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定量政策分析与公共卫生政策:宏观与微观视角

Quantitative policy analysis and public health policy: a macro and micro view.

作者信息

Hinman A R

机构信息

Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.

出版信息

Am J Prev Med. 1997 Jan-Feb;13(1):6-11.

PMID:9037336
Abstract

This article considers three examples of the use of quantitative policy analysis in setting public health policy: (1) benefit:cost and cost-effectiveness studies of influenza immunization and their role in achieving Medicare reimbursement for influenza immunization; (2) the 1993 World Bank World Development Report, which compared the burden of various health problems in different regions of the world and the cost-effectiveness of interventions for these problems, recommending a core set of public health and primary care services as being the most cost-effective; and (3) the role of the Agency for Health Care Policy and Research and how it might change if health care reform legislation such as President Clinton's original proposal were to be enacted. Finally, I describe the use of quantitative policy analysis to guide policy in one government agency--the Centers for Disease control and Prevention (CDC).

摘要

本文探讨了定量政策分析在制定公共卫生政策中的三个应用实例

(1)流感疫苗接种的效益成本和成本效益研究及其在实现医疗保险对流感疫苗接种报销中的作用;(2)1993年世界银行《世界发展报告》,该报告比较了世界不同地区各种健康问题的负担以及针对这些问题的干预措施的成本效益,建议将一套核心的公共卫生和初级保健服务作为最具成本效益的服务;(3)医疗保健政策与研究机构的作用,以及如果克林顿总统最初提议的医疗保健改革立法得以颁布,该机构可能会发生怎样的变化。最后,我描述了定量政策分析在一个政府机构——疾病控制与预防中心(CDC)中用于指导政策的情况。

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