Fatoye Francis, Gebrye Tadesse, Nherera Leo, Trueman Paul
Department of Health Professions, Faculty of Health and Education, Brooks Building I Manchester Metropolitan University, Manchester M15 6GX, UK;
Smith + Nephew Inc., Global Market Access, 5600 Clearfork Main St, Fort Worth, TX 76109, USA;
J Mark Access Health Policy. 2024 Aug 12;12(3):216-223. doi: 10.3390/jmahp12030018. eCollection 2024 Sep.
Economic evaluations are used to compare the costs and consequences of healthcare interventions, including those for musculoskeletal (MSK) disorders, which are very common and a major source of morbidity and absence from work. Reimbursement decisions for interventions for MSK disorders by decision-makers rely on the findings of economic evaluations, the design and results of which depend largely on the perspective adopted. Despite methodological advancements in economic evaluations, there are no clear guidelines on the perspective to adopt. This paper explores the adoption of a societal perspective in economic evaluations of MSK disorders. Within health economics evaluations, the most commonly used perspectives include the payer perspective, the healthcare perspective, and the societal perspective. To facilitate optimal resource allocation decisions in order to reduce the significant economic burden of MSK disorders and improve the health outcomes of individuals with these disorders, all costs and benefits associated with interventions for them should be included. Thus, the societal perspective is arguably a preferable option to the others for economic evaluations of interventions for MSK disorders.
经济评估用于比较医疗保健干预措施的成本和后果，包括针对肌肉骨骼（MSK）疾病的干预措施，这类疾病非常常见，是发病和缺勤的主要原因。决策者对MSK疾病干预措施的报销决策依赖于经济评估的结果，而经济评估的设计和结果在很大程度上取决于所采用的视角。尽管经济评估在方法上有所进步，但对于应采用何种视角尚无明确的指导方针。本文探讨在MSK疾病的经济评估中采用社会视角。在卫生经济学评估中，最常用的视角包括支付方视角、医疗保健视角和社会视角。为了促进最优资源分配决策，以减轻MSK疾病的重大经济负担并改善患有这些疾病的个体的健康结果，应纳入与针对这些疾病的干预措施相关的所有成本和收益。因此，对于MSK疾病干预措施的经济评估而言，社会视角可以说是比其他视角更可取的选择。
