从社会决定因素的解决方案中追踪值.
Len M Nichols1, Timothy A Waidman1, Lisa Clemans-Cope1
1Health Policy Center, Urban Institute, 2201 General Taylor Street, New Orleans, LA 70115, United States.
Health affairs scholar
|January 20, 2025
概括
健康的社会决定因素 (SDOH) 干预措施提供了超出医疗储蓄的重大社会价值. 我们的框架显示,在考虑所有受益者和利益时,许多SDOH项目产生了正净回报.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 健康的社会决定因素 (SDOH)
背景情况:
- 由于无家可归和粮食不安全而导致的过早死亡,代表着重大的社会成本.
- 现有的研究往往低估了SDOH干预措施的价值,因为它只关注医疗保健成本.
研究的目的:
- 开发和说明一个框架,以追踪SDOH干预措施在健康,成本,质量,参与和公平方面的价值.
- 估计由于无家可归和粮食不安全而失去的社会价值.
- 分析永久支持性住房和医疗定制餐的价值.
主要方法:
- 使用纵向方法估计因过早死亡而丧失的社会价值.
- 将价值追踪框架应用于SDOH干预的案例研究.
- 关于SDOH项目的高质量研究的叙事文献综述.
主要成果:
- 医疗卫生部门的干预措施向多个利益相关者展示了更广泛的好处,包括非医疗保健节省.
- 当考虑所有受益者时,许多SDOH干预措施显示出净积极的经济价值.
- 永久的支持性住房和医疗定制的食在各个层面上都提供了相当大的价值.
结论:
- 承认SDOH干预的公共利益性质对于准确的政策和投资决策至关重要.
- 需要采用全面的方法来评估SDOH干预措施的价值,考虑所有价值来源.
- 开发的框架可以指导政策制定者和联盟评估和投资SDOH举措.
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