Department of Nursing Science, Faculty of Medicine, University of Turku, Turku, Finland.
Department of Industrial Engineering and Management, Institute of Healthcare Engineering, Management and Architecture (HEMA), Aalto University, Espoo, Finland.
Eur J Public Health. 2021 Oct 26;31(5):997-1003. doi: 10.1093/eurpub/ckab068.
The health, well-being and safety of the general population are important goals for society, but forecasting outcomes and weighing up the costs and benefits of effective promotional programmes is challenging. This study aimed to identify and describe the cost-effectiveness calculators that analyze interventions that promote health, well-being and safety.
Our systematic review used the CINAHL, PsycINFO, SocINDEX, EconLit, PubMed and Scopus databases to identify peer-reviewed studies published in English between January 2010 and April 2020. The data were analyzed with narrative synthesis.
The searches identified 6880 papers and nine met our eligibility and quality criteria. All nine calculators focussed on interventions that promoted health and well-being, but no safety promotion tools were identified. Five calculators were targeted at group-level initiatives, two at regional levels and two at national levels. The calculators combined different data sources, in addition to data inputted by users. This included empirical research and previous literature. The calculators created baseline estimates and assessed the cost-effectiveness of the interventions before or after they were implemented. The calculators were heterogeneous in terms of outcomes, the interventions they evaluated and the data and methods used.
This review identified nine calculators that assessed the cost-effectiveness of health and well-being interventions and supported decision-making and resource allocations at local, regional and national levels, but none focussed on safety. Producing calculators that work accurately in different contexts might be challenging. Further research should identify how to assess sustainable evaluation of health, well-being and safety strategies.
促进公众健康、福祉和安全是社会的重要目标，但预测结果并权衡有效的推广计划的成本和效益具有挑战性。本研究旨在识别和描述分析促进健康、福祉和安全的干预措施的成本效益计算器。
我们的系统评价使用了 CINAHL、PsycINFO、SocINDEX、EconLit、PubMed 和 Scopus 数据库，以确定 2010 年 1 月至 2020 年 4 月期间以英文发表的同行评审研究。使用叙述性综合方法对数据进行分析。
搜索共确定了 6880 篇论文，其中 9 篇符合我们的资格和质量标准。所有 9 个计算器都专注于促进健康和福祉的干预措施，但没有发现安全促进工具。有 5 个计算器针对群体级别的举措，2 个针对区域层面，2 个针对国家层面。这些计算器结合了不同的数据来源，除了用户输入的数据外，还包括实证研究和以前的文献。计算器创建了基线估计，并在干预措施实施之前或之后评估其成本效益。计算器在结果、评估的干预措施以及使用的数据和方法方面存在差异。
本研究共确定了 9 个计算器，这些计算器评估了健康和福祉干预措施的成本效益，并支持了地方、区域和国家各级的决策和资源分配，但没有一个关注安全。在不同的环境中准确制作计算器可能具有挑战性。进一步的研究应该确定如何评估健康、福祉和安全策略的可持续性评估。
