Deakin Health Economics, Population Health Strategic Research Cluster, Deakin University, Melbourne, Victoria, Australia.
J Ment Health. 2013 Apr;22(2):122-34. doi: 10.3109/09638237.2012.745189. Epub 2013 Jan 16.
Economic evaluation of individual interventions can have limited usefulness due to the potential for methodological confounding, particularly for those decision contexts where strategies involving multiple interventions are required.
To introduce readers to different approaches of priority-setting, with a focus on economics-based examples of priority-setting in mental health.
A selective review of the priority-setting literature, with particular attention given to the mental health context and economics-based approaches.
Six priority-setting approaches in mental health are described and assessed.
Priority-setting approaches that incorporate methodological rigour, due process for involving stakeholders and broad-based notions of "benefit", are likely to be of most use to mental healthcare decision-makers. Challenges, both in relation to data bases and method remain, but are within the capacity of the mental health research community to resolve.
由于方法学上的混杂，个体干预措施的经济评估可能具有有限的用处，特别是在需要涉及多种干预措施的决策情况下。
向读者介绍不同的优先排序方法，重点介绍精神卫生领域基于经济学的优先排序示例。
对优先排序文献进行选择性回顾，特别关注精神卫生背景和基于经济学的方法。
描述和评估了精神卫生中的六种优先排序方法。
纳入方法严谨性、利益相关者参与的正当程序和广泛的“收益”概念的优先排序方法，可能对精神卫生保健决策者最有用。在数据基础和方法方面仍然存在挑战，但精神卫生研究界有能力解决这些问题。
