Health Economics Unit, Institute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences (FHML), Maastricht University, Maastricht, The Netherlands.
Int J Technol Assess Health Care. 2021 Mar 9;37:e43. doi: 10.1017/S0266462321000155.
AbstractThe rapid spread of the current COVID-19 pandemic has affected societies worldwide, leading to excess mortality, long-lasting health consequences, strained healthcare systems, and additional strains and spillover effects on other sectors outside health (i.e., intersectoral costs and benefits). In this perspective piece, we demonstrate the broader societal impacts of COVID-19 on other sectors outside the health sector and the growing importance of capturing these in health economic analyses. These broader impacts include, for instance, the effects on the labor market and productivity, education, criminal justice, housing, consumption, and environment. The current pandemic highlights the importance of adopting a societal perspective to consider these broader impacts of public health issues and interventions and only omit these where it can be clearly justified as appropriate to do so. Furthermore, we explain how the COVID-19 pandemic exposed and exacerbated existing deep-rooted structural inequalities that contribute to the wider societal impacts of the pandemic.
摘要
当前 COVID-19 大流行的迅速传播已影响到全球各国社会，导致超额死亡、长期健康后果、医疗保健系统紧张以及对卫生领域以外其他部门的额外压力和溢出效应（即部门间成本和效益）。在这篇观点文章中，我们展示了 COVID-19 对卫生部门以外其他部门的更广泛的社会影响，以及在卫生经济分析中捕捉这些影响的重要性日益增加。这些更广泛的影响包括对劳动力市场和生产力、教育、刑事司法、住房、消费和环境的影响。当前的大流行凸显了采取社会视角来考虑这些更广泛的公共卫生问题和干预措施的影响的重要性，只有在明确有理由这样做的情况下，才可以将其排除在外。此外，我们解释了 COVID-19 大流行如何暴露和加剧了导致大流行更广泛社会影响的现有根深蒂固的结构性不平等。
