The cost-effectiveness of health communication programs: What do we know?
The cost-effectiveness of health communication programs: What do we know?
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DOI：
10.1080/10810730600973862
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发表时间：
2006-01-01
影响因子：
4.4
通讯作者：
Wheeler, Jennifer
中科院分区：
文献类型：
--
作者：
Hutchinson, Paul;Wheeler, Jennifer
虽然已经出现了相当多的证据支持的有效性的沟通方案，在增强健康，只有一个非常小的子集的研究也检查了这些方案是否具有成本效益，也就是说，他们是否实现更大的健康收益可用的财政资源比替代干预措施。在本文中，我们审查了有关健康行为改变沟通计划成本效益的现有文献，重点关注涉及大众媒体的沟通干预措施，并在较小程度上关注社区动员和人际沟通或咨询。我们的目标是确定过去和现在的研究工作的成本效益的行为改变沟通计划的状态。本审查得出三个主要结论。首先，健康传播项目的成本效益分析通常没有进行。第二，这里审查的研究报告使用了多种多样的方法，反映了不同的质量水平和对标准成本效益方法的遵守情况。这导致了透明度、可比性和普遍性的问题。第三，虽然现有的研究一般都表明了传播干预措施相对于替代品的成本效益，但显然需要通过进一步的严格成本效益分析来扩大证据基础。
While a considerable body of evidence has emerged supporting the effectiveness of communication programs in augmenting health, only a very small subset of studies has examined also whether these programs are costeffective, that is, whether they achieve greater health gains for available financial resources than alternative interventions. In this article, we examine the available literature on the cost-effectiveness of health behavior change communication programs, focusing on communication interventions involving mass media, and, to a lesser extent, community mobilization and interpersonal communication or counseling. Our objective is to identify the state of past and current research efforts of the cost-effectiveness of behavior change communication programs. This review makes three principal conclusions. First, the analysis of the cost-effectiveness of health communication programs commonly has not been performed. Second, the studies reviewed here have utilized a considerable diversity of methods and have reflected varying levels of quality and adherence to standard cost-effectiveness methodologies. This leads to problems of transparency, comparability, and generalizability. Third, while the available studies generally are indicative of the cost-effectiveness of communication interventions relative to alternatives, the evidence base clearly needs to be expanded by additional rigorous cost-effectiveness analyses.