基于健康经济的社会投资回报 (SROI) 对以自然为基础的社会处方手工艺和园艺计划的分析
Holly Whiteley1, Mary Lynch2, Ned Hartfiel1
1Centre for Health Economics and Medicines Evaluation (CHEME), Bangor University, Bangor LL57 2PZ, UK.
基于自然的社会处方 (NBSP) 方案为心理健康提供了经济有效的解决方案. 在
科学领域:
- 公共卫生
- 心理健康干预措施
- 健康经济学
背景情况:
- 越来越多的人需要心理健康服务,
- 基于自然的社会处方 (NBSP) 为尚未满足的需求和个性化治疗提供了创新解决方案.
- 在人口健康预防模式中支持可持续的初级保健.
研究的目的:
- 试行一个基于健康经济学的社会投资回报 (SROI) 分析和预测精神健康计划.
- 评估治疗手工艺和园艺项目的有效性和社会价值.
- 在社会价值分析中探索健康经济结果的可接受性和可行性.
主要方法:
- 一项"做好"计划的试点研究 (2021年10月至2022年3月),涉及轻度至中度心理健康状况的参与者.
- 在基线和9周后的随访中采集定量和定性数据,使用经过验证的指标 (例如,简短的沃里克-爱丁堡心理健康量表,ICEpop CAPability measure for Adults (ICECAP-A),一般自我效能量表 (GSES),客户服务收据清单 (CSRI)).
- 应用基于健康经济学的社会投资回报率分析和预测方法.
主要成果:
- 该计划的社会价值在每1英投资的英之间为3.30英至4.70英.
- 试点预测显示,每12个月投资1英可能带来5.40英至7.70英的社会回报.
- 验证的健康经济措施 (ICECAP-A,CSRI) 已被证明是可接受和可行的社会价值分析.
结论:
- 对于心理健康和福祉的投资, NBSP 计划表现出有效性和积极的社会回报.
- 结合SROI与健康经济结果的措施,为决策者提供了有价值的成本效益证据.
- 这项研究为NBSP干预措施及其经济评估提供了证据基础.
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