与标准护理相比,心血管疾病患者的远程监测计划的成本效益

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Updated: Jul 26, 2025

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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

11.6K

Andreas Ziegler^1,2,3,4,5, Alper Öner⁶, Gisela Quadflieg⁷

¹Cardio-CARE, Davos Wolfgang, Switzerland ziegler.lit@mailbox.org.

Heart (British Cardiac Society)

|June 14, 2023

概括

综合护理理念 (NICC) 改善了患者的生活质量和健康效用. 这种远程监控程序具有成本效益,估计每年每QALY约有11.000欧元的支付意愿.

科学领域:

卫生经济学卫生经济学
心脏病学心脏病学
数字健康数字健康

背景情况:

结合远程监控和护理中心的综合护理模式正在出现.
评估成本效益和对生活质量的影响对于广泛采用至关重要.
标准护理 (SoC) 为评估新型医疗干预提供了一个基准.

研究的目的:

分析与标准护理 (SoC) 相比,新型综合护理概念 (NICC) 的成本效益.
评估NICC和SoC之间的健康实用性和与健康相关的生活质量 (QoL) 的差异.
确定NICC对心血管疾病患者的经济可行性.

主要方法:

一项随机对照试验 (CardioCare MV试验) 在患有心房动,心力衰竭或抗性高血压的患者中比较了NICC与SoC.
使用EQ-5D-5L来评估生活质量,从付款人的角度进行健康经济分析.
净收益,质量调整后寿命年 (QALYs) 和直接成本是使用定量回归计算的.

主要成果:

在QALYs (0.031;p=0.001) 中,NICC比SoC显示出一个统计学上显著的净收益.
在NICC组的患者在1年的随访中报告了更高的EQ5D指数值,VAS-AL和VAS得分.
在NICC组,每年每名患者的直接成本较低 (减少323欧元).

结论:

NICC显著提高了患者的生活质量和健康效用.
综合护理模式具有成本效益,计算的支付意愿约为每QALY每年10,652欧元.
NICC代表了一种有价值和经济可行的方法来管理患有特定心血管疾病的患者.

关键词:

医疗保健经济学和组织心脏衰竭是因为心脏衰竭.在高血压的高血压.远程医疗远程医疗

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