预防COVID-19干预措施的成本效益:基于真实世界数据的比较经济评估研究的系统审查和网络元分析
Xiaoyu Tang1, Sun Sun2, Mevludin Memedi3,4
1Clinical Epidemiology and Biostatistics, School of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Journal of global health
|February 20, 2025
概括
运动限制和测试是成本效益高的COVID-19干预措施. 将非医疗干预 (NMI) 与疫苗接种相结合,成本效益较低,特别是在高收入地区. 调整战略以满足区域需求至关重要.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 流行病学 流行病学
背景情况:
- 关于COVID-19预防干预有效性的知识差距存在.
- 对干预措施的成本效益的现实数据有限.
- 需要在不同的社会经济环境中评估干预措施.
研究的目的:
- 评估COVID-19预防干预措施的成本效益.
- 比较非医疗干预 (NMI) 和疫苗接种计划.
- 在全球范围内使用真实世界的数据分析干预措施.
主要方法:
- 75项研究的网络元分析,比较了34项干预措施 (2019年12月至2024年3月).
- 从社会和医疗保健的角度评估增量净收益 (INB).
- 经购买力平价 (PPP) 和支付意愿 (WTP) 的调整,以实现跨经济比较性.
主要成果:
- 运动限制和扩大测试在社会上是最具成本效益的 (WTP标准化的INB:21,050美元和11,144美元).
- 结合NMI和疫苗接种的成本效益较低,特别是在高收入地区.
- 从医疗保健的角度来看,疫苗接种加上隔离和测试-跟踪-隔离是非常具有成本效益的.
结论:
- 在COVID-19干预措施的成本效益方面存在显著差异.
- 根据经济和基础设施条件定制的特定区域战略至关重要.
- 持续评估和适应对于管理公共卫生威胁至关重要.
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