药剂师在黑人理发店治疗高血压的成本效益
Kelsey B Bryant1, Andrew E Moran1, Dhruv S Kazi2,3
1Columbia University, Vagelos College of Physicians and Surgeons, New York, NY (K.B.B., A.E.M., Y.Z., L.P.C., B.K.B.).
Circulation
|April 15, 2021
概括
药剂师在理发店的高血压治疗显著改善了黑人男性的血压控制. 这项10年预测表明洛杉矶理发店血压研究 (LABBPS) 的干预非常具有成本效益,改善了健康结果.
科学领域:
- 公共卫生
- 心血管医学
- 健康经济学
背景情况:
- 洛杉矶理发店血压研究 (LABBPS) 显示,黑人拥有理发店的药剂师领导的高血压管理改善了血压控制.
- 这项分析预测了与LABBPS干预相关的长期健康结果和医疗费用.
研究的目的:
- 预测药剂师在理发店的高血压护理与标准护理的10年健康结果和医疗费用.
- 从医疗保健部门的角度评估LABBPS干预的成本效益.
主要方法:
- 一个离散事件模拟模拟高血压护理过程,包括血压,不良事件,心血管事件和死亡率.
- 预计的成本,经质量调整的寿命年 (QALYs) 和成本效益估计为10年,每年使用3%的折扣率.
主要成果:
- 预计LABBPS干预每位参与者将增加2356美元,但在10年内获得0.06个QALY.
- 这项干预显示出高成本效益,每获得QALY42,717美元,具有58%的高成本效益概率.
- 仅使用仿制药可以提高成本效益,每QALY增加17,162美元.
结论:
- 在黑人理发店提供药剂师主导的高血压治疗是改善黑人男性血压控制的高性价比策略.
- 在缺乏服务的社区中,LABBPS模型提供了可扩展和有效的高血压管理方法.
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