A SYSTEMATIC REVIEW OF ECONOMIC EVALUATION STUDIES REGARDING COVID-19

Yıl 2023, Cilt: 26 Sayı: 3, 853 - 870, 26.09.2023

Dolunay Özlem Zeybek , Dilara Arslan

Öz

The pandemic brought many uncertainties about both the disease itself and the health system. Due to the high rate of transmission, the Covid-19 pandemic has caused individuals to experience problems in accessing health services not only for Covid-19 but also for other diseases wether chronic or acute. In the stages of struggling with the pandemic, conducting economic evaluation studies on Covid-19 was seen as important, taking into account the uncertainties and access issues encountered, in order to guide decision makers for rational decision-making and to use resources effectively and efficiently. This study aims systematically review the economic evaluation studies for the diagnosis, treatment, and control of Covid-19 disease. PubMed, Scopus, Web of Science and ULAKBİM databases were searched from December 2019 to July 2021 to identify the literature on economic evaluation studies related to Covid-19. As a result of the systematic search, 362 articles were identified as a result of the search made in the relevant databases. After the repetitive entries were removed, title and abstract scanning were performed, and 22 publications that met the inclusion criteria were examined within the scope of the study. It was observed that 68.18% of the studies were published in 2021 and 31.81% in 2020. 81.8% of the published studies have been conducted with cost-effectiveness, 9.09% with cost-benefit, and 4.54% with cost minimization and cost-utility analysis. The majority of the countries where the studies were conducted were in high-income countries, in 2021 and cost-effectiveness analysis. The subject of these studies is mostly related to screening and diagnostic tests for Covid-19 disease. There wasn't any study detected conducted in Turkey on the subject. More research on this particular subject is required in the future.

Anahtar Kelimeler

Covid-19, Coronavirus, Systematic Screening, Economic Evaluation.

COVID-19 İLE İLGİLİ YAPILAN EKONOMİK DEĞERLENDİRME ÇALIŞMALARINA İLİŞKİN SİSTEMATİK İNCELEME

Öz

Pandemi hem hastalığın kendisi hem de sağlık sistemi hakkında pek çok belirsizliği beraberinde getirmiştir. Covid-19 pandemisi, yüksek bulaşma hızı nedeniyle sadece Covid-19 için değil, kronik veya akut diğer hastalıklar için de bireylerin sağlık hizmetlerine erişimde sorun yaşamasına neden olmuştur. Pandemi ile mücadele aşamalarında, karar vericilerin akılcı karar almalarına rehberlik etmek ve kaynakları etkin ve verimli kullanmak amacıyla, yaşanan belirsizlikler ve erişim sorunları dikkate alınarak Covid-19 ile ilgili ekonomik değerlendirme çalışmalarının yapılması önemli görülmektedir. Bu çalışma, Covid-19 hastalığının tanı, tedavi ve kontrolüne yönelik ekonomik değerlendirme çalışmalarının sistematik olarak gözden geçirilmesini amaçlamaktadır. Covid-19 ile ilgili ekonomik değerlendirme çalışmalarına ilişkin literatürü belirlemek için 2019 Aralık ve 2021 Temmuz arasında PubMed, Scopus, Web of Science ve ULAKBİM veri tabanları taranmıştır. Yapılan sistematik tarama sonucunda İlgili veri tabanlarında yapılan tarama sonucunda 362 makale tespit edilmiştir. Tekrar eden kayıtlar kaldırıldıktan sonra başlık ve özet taraması yapılmış, dahil edilme kriterlerini karşılayan 22 yayın çalışma kapsamında incelenmiştir. Çalışmaların %68,18’inin 2021 yılında %31,81’inin 2020 yılında yayınlandığı görülmüştür. Yayınlanan çalışmaların %81,8’i maliyet etkililik, %9,09 maliyet fayda, %4,54’ü maliyet minimizasyon ve maliyet yararlanım analizidir. Çalışmaların yapıldığı ülkelerinin çoğunluğunun yüksek gelirli ülkelerde, 2021 yılında ve maliyet etkililik analizi olduğu görülmüştür. Bu çalışmaların konusunun çoğunlukla Covid-19 hastalığına yönelik tarama ve tanı testleri ile ilgilidir. Türkiye’den ise konuyla ilgili yapılmış herhangi bir çalışmaya rastlanmamıştır. Konuyla ilgili ilerleyen dönemlerde daha fazla araştırma yapılması gereklidir.

Anahtar Kelimeler

Covid-19, Koronavirüs, Sistematik Tarama, Ekonomik Değerlendirme

Kaynakça

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