Moraz Gabriele, Garcez Anderson da Silva, de Assis Eliseu Miranda, dos Santos Jandira Pereira, Barcellos Nêmora Tregnago, Kroeff Locimara Ramos
Universidade do Vale do Rio dos Sinos, São Leopoldo, RS, Brasil,
Cien Saude Colet. 2015 Oct;20(10):3211-29. doi: 10.1590/1413-812320152010.00962015.
A systematic review was performed with the aim of describing the landscape and evolution of cost-effectiveness studies in health in Brazil. The search for articles on cost-effectiveness was performed in the main electronic health databases. The review identified 83 cost-effectiveness studies conducted nationwide. Between the years 1990-2005 there were few studies published on cost-effectiveness, though between 2006 and 2014 there was a significant increase in the number of publications. As for the themes and objectives of the studies, the chronic degenerative diseases and infectious/contagious diseases reflect the epidemiological diversity of Brazil. A predominance of studies on health intervention/treatment was identified. Thus, this review reveals a compatible Brazilian epidemiological reality scenario, indicating a need to increase research and investment of funds in the area of preventive health.
为描述巴西卫生领域成本效益研究的概况和发展情况,开展了一项系统评价。在主要的电子卫生数据库中检索有关成本效益的文章。该评价确定了在全国范围内开展的83项成本效益研究。1990年至2005年间,关于成本效益的研究发表较少,但在2006年至2014年间,出版物数量显著增加。至于研究的主题和目标,慢性退行性疾病和传染性/感染性疾病反映了巴西的流行病学多样性。确定了关于健康干预/治疗的研究占主导地位。因此,本评价揭示了与巴西流行病学现实相符的情况,表明需要增加预防性卫生领域的研究和资金投入。