在成本效益分析中的健康公平性考虑:从雨审查的见解
Jeffrey M Muir1, Amruta Radhakrishnan1, Ipek Ozer Stillman2
1RWA Health Economics, Cytel Inc., Toronto, ON, Canada.
ClinicoEconomics and outcomes research : CEOR
|August 26, 2024
概括
将健康公平纳入成本效益分析 (CEA) 对于医疗保健决策至关重要. 这次审查发现了各种方法,如分布式CEA (DCEA) 和扩展CEA (ECEA),但达成共识和一致使用仍然具有挑战性.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 健康 公平 研究 健康 公平 研究
背景情况:
- 成本效益分析 (CEA) 对医疗保健资源分配至关重要.
- 人们越来越有兴趣扩大CEA的范围,包括健康公平考虑.
- 整合公平旨在确保健康福利的公平分配.
研究的目的:
- 综合有关如何将健康公平概念纳入修改后的CEA的证据.
- 确定应用以公平为重点的CEA.共同的方法和挑战.
- 为公平的医疗保健决策提供未来方法的信息.
主要方法:
- 自2013年以来出版的系统文献评论 (SLRs) 的总体综述.
- 在MEDLINE搜索了CEA.中包含健康公平性的SLR.
- 从八个包括的单反相机的发现进行了定性综合.
主要成果:
- 分布式CEA (DCEA),基于股权的权重,扩展CEA (ECEA) 和MCDA是主要的方法.
- 缺乏关于将健康公平纳入CEA的最佳方法的共识.
- 显著的局限性包括数据稀缺性,指标偏差以及公平性等上下文因素带来的挑战.
结论:
- 扩展和分布式CEA可以突出治疗评估上的不平等影响.
- 由于数据缺口,方法复杂性和决策者不熟悉,挑战仍然存在.
- 建议对标准化数据收集和对方法的熟悉程度提高,以促进CEA的公平性.
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