降低胆固醇的成本和健康影响
L Goldman1, D J Gordon, B M Rifkind
1Department of Medicine, Brigham and Women's Hospital, Boston, MA 02115.
Circulation
|May 1, 1992
概括
降低胆固醇有效降低冠心病 (CHD) 的风险. 成本效益分析支持公众教育和对二次预防的积极治疗,但对高风险个体来说,初级预防的药物治疗是最好的.
科学领域:
- 心血管医学 心血管医学
- 卫生经济学 卫生经济学
背景情况:
- 科学共识证实了胆固醇在冠心病 (CHD) 中的作用.
- 降低胆固醇水平被证明可以降低心脏病发病率.
- 成本效益分析 (CEA) 对于评估医疗保健支出效益至关重要.
研究的目的:
- 审查降胆固醇干预措施的有效性和成本效益.
- 为医疗保健政策提供有关胆固醇管理策略的信息.
主要方法:
- 关于降低胆固醇的有效性和成本效益的文献综述.
- 将CEA方法应用于降低胆固醇的策略.
主要成果:
- CEA支持为降低胆固醇的全民教育计划.
- 积极的降胆固醇治疗是二次性心血管疾病预防的成本效益.
- 用于初级预防的药物治疗仅在可识别的高风险个体中具有成本效益.
- 药物费用对初级预防的成本效益有很大影响.
结论:
- 需要进一步的研究来验证CEA对胆固醇干预措施的预测.
- 需要更多关于老年人和女性胆固醇干预措施的数据.
- 降低药物费用可能会提高初级预防的吸引力.
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