自愿辅助死亡 (VAD) 法律的政策和成本分析 - 一个映射审查和分析
Sami Isaac1, Andrew J McLachlan2, Betty Chaar2
1Sydney Pharmacy School, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia. sami.isaac@sydney.edu.au.
Health economics review
|August 26, 2024
概括
自愿协助死亡 (VAD) 法律可能会大大减少医疗保健支出. 这次审查发现有限的成本分析研究,强调需要对VAD进行更多研究.
科学领域:
- 医疗保健政策 医疗保健政策
- 卫生经济学 卫生经济学
- 医学伦理 医学伦理
背景情况:
- 自愿辅助死亡 (VAD) 是全球立法兴趣的日益增长的领域.
- 对于政策制定者来说,了解VAD法律的经济影响至关重要.
- 关于VAD成本效益的现有文献是有限的.
研究的目的:
- 进行与国际自愿辅助死亡 (VAD) 法律相关的医疗保健政策和成本分析的绘制文献审查.
- 确定和总结有关VAD立法财务影响的现有研究.
- 突出目前关于VAD成本效益的文献上的差距.
主要方法:
- 按照PRISMA的指导方针进行了系统的映射文献审查.
- 搜索了包括MEDLINE,PubMed,EMBASE和CINAHL在内的数据库,搜索了1990年1月至2023年3月期间发表的文章.
- 包括专注于国际VAD法律的财务成本和医疗保健预算影响的原始研究文章,不包括没有成本分析的非全文研究.
主要成果:
- 在2790篇选的文章中,只有3项研究符合纳入标准.
- 审查的研究 (两个加拿大,一个美国) 表明,VAD法律可以减少医疗保健支出.
- 预计的节约从6.27亿美元 (美国,1995年) 到1.49亿美元 (加拿大,2021年),平均成本降低约87%.
结论:
- 确定了围绕VAD法律的成本分析文献的严重稀缺性.
- 目前的证据表明,VAD法律有可能降低医疗保健支出.
- 未来的研究和年度财政报告是必要的,以告知政策和优化VAD的立法框架.
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