低收入和中等收入国家的健康评估研究的方法见解:一个范围审查
Thomas Gadsden1, Janine Verstraete2, Audrey Moyo3
1The George Institute for Global Health, University of New South Wales, Sydney, Australia.
低收入和中等收入国家 (LMIC) 的健康状况评估研究越来越多,创新方法提高了包容性和降低了成本. 然而,资源需求仍然带来挑战,使现有价值集的调整成为成本有效的选择.
科学领域:
- 健康经济学
- 研究成果
- 全球健康
背景情况:
- 评估研究使用声明偏好方法生成健康状态的效用值.
- 这些研究复杂且资源密集,在低收入和中等收入国家 (LMICs) 面临实施挑战.
- 了解LMIC如何应对这些挑战对于推动全球健康经济学研究至关重要.
研究的目的:
- 检查LMIC的估值研究如何应对复杂性和资源密集性的挑战.
- 确定在LMIC中进行健康状态评估的方法调整和策略.
- 评估LMIC健康状况评估的现状和未来影响.
主要方法:
- 对LMIC进行的估值研究进行了范围审查.
- 搜索包括MEDLINE,EMBASE,CINAHL和灰色文献 (2024年4月至6月).
- 包括使用全方位或疾病特定仪器的成年受访者和陈述偏好技术的研究,并进行叙述综合.
主要成果:
- 包括22个LMIC的36项研究,自2020年以来出版物数量大幅增加.
- 方法上的改进包括"简单"的协议,便携式工具,步行交叉方法,理解辅助工具以及包括文盲和多语言参与者.
- 最常用的仪器是EQ-5D-5L和EQ-5D-3L,主要是开发具有全国代表性的值集.
结论:
- 估值研究在LMIC迅速扩大, 减少资源需求和提高包容性的实验越来越多.
- 尽管有前途的调整,但估值研究固有的资源需求继续限制其实施,特别是在低收入环境中.
- 适应邻国价值观对一些国家来说可能比发展自己的更具成本效益.
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