在怀孕19至25周时进行全方位例行超声波子宫长度测量的成本效益
Moshe Leshno1, Hamutal Meiri2, Ron Maymon3
1School of Medicine, Faculty of Medical and Health Sciences, Tel-Aviv University, Tel-Aviv, Israel (Drs Leshno and Maymon); Coller School of Management, Tel-Aviv University, Tel-Aviv, Israel (Dr Leshno).
American journal of obstetrics & gynecology MFM
|February 22, 2024
概括
全国第二季度子宫长度查显著减少了早产和低出生体重. 这种具有成本效益的策略改善了新生儿的结果,并节省了医疗保健成本,使其成为一种有价值的公共卫生干预措施.
科学领域:
- 孕产妇和胎儿的医学
- 公共卫生政策 公共卫生政策
- 卫生经济学 卫生经济学
背景情况:
- 2010年,以色列实施了全国性的第二个三个月子宫长度查.
- 十年的查显示,早产和低出生体重单胎分娩的显著减少.
研究的目的:
- 估计第二个三个月子宫长度查的国家政策的成本效益.
- 与没有查的策略进行比较.
主要方法:
- 一个决策模型比较了普遍查和没有查.
- 使用了来自以色列国家送货登记册和社会保障数据的数据.
- 进行了蒙特卡洛模拟和灵敏度分析.
主要成果:
- 全球性查提高了0.018的质量调整寿命年,并将平均成本从1047美元降低到998美元.
- 估计每年国家节省831万美元,每年质量调整后的寿命年增量成本效益比为-2766美元.
- 查提高了怀孕≥37周的分娩率,从94.46%提高到95.17%.
结论:
- 国家普遍的宫长度查应纳入常规的第二季度异常扫描.
- 该政策减少了早产和低出生体重,节省了成本并改善了质量调整后的生活年数.
- 节省成本取决于早产发病率高于3%的情况.
相关概念视频
01:17Ultrasonography
Ultrasonography is an imaging technique that uses high-frequency sound waves to visualize the body's internal structures. It is a non-invasive and safe procedure that does not involve the use of ionizing radiation, making it widely used in various medical fields. Ultrasonography is used to study heart function, blood flow in the neck or extremities, certain conditions such as gallbladder disease, and fetal growth and development.
During an ultrasonography procedure, a handheld device called a...
During an ultrasonography procedure, a handheld device called a...
01:20Ultrasound I: Abdominal Ultrasonography
Introduction:
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...