Economic Analysis in Behavioral Health: Toward Application of Standardized Methodologies
Economic Analysis in Behavioral Health: Toward Application of Standardized Methodologies
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DOI：
10.1037/hea0000769
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发表时间：
2019-08-01
影响因子：
4.2
通讯作者：
Wilson, Dawn K.
中科院分区：
文献类型：
--
作者：
Kaplan, Robert M.;Gold, Marthe;Wilson, Dawn K.
医疗保健仍然是美国经济中最昂贵的部门，现在占每5美元支出的近1。保健的目的是改善人民的健康。然而，正规医疗保健是改善健康的众多替代方案之一。为了更好地利用稀缺的资源，已经制定了成本效益方法，以评估如何在现有资源的限制范围内提供最大的健康。标准化的成本效益方法现在普遍用于评价医疗和新技术。然而，这些方法很少用于行为干预的评价。行为干预通常使用在健康结果研究的其他领域中通常不适用的措施。忽视采用标准化成本效益分析的一个后果是，行为、心理和环境干预可能被排除在资源分配讨论之外。本文的目的是审查标准化的成本效益分析方法，并鼓励他们使用的行为干预计划的评估。标准化的成本效益分析方法的应用将允许直接比较投资行为干预计划与广泛的其他替代方案。这些方法是通用的，可用于估计除了传统的医疗和手术治疗之外的社会和环境干预措施的成本效益。
Health care remains the most expensive sector in the U.S. economy, now accounting for nearly 1 in every 5 dollars spent. The purpose of health care is to improve the health of populations. However, formal medical care is one of many alternatives for improving health. In order to make better use of scarce resources, cost-effectiveness methodologies have been developed to evaluate how to produce the most health within the constraints of available resources. Standardized cost-effectiveness methodologies are now commonly used in the evaluation of medical therapies and new technologies. However, these methods have rarely been employed for the evaluation of behavioral interventions. Behavioral interventions often use measures that are not generally applied in other areas of health outcomes research. A consequence of neglecting to employ standardized cost-effectiveness analysis is that behavioral, psychological, and environmental interventions may be left out of resource allocation discussions. The purpose of this paper is to review standardized approaches to cost-effectiveness analysis and to encourage their use for the evaluation of behavioral intervention programs. Application of standardized methods of cost-effectiveness analysis will allow direct comparisons between investing in behavioral interventions programs in comparison to a wide range of other alternatives. The methods are general and can be used to estimate the cost-effectiveness of social and environmental interventions in addition to traditional medical and surgical treatments.