任务转移的经济评估是否过于狭? 一个快速的审查
Peter Murphy1, Susan Griffin2, Helen Fulbright3
1Centre for Health Economics, University of York, Heslington, York, YO10 5DD, UK. peter.murphy@york.ac.uk.
医疗保健中的任务转移可以解决劳动力短缺问题,但评估往往忽略了关键的成本和后果. 本次审查强调需要进行更广泛的评估,以确保有效地分配资源,并最大限度地提高卫生系统的价值.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
背景情况:
- 建议将任务转移以缓解卫生工作人员短缺的问题.
- 全面的经济评估对于有效的资源分配至关重要.
- 狭的评估可能会因为遗漏的成本和收益导致资源被误导.
研究的目的:
- 确定评估任务转移的金钱价值的关键问题.
- 审查现有文献,以评估当前经济评估是否适合任务转移.
主要方法:
- 为任务转移开发了一个先验逻辑模型.
- 在五个数据库中对经济评估 (2014-2024) 进行了快速审查.
- 使用逻辑模型和CHEERS检查清单评估成本和结果捕获的范围.
主要成果:
- 包括来自16个国家的26项研究,评估各种任务转移场景.
- 研究记录了健康成本和结果,但往往忽略了劳动力能力,获取,生产力和公平.
- 成本效益分析占主导地位,其中有一些成本效益和扩展成本效益分析.
结论:
- 大多数研究都确定了适合资源分配的成本和后果.
- 然而,这些发现依赖于这样的假设,即任务转移不会影响长期影响.
- 需要更广泛的经济评估,以充分捕捉任务转移的金钱价值.
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