两项在线干预措施的成本效益,支持父母/护理人员和年轻人对湿疹的自我护理
Tracey H Sach1,2, Mary Onoja3, Holly Clarke3
1Health Economics Group, Norwich Medical School, University of East Anglia, Norwich Research Park, Norwich, NR4 7TJ, UK. T.sach@Soton.ac.uk.
概括
这项研究发现,在线湿疹自我管理干预是具有成本效益和优势的,节省了资金,同时改善了患者的治疗结果. 从NHS的角度来看,该干预措施的成本效益概率很高.
科学领域:
- 卫生经济学 卫生经济学
- 皮肤病学 皮肤病学
- 数字健康数字健康
背景情况:
- 湿疹管理需要年轻人和儿童有效的自我护理策略.
- 在线行为干预提供了一个可扩展的方法来支持自我管理.
- 对医疗保健系统来说,评估数字健康工具的经济可行性至关重要.
研究的目的:
- 评估在线干预 (EczemaCareOnline.org.uk) 对湿疹自我护理的成本效益.
- 从英国国家卫生服务 (NHS) 的角度评估干预措施.
- 确定干预是否是一种节省成本和有效的管理策略.
主要方法:
- 与经济评估一起进行了两项实用随机对照试验 (RCT).
- 以基线变量和混因子进行调整的回归分析.
- 资源使用和生活质量数据 (使用CHU-9D和EQ-5D-5L) 被收集并以2021年英计算.
主要成果:
- 在大多数分析中,在线干预被发现是占主导地位的,这意味着它既节省了成本,也更有效.
- 观察到成本效益的可能性很高 (超过68%).
- 二次分析显示调整后的增量成本节约和治疗成功率的增加.
结论:
- 湿疹CareOnline.org.uk的干预是低成本,有效,经济可行的工具,用于湿疹自我管理.
- 免费的在线干预为NHS提供了一个具有成本效益的解决方案.
- 数字自我管理工具可以成为湿疹护理途径的宝贵补充.
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