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J S Mandelblatt¹, M C Fahs

¹Department of Ambulatory Care, City Hospital Center, Elmhurst, NY.

|April 22, 1988

概括

在低收入的老年妇女中,预防性查宫癌是具有成本效益的. 通过Papanicolaou检测早期发现宫瘤可以挽救生命,延长寿命,抵消计划成本.

科学领域:

老年学是指老年学的学科.
公共卫生公共卫生
妇科瘤学妇科瘤学

背景情况:

讨论了针对老年人的预防政策.
对于低收入老年人群的预防服务,成本效益数据有限.
宫癌查对妇女健康至关重要.

研究的目的:

评估子宫癌查计划的成本效益.
评估帕帕尼科拉检测对老年妇女的经济影响,这些老年妇女不经常接受查.
为公共卫生政策提供有关弱势老年人群预防护理的信息.

主要方法:

对子宫癌查计划进行了成本效益分析.
包括在一个城市市政医院对老年妇女进行的乳腺素检测.
对医疗和经济因素进行敏感性分析.

主要成果:

在816名接受查的女性中,在11名女性中发现了异常的乳腺素检测结果.
查每100次检查节省了+5907和3.7个生命年.
成本效益是有利的,每年节省的生命为+2874.

结论:

针对老年人的预防计划可以具有成本效益.
宫癌查为低收入的老年妇女提供了显著的好处.
需要进一步的研究来指导针对特定老年人群的公共政策.

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