Pinto Andrew D, Perri Melissa, Pedersen Cheryl L, Aratangy Tatiana, Hapsari Ayu Pinky, Hwang Stephen W
MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, Canada.
Department of Family and Community Medicine, St. Michael's Hospital, Toronto, Canada.
Int J Equity Health. 2021 Jun 16;20(1):142. doi: 10.1186/s12939-021-01479-2.
Persistent income inequality, the increase in precarious employment, the inadequacy of many welfare systems, and economic impact of the COVID-19 pandemic have increased interest in Basic Income (BI) interventions. Ensuring that social interventions, such as BI, are evaluated appropriately is key to ensuring their overall effectiveness. This systematic review therefore aims to report on available methods and domains of assessment, which have been used to evaluate BI interventions. These findings will assist in informing future program and research development and implementation.
Studies were identified through systematic searches of the indexed and grey literature (Databases included: Scopus, Embase, Medline, CINAHL, Web of Science, ProQuest databases, EBSCOhost Research Databases, and PsycINFO), hand-searching reference lists of included studies, and recommendations from experts. Citations were independently reviewed by two study team members. We included studies that reported on methods used to evaluate the impact of BI, incorporated primary data from an observational or experimental study, or were a protocol for a future BI study. We extracted information on the BI intervention, context and evaluation method.
86 eligible articles reported on 10 distinct BI interventions from the last six decades. Workforce participation was the most common outcome of interest among BI evaluations in the 1960-1980 era. During the 2000s, studies of BI expanded to include outcomes related to health, educational attainment, housing and other key facets of life impacted by individuals' income. Many BI interventions were tested in randomized controlled trials with data collected through surveys at multiple time points.
Over the last two decades, the assessment of the impact of BI interventions has evolved to include a wide array of outcomes. This shift in evaluation outcomes reflects the current hypothesis that investing in BI can result in lower spending on health and social care. Methods of evaluation ranged but emphasized the use of randomization, surveys, and existing data sources (i.e., administrative data). Our findings can inform future BI intervention studies and interventions by providing an overview of how previous BI interventions have been evaluated and commenting on the effectiveness of these methods.
This systematic review was registered with PROSPERO (CRD 42016051218).
持续存在的收入不平等、不稳定就业的增加、许多福利制度的不足以及新冠疫情的经济影响,使得人们对基本收入(BI)干预措施的兴趣日益浓厚。确保对诸如基本收入等社会干预措施进行适当评估,是确保其整体有效性的关键。因此,本系统评价旨在报告已用于评估基本收入干预措施的现有方法和评估领域。这些研究结果将有助于为未来的项目、研究发展及实施提供参考。
通过对索引文献和灰色文献进行系统检索(数据库包括:Scopus、Embase、Medline、CINAHL、Web of Science、ProQuest数据库、EBSCOhost研究数据库和PsycINFO)、手工检索纳入研究的参考文献列表以及专家推荐来识别研究。由两名研究团队成员独立审查文献引用。我们纳入了报告用于评估基本收入影响的方法、纳入了来自观察性或实验性研究的原始数据或为未来基本收入研究方案的研究。我们提取了有关基本收入干预措施、背景和评估方法的信息。
86篇符合条件的文章报告了过去六十年来10种不同的基本收入干预措施。在20世纪60年代至80年代的基本收入评估中,劳动力参与是最常见的关注结果。在21世纪,基本收入研究扩展到包括与健康、教育程度、住房以及受个人收入影响的生活其他关键方面相关的结果。许多基本收入干预措施在随机对照试验中进行了测试,并通过在多个时间点进行的调查收集数据。
在过去二十年中,对基本收入干预措施影响的评估已发展到包括一系列广泛的结果。评估结果的这种转变反映了当前的一种假设,即对基本收入进行投资可以降低医疗和社会护理方面的支出。评估方法各不相同,但强调使用随机化、调查和现有数据源(即行政数据)。我们的研究结果可以通过概述以前的基本收入干预措施是如何评估的以及对这些方法的有效性进行评论,为未来的基本收入干预研究和干预措施提供参考。
本系统评价已在PROSPERO注册(CRD 42016051218)。