Huter Kai
Universität Bremen, SOCIUM Forschungszentrum Ungleichheit und Sozialpolitik, Abteilung. Gesundheit, Pflege und Alterssicherung, Bremen, Deutschland; Universität Bremen, Wissenschaftsschwerpunkt Gesundheitswissenschaften, Bremen, Deutschland.
Z Evid Fortbild Qual Gesundhwes. 2020 Apr;150-152:80-87. doi: 10.1016/j.zefq.2020.03.003. Epub 2020 May 17.
Starting from the claim that public health interventions should aim to improve health equity, the article examines which methodological approaches of health economic evaluation exist to support the analysis of equity-related outcomes of different interventions.
Critical review of the relevant literature.
Against the background of the normative foundations of health economic evaluation, three methodological approaches and three practical methods are presented that allow for considering health equity concerns in health economic evaluations. Implications of the different approaches and references to the German context are discussed.
The use of the instruments presented offers good potential to improve transparency with respect to distributive effects of different allocation decisions. This appears to be necessary in order to meet demands for health equity improving public health interventions - especially in the context of the German Prevention Act.
基于公共卫生干预应致力于改善健康公平性这一主张，本文探讨了健康经济评估中存在哪些方法来支持对不同干预措施的公平相关结果进行分析。
对相关文献进行批判性综述。
在健康经济评估规范基础的背景下，提出了三种方法和三种实用方法，可在健康经济评估中考虑健康公平问题。讨论了不同方法的影响以及与德国情况的关联。
所提出工具的使用为提高不同分配决策的分配效应透明度提供了良好潜力。这对于满足改善公共卫生干预措施的健康公平性需求似乎是必要的，尤其是在德国《预防法》的背景下。
