Hoang Van Phuong, Shanahan Marian, Shukla Nagesh, Perez Pascal, Farrell Michael, Ritter Alison
Drug Policy Modelling Program, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, 2031, Australia.
SMART Infrastructure Facility, University of Wollongong, Wollongong, NSW, 2522, Australia.
BMC Health Serv Res. 2016 Apr 13;16:127. doi: 10.1186/s12913-016-1368-8.
The overarching goal of health policies is to maximize health and societal benefits. Economic evaluations can play a vital role in assessing whether or not such benefits occur. This paper reviews the application of modelling techniques in economic evaluations of drug and alcohol interventions with regard to (i) modelling paradigms themselves; (ii) perspectives of costs and benefits and (iii) time frame.
Papers that use modelling approaches for economic evaluations of drug and alcohol interventions were identified by carrying out searches of major databases.
Thirty eight papers met the inclusion criteria. Overall, the cohort Markov models remain the most popular approach, followed by decision trees, Individual based model and System dynamics model (SD). Most of the papers adopted a long term time frame to reflect the long term costs and benefits of health interventions. However, it was fairly common among the reviewed papers to adopt a narrow perspective that only takes into account costs and benefits borne by the health care sector.
This review paper informs policy makers about the availability of modelling techniques that can be used to enhance the quality of economic evaluations for drug and alcohol treatment interventions.
卫生政策的总体目标是使健康和社会效益最大化。经济评估在评估此类效益是否产生方面可发挥至关重要的作用。本文就（i）建模范式本身；（ii）成本和效益的视角以及（iii）时间框架，综述建模技术在药物和酒精干预措施经济评估中的应用。
通过检索主要数据库，确定使用建模方法进行药物和酒精干预措施经济评估的论文。
38篇论文符合纳入标准。总体而言，队列马尔可夫模型仍然是最受欢迎的方法，其次是决策树、个体模型和系统动力学模型（SD）。大多数论文采用长期时间框架来反映卫生干预措施的长期成本和效益。然而，在所审查的论文中，只考虑医疗保健部门所承担的成本和效益这种狭义视角相当普遍。
本综述论文向政策制定者介绍了可用于提高药物和酒精治疗干预措施经济评估质量的建模技术。
