当前的经济评估是否完全捕捉到疫苗的价值:来自印度的证据审查
Navneet Kaur1, Joseph L Mathew2, Madhu Gupta1
1Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Expert review of pharmacoeconomics & outcomes research
|October 16, 2024
概括
经济评估往往低估了疫苗的价值,忽视了群体免疫力等间接益处. 将这些更广泛的价值领域纳入其中,可以更全面地评估疫苗的影响和社会价值.
科学领域:
- 卫生经济学 卫生经济学
- 疫苗学 疫苗学 疫苗学
- 公共卫生政策 公共卫生政策
背景情况:
- 疫苗的传统经济评估主要考虑直接的健康影响和医疗保健成本的补偿.
- 疫苗提供了显著的间接益处,包括群体免疫力,减少感染率和降低抗菌素耐药性,这些往往被忽视.
- 目前的评估方法可能会导致疫苗的低估,因为这些更广泛的社会利益被排除在外.
研究的目的:
- 审查和定义在现有文献中提出的疫苗的更广泛的价值领域.
- 分析这些更广泛的价值领域被纳入印度疫苗使用的经济评估的程度.
- 讨论制定针对特定国家环境量身定制的全面疫苗经济评估框架的考虑因素.
主要方法:
- 对经济评估框架的文献综述和印度疫苗使用的证据.
- 为更广泛的疫苗价值领域综合定义.
- 分析印度现有的经济证据,包括间接收益.
主要成果:
- 该审查确定了各种更广泛的价值领域,超出了直接的健康影响.
- 印度的经济证据显示,在疫苗评估中对这些更广泛的价值领域的考虑有限.
- 突出了发展国家特定价值框架的具体挑战和考虑.
结论:
- 需要一个全面的方法来捕捉疫苗的全部价值,包括间接的好处.
- 考虑到国家特定的医疗保健环境和数据可用性的定制框架对于相关和可操作的经济评估至关重要.
- 将价值领域与公众和政策制定者的偏好保持一致,对于有效的疫苗政策和投资至关重要.
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