经济评估在为大流行病政策的公共卫生和社会措施建模中的作用:系统回顾。

IF 1.7 4区 医学 Q3 HEALTH POLICY & SERVICES
Shania Rossiter, Samantha Howe, Joshua Szanyi, James M Trauer, Tim Wilson, Tony Blakely
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引用次数: 0

摘要

背景:动态传播模型通常用于为大流行病政策决策提供流行病学指导。然而,如何将经济评估纳入这一技术,以得出大流行病应对政策的成本效益估算值,此前尚未进行过审查:我们在 Embase、PubMed 和 Scopus 数据库中系统地搜索了 2024 年 7 月 7 日纳入公共卫生和社会措施(PHSM)经济评估的动态流行病学建模研究,没有日期限制:在筛选出的 2,719 项研究中,有 51 项符合纳入标准。大多数研究(n = 42,82%)对 SARS-CoV-2 进行了模拟。对一系列公共卫生和社会管理措施进行了研究,包括学校关闭、检测/筛查、社会疏远和使用口罩。半数研究采用了扩展的易感-暴露-感染-康复(SEIR)分区模型。最常见的经济评估类型是成本效益分析(24 项,占 47%),其次是成本效用分析(17 项,占 33%)和成本效益分析(17 项,占 33%):结论:经济评估很少被纳入 PHSMs 的动态流行病学建模研究中。鉴于大流行病 PHSM 政策应对措施涉及大量成本,应扩大这项研究的范围。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The role of economic evaluation in modelling public health and social measures for pandemic policy: a systematic review.

Background: Dynamic transmission models are often used to provide epidemiological guidance for pandemic policy decisions. However, how economic evaluation is typically incorporated into this technique to generate cost-effectiveness estimates of pandemic policy responses has not previously been reviewed.

Methods: We systematically searched the Embase, PubMed and Scopus databases for dynamic epidemiological modelling studies that incorporated economic evaluation of public health and social measures (PHSMs), with no date restrictions, on 7 July 2024.

Results: Of the 2,719 screened studies, 51 met the inclusion criteria. Most studies (n = 42, 82%) modelled SARS-CoV-2. A range of PHSMs were examined, including school closures, testing/screening, social distancing and mask use. Half of the studies utilised an extension of a Susceptible-Exposed-Infectious-Recovered (SEIR) compartmental model. The most common type of economic evaluation was cost-effectiveness analysis (n = 24, 47%), followed by cost-utility analysis (n = 17, 33%) and cost-benefit analysis (n = 17, 33%).

Conclusions: Economic evaluation is infrequently incorporated into dynamic epidemiological modelling studies of PHSMs. The scope of this research should be expanded, given the substantial cost implications of pandemic PHSM policy responses.

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来源期刊
Cost Effectiveness and Resource Allocation
Cost Effectiveness and Resource Allocation HEALTH POLICY & SERVICES-
CiteScore
3.40
自引率
4.30%
发文量
59
审稿时长
34 weeks
期刊介绍: Cost Effectiveness and Resource Allocation is an Open Access, peer-reviewed, online journal that considers manuscripts on all aspects of cost-effectiveness analysis, including conceptual or methodological work, economic evaluations, and policy analysis related to resource allocation at a national or international level. Cost Effectiveness and Resource Allocation is aimed at health economists, health services researchers, and policy-makers with an interest in enhancing the flow and transfer of knowledge relating to efficiency in the health sector. Manuscripts are encouraged from researchers based in low- and middle-income countries, with a view to increasing the international economic evidence base for health.
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