Toward the incorporation of costs, cost-effectiveness analysis, and cost-benefit analysis into clinical research.

Toward the incorporation of costs, cost-effectiveness analysis, and cost-benefit analysis into clinical research.
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将成本、成本效益分析和成本效益分析纳入临床研究。

DOI:
10.1037//0022-006x.62.4.729
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发表时间:
1994
影响因子:
5.9
通讯作者:
B. Yates
B. Yates
中科院分区:
心理学1区
文献类型:
--
作者:
B. Yates

文献摘要

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临床心理学和相关学科的大多数研究并不测量、报告或分析成本、成本效益或成本效益分析。对此的原因进行了讨论。例如,人们可能会认为成本是微不足道的。提供的数据表明,治疗中消耗的资源价值(即成本)实际上可能相当复杂,难以准确、完整地评估。汇总研究结果表明,客户所经历的费用可能有利于评估,因为它们可能与治疗结果显着相关。经验研究结果还表明,成本也可以用于衡量,因为成本和结果可以呈负相关,而不是直接相关(即,客户可能从成本低于几种可行替代方案的治疗中受益最多)。最后,考虑了心理学中评估成本、成本效益和成本效益分析的障碍。鼓励就(a)货币成本和其他成本、(b)治疗技术和治疗提供系统以及(c)心理和经济结果之间关系的科学研究进行对话。
Most research in clinical psychology and related disciplines does not measure, report, or analyze costs, cost-effectiveness, or cost-benefit analysis. Reasons for this are discussed. It may be thought, for example, that costs are trivial to measure. Data are presented to show that the values of resources consumed in treatment (i.e., costs) actually can be quite complex to assess accurately and completely. Research findings are assembled to show that costs, as experienced by clients, may be beneficial to assess in that they can be significantly related to the outcomes of treatment. Empirical findings also show that costs also can be useful to measure because costs and outcomes can be related inversely rather than directly (i.e., clients may benefit most from treatments that cost less than several viable alternatives). Finally, perceived impediments to assessing costs and to cost-effectiveness and cost-benefit analysis in psychology are considered. Dialogue is encouraged on the scientific study of relationships between (a) monetary and other costs, (b) treatment techniques and treatment delivery systems, and (c) psychological and economic outcomes.