Estimates of Costs for Housing-Related Interventions to Prevent Specific Illnesses and Deaths

Estimates of Costs for Housing-Related Interventions to Prevent Specific Illnesses and Deaths
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DOI:
10.1097/phh.0b013e3181e28b2e
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发表时间:
2010-09-01
影响因子:
3.3
通讯作者:
Brown, Mary Jean
Brown, Mary Jean
中科院分区:
医学4区
文献类型:
--
作者:
Mason, Jacquelyn;Brown, Mary Jean

文献摘要

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公共卫生正在进行经济分析,努力以最有效的方式利用有限的资源。然而,公共卫生领域经济分析的使用者应认识到不同类型分析的固有优势和劣势,并了解纳入或遗漏某些成本或收益可能如何影响研究结果。例如,哮喘是一种慢性疾病,可能导致医疗保健费用的累积远远超过住房干预的持续时间。因此,忽略长期医疗保健成本的经济分析可能低估了住房干预的总经济效益。这篇文章包含了在PubMed上发表的关于住房干预的经济文章的评论,检查了研究之间的显著差异,并讨论了文献中的相关差距。此外,本文试图为地方和州公共卫生从业人员的目标受众提供与住房干预有关的关键经济评估方法的概述。讨论的与住房有关的具体健康问题包括哮喘、铅和一氧化碳中毒以及与氡有关的肺癌。
Public health is embracing economic analyses in an effort to use limited resources in the most efficient manner. However, users of economic analyses in the public health arena should recognize the inherent strengths and weaknesses of different types of analysis, as well as understand how the inclusion or omission of certain costs or benefits might influence study results. For example, asthma is a chronic condition that can result in health care costs that accrue well beyond the duration of a housing intervention. Thus, an economic analysis that omits long-term health care costs can underestimate the total economic benefit of the housing intervention. This article contains reviews of economic articles on housing interventions published in PubMed, examines salient differences between studies, and discusses pertinent gaps in the literature. In addition, this article attempts to provide an overview of key economic evaluation methods in relation to housing interventions to a target audience of local and state public health practitioners. Specific housing-related health issues discussed include asthma, lead, and carbon monoxide poisoning and radon-related lung cancer.