一个新的框架来评估卫生干预措施的预防价值
Jonathan Pearson-Stuttard1,2, Catrin Treharne1, Robert King1
1Health Analytics, Lane Clark & Peacock LLP, London, UK.
一个新的框架有助于评估慢性疾病预防的经济和社会价值. 它超越了健康益处,包括更广泛的影响,以预防肥胖为例.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 预防医学 预防医学
背景情况:
- 衡量慢性疾病预防的经济和社会影响越来越重要,但具有挑战性.
- 现有的方法往往只关注健康益处,忽视了更广泛的结果.
- 预防肥胖是说明更广泛的价值评估的一个关键例子.
研究的目的:
- 提出一个全面的框架来评估慢性疾病预防的多方面的价值.
- 将各种利益相关者的观点纳入预防倡议的评估中.
- 用肥胖预防场景来说明框架的应用.
主要方法:
- 使用了三个领域的结构:个人健康/健康系统,社会和政府.
- 价值组件通过文献审查,质量评估和专家咨询来确定.
- 以英国为基础的假设干预措施 (减轻肥胖发病率,提高SF-12分数) 被用作工作示例.
主要成果:
- 在三个领域中确定了29个初始价值组件.
- 17个组件被选入了9个类别,包括健康,生产力,公平和环境影响.
- 由于数据和方法的局限性,六个组成部分需要进一步研究.
结论:
- 拟议的框架提供了一个整体的方法来评估超越传统健康指标的慢性疾病预防.
- 定性评估即使在定量数据有限的情况下也是有价值的.
- 建议与利益相关者进行进一步的测试和实时干预,以标准化和促进框架的采用.
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