跨学科疼痛自我管理计划对患者相关影响的经济分析
Anonnya Rizwana Chowdhury1, Deborah Schofield2, Rupendra Shrestha2
1Pain Management Research Institute, Sydney Medical School, University of Sydney, Australia.
Pain
|June 16, 2023
概括
积极日间患者治疗 (ADAPT) 计划改善了患者的收入和健康结果,同时降低了医疗保健成本. 这种强化疼痛管理干预措施为慢性疼痛患者提供了具有成本效益的解决方案.
科学领域:
- 疼痛管理 疼痛管理
- 卫生经济学 卫生经济学
- 认知行为疗法是认知行为疗法.
背景情况:
- 慢性疼痛显著影响个人的生活质量和经济生产力.
- 对于慢性疼痛的现有标准护理往往会产生相当大的医疗保健费用.
- 像ADAPT这样的密集跨学科项目旨在改善患者的治疗结果,并降低长期成本.
研究的目的:
- 对主动白天患者治疗 (ADAPT) 计划对患者相关影响进行经济分析.
- 为了比较医疗保健成本和结果,计划后1个月与计划前标准护理相比.
- 根据疼痛,自我效能和劳动力参与度的改善来评估ADAPT的成本效益.
主要方法:
- 对230名完成3周ADAPT计划的患者进行了回顾性队列研究.
- 分析医院关于医疗保健利用率和成本的行政数据.
- 评估主要结果,包括每周收入,疼痛自我有效性问卷和简要疼痛清单 (BPI) 评分.
主要成果:
- 与基线相比,患者在1个月的随访期间平均每周了59美元.
- 每个临床上有意义的疼痛严重程度变化 (BPI) 的成本为9452.32澳元;对于疼痛干扰,它是3446.62.62澳元.
- 每个自我有效性改善点的成本为483美元;每一个临床上有意义的变化,它是3381.02美元.
结论:
- ADAPT显示改善了健康结果,包括减少疼痛和提高自我效能.
- 该计划导致医疗保健服务利用率和药物使用率下降.
- ADAPT 是一种具有成本效益的干预措施,用于治疗残疾慢性疼痛.
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