Cost-Effectiveness Analysis in Implementation Science: a Research Agenda and Call for Wider Application.
Cost-Effectiveness Analysis in Implementation Science: a Research Agenda and Call for Wider Application.
复制标题
实施科学中的成本效益分析：研究议程和更广泛应用的呼吁。
DOI：
10.1007/s11904-021-00550-5
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发表时间：
2021-06
影响因子：
4.6
通讯作者：
Nosyk B
中科院分区：
文献类型：
--
作者：
Krebs E;Nosyk B
成本效益分析（CEA）可以帮助确定权衡决策者面临的公共卫生战略的实施面临的替代行动方案。CEA的应用以及实施科学研究仍然有限。我们的目标是确定未来发展的领域，以提高基于模型的CEA在实施科学研究中的吸收和影响。关于如何在日常实践中广泛实施循证公共卫生干预措施的重要问题仍然存在。建立人口层面的实施战略组成部分和不同的实施阶段，包括实施规划、扩大方案所需的时间以及维持方案所需的持续努力，可以帮助确定量化每个要素所需的数据。基于模型的CEA可以使用这些数据来确定与系统，设置，人口亚组和实施水平中的每个元素相关的附加值，为循证公共卫生行动提供量身定制的指导。有必要将实施科学明确纳入CEA，以充分捕捉不同的现实世界交付环境，并就实施过程中提供良好价值的方面提出详细，知情的建议。我们描述了基于模型的CEA如何整合实施科学概念和证据的例子，以帮助定制评估当地的情况。我们还提出了六个不同的领域的方法进步，以提高基于模型的成本效益分析在实施科学研究的吸收和影响。
Cost-effectiveness analysis (CEA) can help identify the trade-offs decision makers face when confronted with alternative courses of action for the implementation of public health strategies. Application of CEA alongside implementation scientific studies remains limited. We aimed to identify areas for future development in order to enhance the uptake and impact of model-based CEA in implementation scientific research. Important questions remain about how to broadly implement evidence-based public health interventions in routine practice. Establishing population-level implementation strategy components and distinct implementation phases, including planning for implementation, the time required to scale-up programs, and sustainment efforts required to maintain them, can help determine the data needed to quantify each of these elements. Model-based CEA can use these data to determine the added value associated with each of these elements across systems, settings, population subgroups, and levels of implementation to provide tailored guidance for evidence-based public health action. There is a need to integrate implementation science explicitly into CEA to adequately capture diverse real-world delivery contexts and make detailed, informed recommendations on the aspects of the implementation process that provide good value. We describe examples of how model-based CEA can integrate implementation scientific concepts and evidence to help tailor evaluations to local context. We also propose six distinct domains for methodological advancement in order to enhance the uptake and impact of model-based cost-effectiveness analysis in implementation scientific research.
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影响因子：
12.7
作者：
Glasgow, RE;Vogt, TM;Boles, SM
通讯作者：
Boles, SM
DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
3.6
作者：
Briggs, Andrew H.;Weinstein, Milton C.;Paltiel, A. David
通讯作者：
Paltiel, A. David
影响因子：
7.2
作者：
Dopp, Alex R.;Mundey, Peter;Eisenberg, Daniel
通讯作者：
Eisenberg, Daniel
影响因子：
7.2
作者：
Aarons, Gregory A.;Sklar, Marisa;Brown, C. Hendricks
通讯作者：
Brown, C. Hendricks