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净效益回归框架在工作场所干预措施经济评估中的优势:一项针对因精神障碍领取短期残疾福利的人群的协作式精神卫生保健项目成本效益的案例研究

Advantages of the net benefit regression framework for economic evaluations of interventions in the workplace: a case study of the cost-effectiveness of a collaborative mental health care program for people receiving short-term disability benefits for psychiatric disorders.

作者信息

Hoch Jeffrey S, Dewa Carolyn S

机构信息

From the Institute of Health Policy, Management and Evaluation (Drs Hoch and Dewa), University of Toronto; Centre for Excellence in Economic Analysis and Research (Dr Hoch), Li Ka Shing Knowledge Institute, St Michael's Hospital; Department of Psychiatry (Dr Dewa), University of Toronto, and Centre for Research on Employment and Workplace Health, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.

出版信息

J Occup Environ Med. 2014 Apr;56(4):441-5. doi: 10.1097/JOM.0000000000000130.

Abstract

OBJECTIVE

Economic evaluations commonly accompany trials of new treatments or interventions; however, regression methods and their corresponding advantages for the analysis of cost-effectiveness data are not well known.

METHODS

To illustrate regression-based economic evaluation, we present a case study investigating the cost-effectiveness of a collaborative mental health care program for people receiving short-term disability benefits for psychiatric disorders. We implement net benefit regression to illustrate its strengths and limitations.

RESULTS

Net benefit regression offers a simple option for cost-effectiveness analyses of person-level data. By placing economic evaluation in a regression framework, regression-based techniques can facilitate the analysis and provide simple solutions to commonly encountered challenges.

CONCLUSIONS

Economic evaluations of person-level data (eg, from a clinical trial) should use net benefit regression to facilitate analysis and enhance results.

摘要

目的

经济评估通常伴随新治疗方法或干预措施的试验;然而,回归方法及其在成本效益数据分析中的相应优势并不广为人知。

方法

为说明基于回归的经济评估,我们呈现一个案例研究,该研究调查了一项针对因精神疾病领取短期残疾福利的人群的协作式心理健康护理项目的成本效益。我们实施净效益回归以说明其优势和局限性。

结果

净效益回归为个体层面数据的成本效益分析提供了一个简单的选择。通过将经济评估置于回归框架中,基于回归的技术可以促进分析,并为常见挑战提供简单的解决方案。

结论

对个体层面数据(例如来自临床试验的数据)进行经济评估时,应使用净效益回归来促进分析并提升结果。

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