语音和语言治疗干预的经济评估:一个范围审查
James Hill1, Amit Kulkarni2,3, Deborah Moll4
1Applied Health Research hub, University of Central Lancashire and Methodological Innovation, Development, Adaptation and Support (MIDAS) Theme, NIHR Applied Research Collaboration North-West Coast (ARC NWC), Preston, UK.
概括
对言语和语言治疗 (SLT) 的经济评估很少,但越来越多. 需要进一步协调研究,以了解SLT干预措施在不同人群中的成本效益.
科学领域:
- 卫生经济学 卫生经济学
- 康复科学 康复科学 康复科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 越来越多的需求和有限的资金需要医疗和护理服务的成本效益证据.
- 语音和语言治疗 (SLT) 的干预需要经济评估来证明价值.
- 目前缺乏对SLT现有的经济证据基础的全面了解.
研究的目的:
- 进行范围审查,以确定和分类SLT干预措施的经济评估.
- 评估与SLT相关的成本和成本效益研究的范围和类型.
主要方法:
- 在七个数据库中对公布到2023年10月的研究进行了全面的范围审查.
- 纳入标准侧重于评估SLT提供的干预措施的任何成本的研究.
- 由常见患者群体 (例如,中风后,失语,帕金森氏症,头癌,儿科) 聚合的叙事合成.
主要成果:
- 确定了52项研究,评估了三年半的SLT成本.
- 最近成本效益和成本效益分析的增加,但人口和干预措施的差异很大.
- 评估采用了各种不同的研究设计,分析单位,时间地平线和观点.
结论:
- 对SLT经济方面的证据基础相对稀缺,缺乏一致性.
- 需要对SLT的优先,协调和战略性的未来经济评估.
- 理想情况下,未来的研究应该与随机对照试验相结合,并利用决策分析建模来获得强有力的经济证据.
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