对针对T2DM或高血压的短信,智能手机应用程序和网站干预措施的成本效益审查
Ruben Willems1, Lieven Annemans2, George Siopis3,4
1Interuniversity Center of Health Economic Research (ICHER), department of Public Health and Primary Care, Ghent University, Ghent, Belgium. Ruben.Willems@ugent.be.
NPJ digital medicine
|August 18, 2023
概括
像短信,应用程序和网站这样的数字健康干预措施在2型糖尿病 (T2DM) 和高血压预防方面具有成本效益. 没有一个单一的数字健康模式显示出更高的成本效益,干预措施证明对T2DM有效,但对高血压无效.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 卫生经济学 卫生经济学
- 效果的比较性 效果的比较
背景情况:
- 数字健康干预措施在治疗2型糖尿病 (T2DM) 和高血压方面显示出临床有效性.
- 需要比较不同数字健康交付模式的成本效益.
研究的目的:
- 综合和比较T2DM和高血压的短信,智能手机应用程序和网站的成本效益.
- 确定影响健康经济评估质量的因素.
主要方法:
- 在CINAHL,Cochrane Central,Embase,Medline和PsycInfo中对经济或成本最小化研究进行系统的文献搜索.
- 对成本和健康影响的叙述综合,使用健康经济标准共识 (CHEC) 清单进行质量评估.
- 从包含的成本效益分析中分析增量成本效益比率 (ICUR).
主要成果:
- 包括14项研究,评估了短信 (7),智能手机应用 (4) 和网站 (5).
- 中位数ICUR为3840欧元/质量调整后生命年 (QALY),干预措施在T2DM中始终具有成本效益,但高血压并非如此.
- 在三个数字干预模式之间没有发现实质性的成本效益差异.
结论:
- 短信,智能手机应用程序和基于网站的数字健康干预措施具有成本效益,且模式之间没有显著差异.
- 对T2DM群体来说,干预措施具有成本效益,但对高血压来说并不一致.
- 未来的经济评估需要提高透明度,敏感性分析和批判性ICUR评估.
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