对解决癌症护理不平等问题的干预措施的经济评估:系统性审查
Bedasa Taye Merga1, Nikki McCaffrey2, Suzanne Robinson3
1School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Oromia, Ethiopia; Deakin Health Economics, School of Health and Social Development, Institute for Health Transformation, Deakin University, Melbourne, Victoria, Australia.
概括
这次审查发现,大多数减少癌症护理和查不平等的干预措施都是具有成本效益的. 需要进一步的研究,以解决优先人群的风险降低,诊断和治疗方面的公平差距.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 癌症研究 癌症研究
背景情况:
- 解决癌症护理不平等问题的干预措施的经济证据有限.
- 对于决策者来说,了解这些干预措施的金钱价值至关重要.
研究的目的:
- 系统地审查针对癌症查和护理不平等的干预措施的经济评估.
- 为决策者提供有关旨在减少癌症健康差异的战略的成本效益的信息.
主要方法:
- 在Embase,MEDLINE,Cochrane图书馆,EconLit和Scopus数据库中搜索到2023年10月.
- 包括对面对癌症护理不平等的弱势群体的干预措施的经济评估.
- 使用德拉蒙德检查清单评估研究质量.
主要成果:
- 30项研究从2937个记录中满足了资格标准.
- 90%的干预措施被发现是解决癌症不平等的成本效益.
- 其中60%的研究被评为高质量研究.
结论:
- 针对癌症查和护理不平等现有具有成本效益的战略,有可能得到更广泛的实施.
- 干预措施主要集中在查上;较少的干预措施涉及降低风险,诊断或治疗公平.
- 需要针对癌症治疗连续性的研究不足的群体采取有针对性的方法.
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