2014-2019 年初级预防经济学评价研究的普查：范围综述方案。
Census of economic evaluations in primary prevention 2014-2019: a scoping review protocol.
机构信息
School of Psychology and Public Health, La Trobe University, Bundoora, Victoria, 3086, Australia.
出版信息
Syst Rev. 2020 Mar 24;9(1):63. doi: 10.1186/s13643-020-01315-8.
BACKGROUND
A large proportion of the burden of disease is preventable, yet investment in health promotion and disease prevention programmes remains a small share of the total health budget in many countries. The perception that there is paucity of evidence on the cost-effectiveness of public health programmes is seen as a barrier to policy change. The aim of this scoping review is to conduct a census of economic evaluations in primary prevention in order to identify and map the existing evidence.
METHODS
This review is an update of a prior census and will include full economic evaluations of primary prevention programmes conducted in a community-based setting that were published between 2014 and 2019. The search of electronic databases (MEDLINE and Embase, and NHS-EED for 2014) will be supplemented by a search for grey literature in OpenGrey and a search of the reference lists of reviews of economic evaluations identified in our searches. Retrieved citations will be imported into Covidence® and independently screened in a two-stage process by two reviewers (abstracts and full papers). Any disagreements on the eligibility of a citation will be resolved by discussion with a third reviewer. Included studies will then be categorised by one independent reviewer according to a four-part typology covering the type of health promotion intervention, the risk factor being tackled, the setting in which the intervention took place and the population most affected by the intervention. New to this version of the census, we will also document whether or not the intervention sets out specifically to address inequalities in health.
DISCUSSION
This review will produce an annotated bibliography of all economic evaluations plus a report summarising the current scope and content of the economic evidence (highlighting where it is plentiful and where it is lacking) and describing any changes in the type of economic evidence available for the various categories of disease prevention programmes since the last census. This will allow us to identify where future evaluative efforts should be focused to enhance the economic evidence base regarding primary prevention interventions.
SYSTEMATIC REVIEW REGISTRATION
Registration is being sought concurrently.
背景
尽管很大一部分疾病是可以预防的，但在许多国家，用于促进健康和预防疾病计划的投资仍只占卫生总预算的一小部分。人们认为公共卫生计划的成本效益证据不足，这被视为政策变革的一个障碍。本范围综述的目的是对初级预防中的经济评估进行普查，以确定和绘制现有证据。
方法
这是对上一次普查的更新，将包括在社区环境中进行的初级预防计划的全经济评估，这些评估是在 2014 年至 2019 年期间发表的。将对电子数据库（MEDLINE 和 Embase 以及 2014 年的 NHS-EED）进行搜索，并辅以在 OpenGrey 中搜索灰色文献，以及在我们的搜索中确定的经济评估综述的参考文献列表中进行搜索。检索到的引文将被导入 Covidence®，并由两名评审员（摘要和全文）进行两阶段独立筛选。对引文的资格有任何分歧的，将通过与第三名评审员讨论解决。然后，由一名独立评审员根据涵盖健康促进干预类型、正在解决的风险因素、干预发生的环境以及受干预影响最大的人群的四部分分类法，对纳入的研究进行分类。与上一次普查不同的是，我们还将记录干预措施是否专门针对解决健康不平等问题。
讨论
本综述将制作一份所有经济评估的注释书目，以及一份总结当前经济证据范围和内容的报告（突出其丰富和缺乏的地方），并描述自上次普查以来，各种疾病预防计划的经济证据类型有何变化。这将使我们能够确定未来评估工作的重点领域，以增强初级预防干预措施的经济证据基础。
系统评价注册
正在同时寻求注册。
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