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重视我们的社区:基于社区的预防措施经济评估的伦理考量。

Valuing Our Communities: Ethical Considerations for Economic Evaluation of Community-Based Prevention.

机构信息

Department of Human Development and Family Studies, Pennsylvania State University, State College, PA, USA.

Prevention Economics Planning & Research Network, State College, PA, USA.

出版信息

Am J Community Psychol. 2017 Dec;60(3-4):309-315. doi: 10.1002/ajcp.12200. Epub 2017 Nov 20.

DOI:10.1002/ajcp.12200
PMID:29154476
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5729092/
Abstract

Restricted public budgets and increasing efforts to link the impact of community interventions to public savings have increased the use of economic evaluation. While this type of evaluation can be important for program planning, it also raises important ethical issues about how we value the time of local stakeholders who support community interventions. In particular, researchers navigate issues of scientific accuracy, institutional inequality, and research utility in their pursuit of even basic cost estimates. We provide an example of how we confronted these issues when estimating the costs of a large-scale community-based intervention. Principles for valuing community members' time and conducting economic evaluations of community programs are discussed.

摘要

有限的公共预算和越来越努力将社区干预措施的影响与公共储蓄联系起来,这增加了经济评估的使用。虽然这种类型的评估对于项目规划很重要,但它也提出了关于我们如何重视支持社区干预措施的当地利益相关者的时间的重要伦理问题。特别是,研究人员在追求甚至基本成本估算时,需要解决科学准确性、制度不平等和研究效用等问题。我们提供了一个例子,说明我们在估算大规模基于社区的干预措施的成本时如何应对这些问题。讨论了衡量社区成员时间价值和对社区计划进行经济评估的原则。

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本文引用的文献

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2
Financing prevention: opportunities for economic analysis across the translational research cycle.预防融资:转化研究周期中的经济分析机遇
Transl Behav Med. 2016 Mar;6(1):145-52. doi: 10.1007/s13142-015-0354-8.
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The role of social impact bonds in pediatric health care.社会影响债券在儿科医疗保健中的作用。
Pediatrics. 2014 Aug;134(2):e331-3. doi: 10.1542/peds.2013-4056. Epub 2014 Jul 21.
4
Can we build an efficient response to the prescription drug abuse epidemic? Assessing the cost effectiveness of universal prevention in the PROSPER trial.我们能否构建对处方药滥用流行的有效应对措施?在“预防老年疾病项目(PROSPER)试验”中评估普遍预防的成本效益。
Prev Med. 2014 May;62:71-7. doi: 10.1016/j.ypmed.2014.01.029. Epub 2014 Feb 9.
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Research priorities for economic analyses of prevention: current issues and future directions.预防措施经济分析的研究重点:当前问题与未来方向
Prev Sci. 2014 Dec;15(6):789-98. doi: 10.1007/s11121-013-0429-z.
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PROSPER community-university partnership delivery system effects on substance misuse through 6 1/2 years past baseline from a cluster randomized controlled intervention trial.从一项基于群组的随机对照干预试验来看,PROSPER 社区-大学伙伴关系交付系统通过过去 6 年半的时间对药物滥用产生了影响。
Prev Med. 2013 Mar;56(3-4):190-6. doi: 10.1016/j.ypmed.2012.12.013. Epub 2012 Dec 28.
7
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