目前有哪些方法可以在卫生技术的经济评估中纳入实施考虑? 一个范围审查审查
Robert Heggie1, Kathleen Boyd2, Hanin Kamaruzaman2
1Health Economics and Health Technology Assessment (HEHTA), Institute of Health and Wellbeing, University of Glasgow, Clarice Pears Building, 90 Byres Rd, Glasgow, G12 8TB, UK. Robert.Heggie@glasgow.ac.uk.
本审查确定了将卫生干预实施与经济评估相结合的方法. 研究人员可以使用各种工具来改善这些关键方面的整合,以获得更好的人口健康结果.
科学领域:
- 卫生经济学 卫生经济学
- 实施科学 实施科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 具有成本效益的卫生干预措施往往没有得到充分实施,从而影响到人口的健康.
- 经济因素经常被认为是最佳干预实施的障碍.
- 实施和经济评估通常不会一起进行.
研究的目的:
- 确定和描述将实施纳入经济评估中的方法.
- 区分这些方法,说明它们的适当用例,并确定现有的差距.
- 为研究人员和决策者提供全面的概述.
主要方法:
- 使用系统方法进行了范围审查.
- 采用一种珍珠种植的方法,并通过Web of Science和Scopus进行搜索.
- 如果包含与经济评估和实施相关的术语,并由两名独立研究人员验证的研究,则将研究纳入.
主要成果:
- 确定了42项结合实施和经济评估方法的独特研究.
- 方法被分为四个主题:政策成本效益,信息/实施价值,混合方法和成本计算方法.
- 观察到一种混合方法的趋势,并与信息一起评估实施,最近的重点是成本计算实施组件.
结论:
- 有一系列方法可以将实施纳入经济评估中.
- 没有一种方法能够涵盖所有相关问题;可用的一套工具.
- 研究人员和决策者应该在战略上利用这些工具来加强干预实施.
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