基本卫生福利包及其决定标准的范围文献综述。
Scoping literature review on the basic health benefit package and its determinant criteria.
机构信息
Student Research Committee, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran.
Health Human Resources Research Center, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran.
出版信息
Global Health. 2018 Mar 2;14(1):26. doi: 10.1186/s12992-018-0345-x.
BACKGROUND
There are various criteria and methods to develop Basic Health Benefit Package (BHBP) in world health systems. The present study aimed to extract criteria used in health systems in different countries around the world using scoping review method.
METHODS
A systematic search was carried out in Cochrane Library, PubMed, Scopus, Science Direct, Web of Science, ProQuest, World Bank, World Health Organization, and Google databases between January and April 2016. Papers and reports were gathered according to selected keywords and were examined by two authors. Finally, the criteria were extracted from the selected papers.
RESULTS
The primary search included 8876 papers. After studying the articles' titles, abstracts, and full texts, 9 articles and 14 reports were selected for final analysis. After the final analysis, 19 criteria were extracted. Due to diversity of criteria in terms of number and nature, they were divided into three categories. The categories included intervention-related criteria, disease-related criteria, and community-related criteria. The largest number of criteria belonged to the first category. Indeed, the most widely applied criteria included cost-effectiveness (20), effectiveness (19), budget impact (12), equity (12), and burden of disease (10).
CONCLUSION
According to the results, different criteria were identified in terms of number and nature in developing BHBP in world health systems. It seems that certain criteria, such as cost-effectiveness, effectiveness, budget impact, burden of disease, equity, and necessity, that were most widely utilized in countries under study could be for designing BHBP with regard to social, cultural, and economic considerations.
背景
在世界卫生系统中，有多种制定基本医疗保障包（BHBP）的标准和方法。本研究旨在采用范围综述方法，从全球各国卫生系统中提取使用的标准。
方法
于 2016 年 1 月至 4 月，在 Cochrane 图书馆、PubMed、Scopus、Science Direct、Web of Science、ProQuest、世界银行、世界卫生组织和 Google 数据库中进行系统检索。根据选定的关键词收集论文和报告，并由两位作者进行检查。最后，从选定的论文中提取标准。
结果
初步搜索共包括 8876 篇论文。在研究了文章的标题、摘要和全文后，选择了 9 篇文章和 14 篇报告进行最终分析。最终分析后，提取了 19 个标准。由于标准在数量和性质方面存在差异，将其分为三类。这三类包括干预相关标准、疾病相关标准和社区相关标准。数量最多的标准属于第一类。实际上，应用最广泛的标准包括成本效益（20）、效果（19）、预算影响（12）、公平性（12）和疾病负担（10）。
结论
根据研究结果，在制定世界卫生系统中的 BHBP 方面，标准在数量和性质方面存在差异。在研究国家中，成本效益、效果、预算影响、疾病负担、公平性和必要性等某些标准可能会被广泛应用，这可以为设计 BHBP 提供依据，需要考虑社会、文化和经济方面的因素。
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