主要成果:
- 所有试验都将计算增量成本效益比率;两个试验还将使用代理疾病进行成本效益分析.
- 经济分析考虑多个角度,并测量关键过程指标,如提供牙科服务.
- 与培训,实施,人员,服务,供应和设备相关的成本正在被测量. 早期儿童口腔健康影响量表 (ECOHIS) 评估与口腔健康相关的生活质量.
结论:
- 经济分析被整合到所有四个试验的规划阶段,与最佳实践保持一致.
- 这种整合对于确保数据质量和实现可靠的回顾性分析至关重要.
- 综合经济分析的结果可以为临床实践,政策决策和支付者口腔健康干预策略提供信息.
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