通过脑健康诊所与记忆诊所的患者旅程和成本:成本研究
Lucy A Cunningham1, Filipa Landeiro1, José Leal1
1Health Economics Research Centre, University of Oxford, Oxford, UK.
Lancet (London, England)
|November 24, 2023
概括
大脑健康诊所比传统的记忆诊所贵3.5倍. 然而,它们的更高成本可能会通过改善痴呆患者及其照顾者的生活质量来提供更好的价值.
科学领域:
- 神经学
- 医疗经济学
- 老年学
背景情况:
- 痴呆症和阿尔茨海默病在英格兰是一个显著且日益严重的健康挑战,
- 由于人口老龄化,痴呆症的发病率预计将增加.
- 大脑健康诊所 (BHC) 与标准的记忆诊所相比,提供了更强大的诊断能力.
研究的目的:
- 通过大脑健康诊所 (BHC) 与传统记忆诊所相关的费用进行比较.
- 在痴呆症护理的背景下评估BHC的经济模式.
- 为未来的医疗保健资源分配提供记忆评估服务.
主要方法:
- 一个BHC和一个英格兰南部的记忆诊所的员工参与了成本研究.
- 为了确定和估计临床和研究任务的资源,时间和成本,对患者的旅程进行了绘制.
- 人员成本是根据每项任务的时间和员工工资估计而计算的,经过全日制等价数据的验证.
主要成果:
- 大脑健康诊所 (BHC) 的费用是每名患者的3.5倍 (1428英),而不是记忆诊所 (414英).
- 150名BHC患者的年费估计为214,200英,而记忆诊所的600名患者的年费为248,400英.
- 返回记忆诊所的BHC患者的预约时间更短, 每次预约节省了230英.
结论:
- 较高的BHC成本归因于较低的患者吞吐量和先进的成像/评估技术.
- 尽管前期成本较高,但BHC可以通过改善患者和护理人员的生活质量来提供长期价值.
- 需要进一步的研究来量化与BHC相关的附加值和结果,建议进行更广泛的成本估计.
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