Department of Health Policy and Administration, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.
The Airlangga Centre for Health Policy Research Group, Surabaya, Indonesia.
PLoS One. 2023 Apr 20;18(4):e0284518. doi: 10.1371/journal.pone.0284518. eCollection 2023.
This study aims to assess the variance of the cost-effectiveness ratio of the school-based oral health promotion and prevention program for elementary school children.
This review protocol was registered in the international database of Prospectively Registered Systematic Reviews in Health and Social Care (PROSPERO) (No: CRD 42022326734). The search for articles conducted in March-April 2022 focuses on any kind of school-based Promotive and Preventive Program for elementary school children that have control groups, and the outcome was Incremental Cost-Effectiveness Ratio (ICER). Grey literatures are not eligible. This review used five databases (PubMed, Scopus, Web of Science, CINAHL, and Google Scholar). Two independent reviewers referred to the PICO for inclusion and exclusion criteria and carried out the systematic review process. JBI ACTUARI Guidance for Critical Appraisal of Economic Evaluation Assessment Tools was used to assess the quality of the study.
Of the total 1,473 articles found, there were 5 articles that matched the article search criteria and were included in a systematic review. It was known that the labor cost has a large proportion of the total program cost, and cost-saving programs were found in the two milk fluoridation programs (18.59 USD and 1.7 USD/averted DMF-S), fluoride mouth rinsing program (10.86 USD), and a comprehensive program with glass ionomer cement (461,766.37 USD/averted DALYs).
The fluoride programs and the comprehensive program with glass ionomer cement have the lowest cost-effectiveness ratio.
本研究旨在评估针对小学生的学校口腔健康促进和预防计划的成本效益比的差异。
本综述方案已在国际卫生和社会保健前瞻性注册系统评价数据库（PROSPERO）中注册（编号：CRD42022326734）。2022 年 3 月至 4 月进行的文献检索侧重于任何针对小学生的具有对照组的基于学校的促进和预防计划，其结果为增量成本效益比（ICER）。灰色文献不符合条件。本综述使用了五个数据库（PubMed、Scopus、Web of Science、CINAHL 和 Google Scholar）。两名独立的综述作者根据 PICO 纳入和排除标准进行了系统评价过程。使用 JBI ACTUARI 经济评估评估工具的关键评价指南来评估研究质量。
在总共 1473 篇文章中，有 5 篇文章符合文章搜索标准，并被纳入系统评价。已知劳动力成本占总计划成本的很大比例，并且在两个牛奶氟化项目（18.59 美元和 1.7 美元/每例 DMF-S 减少）、氟化物漱口项目（10.86 美元）和玻璃离子水门汀综合项目（461766.37 美元/每例 DALYs 减少）中发现了成本节约方案。
氟化物方案和玻璃离子水门汀综合方案具有最低的成本效益比。
