在糖尿病前期患者的数字糖尿病预防计划 (dDPP) 的成本效益分析
Sooyeol Park1,2, Trevor Ward1, Andrew Sudimack1
1Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Journal of telemedicine and telecare
|June 8, 2023
概括
数字糖尿病预防计划 (dDPP) 是成本效益高的,用于预防糖尿病前期患者的2型糖尿病. 与传统的小组教育干预相比,这种数字方法提供了更好的结果和价值.
科学领域:
- 卫生经济学 卫生经济学
- 预防医学 预防医学
- 数字健康干预措施 数字健康干预措施
背景情况:
- 糖尿病前期对患上2型糖尿病 (T2DM) 的风险很大.
- 像小组教育 (SGE) 这样的传统干预措施在影响力和坚持方面存在局限性.
- 数字糖尿病预防计划 (dDPP) 为管理糖尿病前期提供了一个可扩展的替代方案.
研究的目的:
- 评估dDPP与SGE在糖尿病前期患者T2DM预防方面的成本效益.
- 从卫生系统的角度分析成本和质量调整寿命年 (QALYs) 在10年的时间里.
主要方法:
- 使用马尔科夫队列模型来比较dDPP和SGE干预措施.
- 临床试验和对生活方式干预措施的元分析为过渡概率提供了信息.
- 使用增量成本效益比率 (ICER) 和灵敏度分析评估了成本效益,包括部分干预完成.
主要成果:
- 在每QALY支付5万美元,10万美元和15万美元的支付意愿门上,dDPP主导着SGE.
- 在100,000美元WTP的基本情况中,SGE承担了更高的成本 (增加了1332美元) 并产生了更少的QALY (0.04小).
- 概率灵敏度分析表明,在10万美元WTP值的模拟中,64.4%的模拟显示dDPP优先.
结论:
- 数字糖尿病预防计划在预防2型糖尿病方面证明了成本效益.
- 对于高风险的糖尿病前期患者群体来说,dDPP是一个有价值和有效的策略.
- 这些发现支持将dDPP整合到T2DM预防的卫生系统中.
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