SEEP-CI: A Structured Economic Evaluation Process for Complex Health System Interventions.
SEEP-CI: A Structured Economic Evaluation Process for Complex Health System Interventions.
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DOI：
10.3390/ijerph17186780
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发表时间：
2020-09-17
影响因子：
--
通讯作者：
Singh SP
中科院分区：
文献类型：
--
作者：
Madan J;Bruce Kumar M;Taegtmeyer M;Barasa E;Singh SP
卫生系统干预措施的经济评价具有挑战性，并且缺乏关于如何应对这些挑战的方法指导。REACHOUT联盟在非洲和亚洲的六个国家制定并评估了改善社区卫生方案质量的复杂干预措施。考虑到我们在与REACHOUT一起进行经济评估时面临的挑战，我们制定了复杂卫生系统干预措施的结构化经济评估流程（sep - ci）。SEEP-CI旨在建立阈值效应大小，以证明对复杂干预措施的投资是合理的，并为决策者提供干预措施实现这种影响的可能性的评估。我们说明了如何将SEEP-CI应用于REACHOUT，以确定干预可能产生影响的结果和因果机制，通过这些影响可能发生，通过关注最有可能说明干预有效性的最近结果来指导数据收集，确定证明干预投资所需的健康收益的大小，并指出接受这种健康收益是可信的所需的假设。需要进一步的研究来确定SEEP-CI的可行性和可接受性，以及它可以在哪些环境中使用。
The economic evaluation of health system interventions is challenging, and methods guidance on how to respond to these challenges is lacking. The REACHOUT consortium developed and evaluated complex interventions for community health program quality improvement in six countries in Africa and Asia. Reflecting on the challenges we faced in conducting an economic evaluation alongside REACHOUT, we developed a Structured Economic Evaluation Process for Complex Health System Interventions (SEEP-CI). The SEEP-CI aims to establish the threshold effect size that would justify investment in a complex intervention, and provide an assessment to a decision-maker of how likely it is that the intervention can achieve this impact. We illustrate how the SEEP-CI could have been applied to REACHOUT to identify outcomes where the intervention might have impact and causal mechanisms, through which that impact might occur, guide data collection by focusing on proximal outcomes most likely to illustrate the effectiveness of the intervention, identify the size of health gain required to justify investment in the intervention, and indicate the assumptions required to accept that such health gains are credible. Further research is required to determine the feasibility and acceptability of the SEEP-CI, and the contexts in which it could be used.
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DOI：
10.1016/s2214-109x(18)30386-3
发表时间：
2018-11
期刊：
The Lancet. Global health
影响因子：
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作者：
Kruk ME;Gage AD;Arsenault C;Jordan K;Leslie HH;Roder-DeWan S;Adeyi O;Barker P;Daelmans B;Doubova SV;English M;García-Elorrio E;Guanais F;Gureje O;Hirschhorn LR;Jiang L;Kelley E;Lemango ET;Liljestrand J;Malata A;Marchant T;Matsoso MP;Meara JG;Mohanan M;Ndiaye Y;Norheim OF;Reddy KS;Rowe AK;Salomon JA;Thapa G;Twum-Danso NAY;Pate M
通讯作者：
Pate M
影响因子：
3.6
作者：
Robinson, S.
通讯作者：
Robinson, S.
影响因子：
4.5
作者：
Husereau, Don;Drummond, Michael;Loder, Elizabeth
通讯作者：
Loder, Elizabeth
影响因子：
2.4
作者：
Tsiachristas, Apostolos;Stein, K. Viktoria;Rutten-van Molken, Maureen
通讯作者：
Rutten-van Molken, Maureen
制定和评估复杂的干预措施：新的医学研究委员会指南。
DOI：
10.1136/bmj.a1655
发表时间：
2008-09-29
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Craig P;Dieppe P;Macintyre S;Michie S;Nazareth I;Petticrew M;Medical Research Council Guidance
通讯作者：
Medical Research Council Guidance