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首页> 外文期刊>Prevention science: the official journal of the Society for Prevention Research >The Cost-Effectiveness of the Kiva Antibullying Program: Results from a Decision-Analytic Model
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The Cost-Effectiveness of the Kiva Antibullying Program: Results from a Decision-Analytic Model

机译：基辅抗性程序的成本效益：决策分析模型的结果

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Bullying causes substantial suffering for children and adolescents. A number of bullying prevention programs have been advocated as effective methods for counteracting school bullying. However, there is a lack of economic evaluations of bullying prevention programs assessing the “value for money.” The aim of this study was to assess the cost-effectiveness of the Finnish bullying prevention program KiVa in comparison to “status quo” (treatment as usual) in a Swedish elementary school setting (grades 1 to 9). The cost-effectiveness analysis was carried out using a payer perspective based on a Markov cohort model. The costs of the program were measured in Swedish kronor and Euros, and the benefits were measured using two different metrics: (1) the number of victim-free years and (2) the number of quality adjusted life years (QALYs). Data on costs, probability transitions, and health-related quality of life measures were retrieved from published literature. Deterministic and probabilistic sensitivity analyses were carried out to establish the uncertainty of the cost-effectiveness results. The base-case analysis indicated that KiVa leads to an increased cost of €829 for a gain of 0.47 victim-free years per student. In terms of the cost per gained QALY, the results indicated a base-case estimate of €13,823, which may be seen as cost-effective given that it is lower than the typically accepted threshold value in Swedish health policy of around €50,000. Further research is needed to confirm the conclusions of this study, especially regarding the treatment effects of KiVa in different school contexts.
机译：欺凌导致儿童和青少年的大量痛苦。已经提倡许多欺凌预防计划作为抵消学校欺凌的有效方法。然而，缺乏对评估“金额的价值”的欺凌预防计划的经济评估。本研究的目的是评估芬兰欺凌预防计划KIVA的成本效益与瑞典小学环境中的“常规问题”（常规）（等级为1至9级）。使用基于Markov Cohort模型的付款人透视进行成本效益分析。该计划的成本是以瑞典克朗和欧元衡量的，利益使用两种不同的指标来衡量：（1）自由岁月和（2）质量调整年龄（QALYS）的数量。从出版的文献中检索了有关成本，概率转型和健康相关质量措施的数据。进行确定性和概率敏感性分析，以确定成本效益结果的不确定性。基本案例分析表明，KIVA每名学生获得0.47份免疫岁月的收益，增加了829欧元的成本。就每获得QALY的成本而言，结果表明了13,823欧元的基本情况估计，这可能被视为成本效益，因为它低于瑞典卫生政策中常见的阈值约为50,000欧元。需要进一步的研究来确认本研究的结论，特别是关于基辅除法的治疗效果。

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