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预防尿失禁的行为干预的成本和可持续性
Todd H Wagner1,2, Jennifer Yang Scott1, Diane K Newman3
1Health Economics Resource Center, Department of Veterans Affairs, Menlo Park, California.
Urology practice
|June 14, 2023
概括
对尿失禁进行20分钟的视频干预与2小时的课程一样有效,但成本明显低. 这个缩写的视频改善了行为治疗的获取和可持续性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 行为科学 行为科学
- 卫生经济学 卫生经济学
背景情况:
- 行为干预是尿失禁的主要治疗方法.
- 之前的一项随机试验显示,20分钟的视频干预与2小时的面对面课程相当.
- 这项研究侧重于视频干预与面对面课程的经济方面.
研究的目的:
- 为了比较20分钟的视频干预尿失禁的经济结果与2小时的面对面课程.
- 评估成本效益,医疗保健利用,生活质量和生产力.
- 评估患者愿意为不同的交付格式付费的意愿.
主要方法:
- 332名参与者被随机分配到2小时的课程中,315人被分配到20分钟的视频中.
- 成本,医疗保健利用,生活质量和生产力在3,12和24个月后进行评估.
- 使用回归分析进行统计比较,包括支付意愿.
主要成果:
- 这两个小时的课程每位参与者估计花费38美元,而视频的边际成本为0美元.
- 在生活质量,生产力损失或医疗保健利用方面没有观察到群体之间的显著差异.
- 愿意支付DVD,网络视频或面对面课程的费用低于面对面课程的平均成本.
结论:
- 20分钟的视频干预是一种经济有效且同样有效的替代方案,可以替代2小时的尿失禁课程.
- 视频格式提供了更好的访问和可持续性,特别是当在线分发时.
- 在行为干预中解决坚持挑战对于管理尿失禁至关重要.
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