评估减肥行为干预措施:对经济模型的范围审查
Joanna McLaughlin1, Carlos Sillero-Rejon2,3, Theresa H M Moore2,3
1Musculoskeletal Research Unit, Translational Health Sciences, Bristol Medical School, University of Bristol, Southmead Hospital, Bristol, UK.
概括
对于肥胖干预的健康经济模型往往是不充分的. 一项审查发现,只有9%的人符合所有专家标准,突出了微模拟和验证更好的减肥策略的问题.
科学领域:
- 卫生经济学 卫生经济学
- 肥胖问题研究研究
- 公共卫生政策 公共卫生政策
背景情况:
- 政策制定者需要强大的健康经济模型来选择有效的肥胖干预措施.
- 减肥行为干预措施需要严格的经济评估.
研究的目的:
- 对用于肥胖行为干预的健康经济模型进行范围审查.
- 评估这些模型的质量和遵守专家建议.
主要方法:
- 从2015年1月到2023年5月,搜索了电子数据库 (MEDLINE,Embase,PsycINFO,EconLit,Web of Science) 的数据.
- 包括使用44种不同的健康经济模型的73项研究.
- 对健康经济建模的五个关键专家建议进行模型评估.
主要成果:
- 只有9%的模型 (在44个模型中只有4个) 满足了所有五个专家标准.
- 微模拟方法 (41%) 和模型验证 (46%) 是最常见的未满足元素.
- 大多数模型包括一个生命周期 (59%),关键健康事件 (66%) 和风险方程 (71%).
- 不到一半的研究报告了健康不平等.
结论:
- 大多数肥胖干预措施的健康经济模型不符合专家标准,可能低估了长期益处.
- 不充分的模型特征有可能低估干预措施及其对健康不平等的影响.
- 需要改进和验证的健康经济模型来指导肥胖干预政策.
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