减少早产计划的健康经济评估:一个范围审查
Anvitaa Chadha1, Suzanne Moore1, Sue Kildea1
1Molly Wardaguga Institute for First Nations Birth Rights, Faculty of Health, Charles Darwin University, Brisbane, Australia.
International journal of nursing studies advances
|August 26, 2024
概括
经济评估表明,大多数早产干预措施是具有成本效益的. 然而,没有,有.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 孕产妇和儿童的健康
背景情况:
- 过早分娩给个人,家庭,社区和医疗保健系统带来了重大的终身负担.
- 虽然许多干预措施旨在减少早产,但缺乏对其经济评估的全面审查.
研究的目的:
- 对减少早产的干预措施的经济评估进行范围审查.
- 确定现有的文献差距,并向医疗保健提供者和研究人员告知这些干预措施的经济价值.
主要方法:
- 搜索了主要的数据库 (PubMed,EMBASE等) 自2000年以来出版的早产减少干预措施的经济评估和灰色文献.
- 包括有关干预类型,经济评估方法,时间地平线,人口,前景,有效性和成本的研究.
- 两名审稿人对文章进行了选,意见分歧由整个团队解决.
主要成果:
- 十五篇出版物符合纳入标准,涵盖药理干预,远程医疗,诊断,公共卫生,产前护理,杜拉护理和产妇服务重新设计.
- 大多数研究都使用了医疗保健支付者,提供者或系统视角和短时间视界.
- 除了一项外,所有干预措施都被认为具有成本效益,成本效益或成本节约.
结论:
- 对于早产预防和减少策略的长期经济评估存在重大差距,尽管社会经济负担很高.
- 未来的研究应该优先考虑对早产减少举措的全面经济评估.
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