健康经济评估关于围产期抑郁症干预措施的证据:一个范围审查
Gülcan Tecirli1, Mehtap Çakmak Barsbay2, Greg Sheaf3
1Health Technology Assessment Department, Health Services General Directorate, Ministry of Health of Türkiye, Ankara, Türkiye.
Health policy (Amsterdam, Netherlands)
|February 22, 2025
概括
经济评估表明,对产周抑郁症 (PPD) 的干预措施,如同行支持和查,可以具有成本效益. 实施这些策略可以改善母亲的心理健康结果.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 孕产妇心理健康 孕产妇心理健康
背景情况:
- 产前抑郁症 (PPD) 是导致母亲残疾的重要原因,通常未被诊断和治疗.
- 经济评估对于理解PPD干预措施的价值至关重要.
- 需要对现有的PPD经济评估进行全面的概述.
研究的目的:
- 进行围产期抑郁症 (PPD) 干预措施经济评估的范围审查.
- 综合有关PPD预防,查和治疗方案的成本效益的研究结果.
- 确定目前关于PPD的经济文献中的空白和局限性.
主要方法:
- 根据PICO-P结构进行范围审查.
- 从创建开始到2023年6月30日搜索数据库.
- 分类干预 (预防,查,治疗) 和健康经济方法 (成本效益,成本效益等). ) 的情况.
- 包括38项提取和评估研究.
主要成果:
- 几项PPD干预措施证明了成本效益,包括同行支持,心理治疗和查工具,如爱丁堡产后抑郁症量表 (EPDS).
- 研究的局限性包括异质性,方法上的弱点,以及对不同人群的有限概括性.
- 由于资源差异,卫生系统的成本效益因资源差异而有所不同.
结论:
- 实施基于证据的政策建议可以提高PPD的识别,治疗和预防.
- 通过经济评估改善PPD护理,有助于改善母亲,儿童和家庭的健康.
- 需要进一步的研究,以解决PPD干预措施的经济评估中的异质性和通用性.
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