基于互联网的心理干预的经济评估:对方法选择的全面审查
Amira J Hariz1, Karine Chevreul1, Laure Daval2
1ECEVE, UMR 1123, INSERM, Université Paris Cité, Paris, France; Hôpital Robert Debré, Assistance Publique-Hôpitaux de Paris, Paris, France.
概括
基于互联网的心理干预的经济评估缺乏标准化,导致各种结果. 需要标准化指导方针来提高这些数字健康工具的成本效益证据的可靠性.
科学领域:
- 卫生经济学 卫生经济学
- 数字健康数字健康
- 心理干预 心理干预
背景情况:
- 基于互联网的心理干预提供了具有成本效益的解决方案,但其经济评估是不一致的.
- 成本效益分析中的方法差异阻碍了可靠的证据综合.
研究的目的:
- 对用于评估基于互联网的心理干预的经济方法进行范围审查.
- 识别数字心理健康工具的经济评估中常见的做法和差距.
主要方法:
- 对2015年1月至2020年12月期间发表的文章进行范围审查.
- 提取有关干预特征,比较器,前景,时间,成本,收益,经济终点和不确定性分析的数据.
- 获取数据的叙述综合.
主要成果:
- 74项研究使用了成本效益分析,58项使用了成本效益分析;47项使用了两者.
- 社会观点是常见的 (60项研究),但时间视野往往很短 (80%的≤1年).
- 交付成本经常被报告,但开发,促销成本,覆盖范围和公平性往往被忽视.
结论:
- 成本效益评估的变化挑战了数字心理健康干预措施的证据解释.
- 传统的经济评估方法可能无法充分捕捉数字工具的细微差别.
- 建议为标准化和可靠的经济评估制定量身定制的指南.
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