肺部康复计划减少了慢性阻塞性肺病患者住院的次数:一个成本效益研究
Maria Elena Toubes-Navarro1, Francisco Gude-Sampedro2, José Manuel Álvarez-Dobaño3,4
1Department of Pulmonology, University Clinical Hospital of Santiago de Compostela, Spain.
Annals of thoracic medicine
|December 7, 2023
概括
肺部康复 (PR) 显著减少慢性阻塞性肺病 (COPD) 患者的恶化和住院. 该计划具有成本效益,改善生活质量并节省医疗保健成本.
科学领域:
- 肺部医学 肺部医学
- 卫生经济学 卫生经济学
背景情况:
- 建议COPD患者进行肺部康复 (PR).
- 关于PR的成本效益和对恶化的影响的数据有限.
研究的目的:
- 评估PR在减少恶化的成本效益和有效性.
- 评估PR对COPD患者的生活质量和医疗保健成本的影响.
主要方法:
- 一项涉及200名COPD患者的准实验性研究.
- 恶化,生活质量 (COPD评估测试,EuroQol-5D) 和成本在PR之前和之后被测量.
- 增量成本效益比率 (ICER) 计算使用经质量调整的寿命年 (QALYs).
主要成果:
- 在PR后的入院 (48.2%),住院 (46.6%) 和急救访问 (42.5%) 显著减少 (P < 0.001).
- 生活质量得分显著改善 (P < 0.001).
- 公共公共服务带来了1826欧元/患者/年的成本节约和+0.107个QALY的收益,ICER为-17,056欧元.
结论:
- PR有效地减少了恶化,并减缓了COPD的临床恶化.
- 公共公共服务是一种具有成本效益的干预措施,改善了患者的生活质量并降低了医疗保健支出.
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