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预防经济学:公共卫生研究议程。

Economics of prevention: the public health research agenda.

作者信息

Chattopadhyay Sajal K, Carande-Kulis Vilma G

机构信息

Prevention Effectiveness and Health Economics Branch, Division of Prevention Research and Analytic Methods, Epidemiology Program Office, Centers for Disease Control and Prevention, MS E-90, 1600 Clifton Road, Atlanta, GA 30333, USA.

出版信息

J Public Health Manag Pract. 2004 Sep-Oct;10(5):467-71. doi: 10.1097/00124784-200409000-00015.

Abstract

Public health policy makers often focus their attention on the economic evaluation methods (eg, cost-benefit and cost-effectiveness analyses) because of their interest in the economic returns from investment in prevention programs. This article presents a case for the broader applicability of economic theories and methods in development of public health prevention research issues. Public financing, delivery, and regulatory policies are often advocated and used to correct the imperfections in the market for preventive health services. A proper understanding of the incentives and constraints faced by individual agents in the market, however, can improve the effectiveness of these policies in achieving the prevention targets. In developing a research agenda, economics can play a more substantial role beyond the traditional economic evaluation research.

摘要

公共卫生政策制定者常常将注意力集中在经济评估方法(如成本效益分析和成本效果分析)上,因为他们关注预防项目投资的经济回报。本文提出了经济理论和方法在公共卫生预防研究问题发展中具有更广泛适用性的观点。公共融资、提供和监管政策常常被倡导并用于纠正预防性卫生服务市场的缺陷。然而,正确理解市场中个体行为者面临的激励和约束,能够提高这些政策实现预防目标的有效性。在制定研究议程时,经济学除了传统的经济评估研究之外,还能发挥更重要的作用。

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