Extended Cost-Effectiveness Analysis for Health Policy Assessment: A Tutorial
Extended Cost-Effectiveness Analysis for Health Policy Assessment: A Tutorial
复制标题
卫生政策评估的扩展成本-效果分析：教程
DOI：
10.1007/s40273-016-0414-z
复制
发表时间：
2016-09-01
影响因子：
4.4
通讯作者：
Jamison, Dean T.
中科院分区：
文献类型：
--
作者：
Verguet, Stephane;Kim, Jane J.;Jamison, Dean T.
卫生政策工具，例如为卫生技术（例如新药、疫苗）提供公共资金，会在多个领域产生影响。从根本上说，公共卫生政策的目的是增加采取有效和高效的干预措施，并随后带来更好的健康效益（例如，避免过早死亡和发病率）。此外，公共卫生政策除了人口的单一福祉之外，还可以提供卫生部门以外的非健康福利。例如，社会和医疗保险计划等公共政策可以预防与疾病有关的贫困，并获得金融风险保护。此外，公共政策可以改善人口中的健康分配，促进个人之间的健康平等。开展了扩展成本效益分析，以解决卫生政策评估问题，特别是评估公共政策在四个领域的卫生和财政后果：(1)卫生收益；(2)财务风险保障效益；(3)政策制定者的总成本；(4)分配效益。在这里，我们提供了一个教程，介绍了扩展成本效益分析的意图及其便于实施卫生政策评估的关键。
Health policy instruments such as the public financing of health technologies (e.g., new drugs, vaccines) entail consequences in multiple domains. Fundamentally, public health policies aim at increasing the uptake of effective and efficient interventions and at subsequently leading to better health benefits (e.g., premature mortality and morbidity averted). In addition, public health policies can provide non-health benefits in addition to the sole wellbeing of populations and beyond the health sector. For instance, public policies such as social and health insurance programs can prevent illness-related impoverishment and procure financial risk protection. Furthermore, public policies can improve the distribution of health in the population and promote the equalization of health among individuals. Extended cost-effectiveness analysis was developed to address health policy assessment, specifically to evaluate the health and financial consequences of public policies in four domains: (1) the health gains; (2) the financial risk protection benefits; (3) the total costs to the policy makers; and (4) the distributional benefits. Here, we present a tutorial that describes both the intent of extended cost-effectiveness analysis and its keys to allow easy implementation for health policy assessment.