一个全面的初级保健吸烟治疗计划的成本效益
Marlon P Mundt1, Danielle E McCarthy2, Timothy B Baker2
1Department of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin; Department of Population Health Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin; Center for Tobacco Research and Intervention, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin.
American journal of preventive medicine
|October 16, 2023
概括
这项研究表明,初级保健中主动戒烟计划显著增加戒烟率,并且对医疗保健系统具有成本效益. 这项干预措施改善了健康结果,并降低了吸烟患者的急性护理成本.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 预防医学 预防医学
背景情况:
- 在美国,吸烟仍然是可预防的死亡和疾病的主要原因之一.
- 初级保健机构为戒烟干预提供了一个关键的机会.
- 评估此类干预措施的成本效益对于医疗保健系统的可持续性至关重要.
研究的目的:
- 评估旨在降低吸烟率的综合初级保健干预措施的成本效益.
- 确定干预措施对戒烟和医疗保健利用的影响.
- 分析医疗保健系统内的戒烟计划投资回报率.
主要方法:
- 通过使用电子健康记录提示和经过认证的戒烟专家进行了实用性试验.
- 在吸烟登记册 (2017-2020年) 中,分析了10,683名患者的数据,使用前后比较.
- 衡量成本效益的标准是:每名戒烟者的成本,每年获得的质量调整寿命的成本,以及急性医疗保健成本的变化.
主要成果:
- 这项干预措施使戒烟率从1.3%提高到8.7%,增量有效率为7.4%.
- 增量成本效益比为每个人戒烟628美元,每人获得的质量调整寿命年905美元.
- 急性医疗保健费用平均每月每名患者下降42美元.
结论:
- 一个全面的,主动的戒烟计划在初级保健是一个具有成本效益的医疗保健策略.
- 干预措施符合典型的成本效益值,证明了价值与成本的关系.
- 这种方法提供了一个可扩展的模型来减少与吸烟相关的发病率和死亡率.
相关概念视频
01:28Acute Coronary Syndrome IV: Interprofessional Care
11
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
11
01:29Chronic Obstructive Pulmonary Disease-V: Management
2.6K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.6K
01:26COPD: Management Using Bronchodilators and Corticosteroids
217
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
217
01:30Preventive Healthcare Services
1.0K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.0K
01:26Stress Prevention and Stress Management Techniques IV
33
Stress often leads to unhealthy habits like smoking, excessive drinking, and overeating, which offer short-term relief but ultimately increase long-term health risks. These behaviors create a cycle that temporarily lowers stress levels but can result in severe long-term health consequences. Breaking these habits is essential to reduce the risk of chronic diseases and improve overall well-being. Three primary changes that support better health include quitting smoking, reducing alcohol intake,...
33
01:20Lifestyle Factors and Health
62
Lifestyle factors play a critical role in maintaining overall health and preventing chronic diseases. Key elements, such as regular physical activity, a nutritious diet, and abstinence from smoking, can significantly enhance physical, mental, and emotional well-being while reducing the risk of several life-threatening conditions.
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
62