对孕产妇健康干预措施的经济评估:一个范围审查
Katherine E Eddy1, Alexander Eggleston1,2, Sher Ting Chim1,2
1Maternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia.
F1000Research
|September 25, 2024
概括
这次范围审查绘制了923个对孕产妇健康干预措施的经济评估. 大多数研究是在高收入国家进行的,很少有针对孕产妇死亡的主要原因的研究,这凸显了低收入和中等收入国家证据差距.
科学领域:
- 卫生经济学 卫生经济学
- 孕产妇健康 孕产妇健康
- 全球健康 全球健康
背景情况:
- 关于干预负担能力和成本效益的证据对于卫生政策和临床指南至关重要.
- 初级经济评估对于在孕产妇健康方面做出明智决策至关重要.
- 这些评估的全面存储库支持全球指导方针的制定.
研究的目的:
- 开发一个对母体健康干预措施的初级经济评估的存储库.
- 绘制有关孕产妇健康经济学的现有研究成果.
- 在对孕产妇健康的经济评估中发现证据缺口.
主要方法:
- 进行了范围审查,搜索了六个数据库,没有限制.
- 从72个国家的923项研究中提取和分类数据.
- 使用频率分析来评估不同参数的流行率.
主要成果:
- 大多数研究 (71.8%) 来自高收入国家.
- 干预的重点是非产科感染,分娩护理和产科并发症.
- 很少有研究涉及到孕产妇死亡的主要原因,特别是在低收入和中等收入环境中.
结论:
- 已开发出对孕产妇健康经济评估的综合资源.
- 对于低收入和中等收入国家的经济评估,存在显著的证据差距.
- 未来的研究应优先考虑针对这些地区孕产妇发病率和死亡率的主要驱动因素的干预措施.
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