Abstract:
OBJECTIVES:This paper describes the methods used in the Guide to Community Preventive Services: Systematic Reviews and Evidence-Based Recommendations (the Guide) for conducting systematic reviews of economic evaluations across community health-promotion and disease-prevention interventions. The lack of standardized methods to improve the comparability of results from economic evaluations has hampered the use of data on costs and financial benefits in evidence-based reviews of effectiveness. The methods and instruments developed for the Guide provide an explicit and systematic approach for abstracting economic evaluation data and increase the usefulness of economic information for policy making in health care and public health. METHODS:The following steps were taken for systematic reviews of economic evaluations: (1) systematic searches were conducted; (2) studies using economic analytic methods, such as cost analysis or cost-effectiveness, cost-benefit or cost-utility analysis, were selected according to explicit inclusion criteria; (3) economic data were abstracted and adjusted using a standardized abstraction form; and (4) adjusted summary measures were listed in summary tables. RESULTS:These methods were used in a review of 10 interventions designed to improve vaccination coverage in children, adolescents and adults. Ten average costs and 14 cost-effectiveness ratios were abstracted or calculated from data reported in 24 studies and expressed in 1997 USD. The types of costs included in the analysis and intervention definitions varied extensively. Gaps in data were found for many interventions.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Carande-Kulis VG,Maciosek MV,Briss PA,Teutsch SM,Zaza S,Truman BI,Messonnier ML,Pappaioanou M,Harris JR,Fielding Jdoi
10.1016/s0749-3797(99)00120-8subject
Has Abstractpub_date
2000-01-01 00:00:00pages
75-91issue
1 Suppleissn
0749-3797issn
1873-2607pii
S0749-3797(99)00120-8journal_volume
18pub_type
杂志文章abstract:INTRODUCTION:There are known racial differences in cardiovascular health behaviors, including smoking, physical activity, and diet quality. A better understanding of these differences may help identify intervention targets for reducing cardiovascular disease disparities. This study examined whether socioeconomic, psych...
journal_title:American journal of preventive medicine
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pub_type: 临床试验,杂志文章,随机对照试验
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