对用于评估缺乏服务的孕妇和新父母干预措施的成本计算方法进行范围审查
Elizabeth K Darling1, Aisha Jansen2, Bismah Jameel2
1McMaster Midwifery Research Centre, McMaster University, 1280 Main St. W., HSC 4H24, Hamilton, ON, L8S 4K1, Canada. darlinek@mcmaster.ca.
对贫困人口的围产期干预措施的经济评估往往低估了长期效益. 未来的研究应该包括下游社会成本,以准确评估价值并改善健康公平.
科学领域:
- 围产期健康 围产期健康
- 卫生经济学 卫生经济学
- 健康 公平 卫生 公平
背景情况:
- 对为服务不足的围产期人口提供干预措施的长期经济效益的证据有限,这阻碍了资助决策.
- 评估对孕妇和新生儿有限制获得医疗保健的干预措施的经济价值对于优化未来研究质量至关重要.
研究的目的:
- 检查用于对服务不足的围产期人口进行干预的经济评估的方法和成本.
- 在评估这些干预措施的长期经济效益方面发现差距.
主要方法:
- 使用Arksey和O'Malley的框架进行了范围审查.
- 系统搜索八个数据库和灰色文献,由两名研究人员进行独立选.
- 包括对高收入国家服务不足的围产期人口的干预措施的经济评估和成本分析,提取研究特征,成本和数据源的数据.
主要成果:
- 确定了103个符合条件的关于家庭访问,戒烟,产前护理,围产期心理健康和物质使用治疗等干预措施的出版物.
- 大多数出版物 (77) 是经济评估,考虑医疗保健成本 (82) 和社会成本 (45),但只有36个考虑了干预后一年以上的成本.
- 四分之一的出版物 (25) 仅报告了成本分析.
结论:
- 针对服务不足的围产期人口的干预措施可以减少后代的健康不平等.
- 经济评估往往低估了长期收益,不包括下游社会成本.
- 长期成本的综合清单可以指导未来的分析,以更好地告知决策和改善健康公平.
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