解决成年人孤独问题的干预措施的成本效益:一个系统的文献综述
Annette Bertolino1, Johan Jarl1, Ulf Gerdtham2
1Health Economics Unit, Department of Clinical Science (Malmö), Lund University, Sweden.
概括
基于小组的干预措施有效地减少了孤独和社会隔离,比个人方法更具成本效益. 为了更广泛的实施,建议使用一致的方法进行进一步的研究.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 老年学是一门学科.
背景情况:
- 孤独和社会隔离是具有广泛健康影响的重大公共卫生问题.
- 虽然存在干预措施,但它们在解决这些问题的成本效益尚未得到充分证实.
- 了解干预措施的经济价值对于公共卫生政策和资源分配至关重要.
研究的目的:
- 系统地审查和综合有关针对孤独和社会隔离的干预措施成本效益的证据.
- 确定影响这些干预措施成本效益的因素.
- 评估该领域经济评估的质量.
主要方法:
- 对2024年3月之前发表的研究进行系统性文献综述.
- 叙事综合评估18岁以上成年人干预措施的成本效益.
- 评估报告质量,使用2022年综合健康经济评估报告标准.
主要成果:
- 分析了包括18项干预措施的16项研究.
- 基于小组的干预措施和那些针对更长时间的孤独个体的干预措施显示出更高的成本效益.
- 8项干预措施被报告为具有成本效益;报告质量令人满意,但没有解决公平方面的问题.
结论:
- 基于小组的干预措施表明,减少孤独的总体成本效益.
- 研究之间的异质性需要进一步研究标准化方法,包括社会观点和更长的时间视野,在广泛采用之前.
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