Background: The incorporation of spillover effects in health economic research is recognized by regulatory agencies as useful for valuing health interventions and technologies. To date, spillover effects are not universally used within economic evaluations and conceptual definitions of spillover effects are vague within the context of health economics research. Materials & methods: In an effort to enhance awareness of spillover effects for health economic evaluations, a concept analysis using Walker and Avant's approach was performed to elucidate the key attributes, definitions, antecedents and consequences of spillover effects across a range of disciplines. Results: Key attributes included lack of intention, positive and negative impacts, and two entity/domain involvement. Antecedents included an initial action and desired outcome. Consequences involved spillovers across industries, work life to personal life domains, patient to family member domains and across healthcare markets. Conclusion: The analysis provides greater clarification around the dimensions of spillover effects and reveals opportunities to enhance methodological approaches to assessing spillovers.

译文

:背景:溢出效应被纳入卫生经济研究中,被监管机构认可,对于评估卫生干预措施和技术很有用。迄今为止,溢出效应尚未在经济评估中普遍使用,并且溢出效应的概念定义在卫生经济学研究的背景下含糊不清。材料和方法:为了增强对卫生经济评估的溢出效应的认识,使用了Walker和Avant的方法进行了概念分析,以阐明跨学科的溢出效应的关键属性,定义,前因和后果。结果:关键属性包括缺乏意图,正面和负面影响以及两个实体/域参与。前因包括初步行动和期望的结果。后果涉及跨行业溢出,工作生活到个人生活领域,患者到家庭成员领域以及整个医疗市场。结论:该分析为溢出效应的范围提供了更清晰的说明,并揭示了增强评估溢出效应的方法学方法的机会。

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